The objective of this study was to determine the effects of a TREM (
triggering receptor expressed on myeloid cells 1)-like transcript 1-derived
peptide (LR12) administration during
septic shock in pigs. Two hours after induction of a fecal
peritonitis, anesthetized and mechanically ventilated adult male minipigs were randomized to receive LR12 (n = 6) or its vehicle alone (
normal saline, n = 5). Two animals were operated and instrumented without the induction of
peritonitis and served as controls (
sham).
Resuscitation was achieved using hydroxyethyl
starch (up to 20 mL/kg) and
norepinephrine infusion (up to 10 μg/kg per minute). Hemodynamic parameters were continuously recorded. Gas exchange,
acid-base status, organ function, and plasma
cytokines concentrations were evaluated at regular intervals until 24 h after the onset of
peritonitis when animals were killed under
anesthesia.
Peritonitis induced profound
hypotension, myocardial dysfunction,
lactic acidosis, coagulation abnormalities, and
multiple organ failure. These disorders were largely attenuated by LR12. In particular, cardiovascular failure was dampened as attested by a better mean arterial pressure, cardiac index, cardiac power index, and S(v)O(2), despite lower
norepinephrine requirements. LR12, a TREM-like transcript 1-derived
peptide, exhibits salutary properties during
septic shock in adult minipigs.