Administration of a peroxynitrite decomposition catalyst into the bronchial artery attenuates pulmonary dysfunction after smoke inhalation and burn injury in sheep.

Abstract

Reactive nitrogen species such as peroxynitrite play a significant role in burn and smoke inhalation injury. The bronchial circulation increases more than 10-fold in response to this combination injury. We hypothesized that direct delivery of low-dose WW-85, a peroxynitrite decomposition catalyst, into the bronchial artery would attenuate burn- and smoke inhalation-induced acute lung injury. In adult female sheep (n = 17), the bronchial artery was cannulated in preparation surgery. After a 5- to 7-day recovery period, sheep were subjected to a burn (40% total body surface area, third degree) and inhalation injury (48 breaths of cotton smoke, <40°C). The animals were divided into three groups following the injury: (i) WW-85 group: 1 h after injury, WW-85 (0.002 mg/kg per hour) was continuously infused into the bronchial artery, n = 5; (ii) control group: 1 h after injury, an equivalent amount of saline was injected into the bronchial artery, n = 6; (iii) sham group: no injury, no treatment, same operation and anesthesia, n = 6. All animals were mechanically ventilated and fluid resuscitated equally. In the control group, the injury induced a severe deterioration of pulmonary oxygenation and shunting and an increase in pulmonary microvascular permeability toward sham. The injury was further associated with an increase in reactive nitrogen species in lung tissues of the control group. All these alterations were significantly attenuated in the WW-85 group. We demonstrated that a low dosage of WW-85 directly administered into the bronchial artery attenuated pulmonary dysfunction to the same extent as higher systemically administered doses in previous experiments. Our data strongly suggest that local airway production of peroxynitrite contributes to pulmonary dysfunction following smoke inhalation and burn injury.

• Authors: Atsumori Hamahata, Perenlei Enkhbaatar, Matthias Lange, Takashi Yamaki, Hiroaki Nakazawa, Motohiro Nozaki, Hiroyuki Sakurai, Lillian D Traber, Daniel L Traber
• Journal: Shock (Augusta, Ga.) (Shock) Vol. 38 Issue 5 Pg. 543-8 (Nov 2012) ISSN: 1540-0514 [Electronic] United States
• PMID: 23042194 (Publication Type: Journal Article, Research Support, N.I.H., Extramural, Research Support, Non-U.S. Gov't)

Chemical References

• WW85 compound
• Peroxynitrous Acid

Topics

• Acute Lung Injury (drug therapy, metabolism, pathology, physiopathology)
• Animals
• Bronchial Arteries (metabolism, physiopathology)
• Capillary Permeability (drug effects)
• Female
• Lung (metabolism, pathology, physiopathology)
• Peroxynitrous Acid (antagonists & inhibitors, metabolism, pharmacology)
• Sheep
• Smoke Inhalation Injury (drug therapy, metabolism, pathology, physiopathology)
• Time Factors