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Attenuation of acute lung injury in septic guinea-pigs by a new xanthine derivative (HWA-138).

Abstract
The protective effect of xanthines against E. coli-induced and cytokine-induced lung injury in guinea-pigs has been demonstrated recently. In the present study, the possible protective effects were examined of an analogue of pentoxifylline, HWA-138, a xanthine derivative, on lung injury in septic guinea-pigs. Three groups of animals were studied over a period of 8 hours: Group I animals--saline control injected intravenously with 3 ml 2% lysine/normal saline followed by a continuous lysine/saline infusion (1 ml/kg/hr); Group II--septic control injected intravenously with 2 x 10(9)/kg Escherichia coli followed by a continuous lysine/saline infusion (1 ml/kg/hr); and Group III--E. coli septicaemia plus HWA-138 continuous infusion (HWA-138 dissolved in lysine/saline) began with a bolus (10 mg/kg) followed by a HWA-138 continuous infusion (3 mg/kg/hr) started 60 minutes before injection of E. coli. Arterial blood pressure and white blood cell counts were monitored serially for 8 hours. Lung water (wet-to-dry ratio) and the concentration ratio of 125I-labelled albumin in bronchoalveolar lavage (BAL) fluid and lung tissue compared to plasma (125I-albumin BAL/plasma, 125I-albumin lung/plasma) were examined. Results demonstrated that an intravenous injection of E. coli caused an increased W/D ratio (p less than 0.01) and an increased 125I-albumin lung/plasma ratio (p less than 0.01). In contrast, the HWA-138-treated group did not demonstrate significantly increased W/D lung ratios (p less than 0.01) and 125I-albumin lung/plasma ratios (p less than 0.05). The data suggest a possible role for HWA-138 in attenuating sepsis-induced lung injury.
AuthorsJ R Hatherill, M Yonemaru, H Zheng, H Hoffmann, S Fujishima, A Ishizaka, T A Raffin
JournalPharmatherapeutica (Pharmatherapeutica) Vol. 5 Issue 6 Pg. 407-15 ( 1989) ISSN: 0308-051X [Print] England
PMID2687896 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
Chemical References
  • Bronchodilator Agents
  • Iodine Radioisotopes
  • 1-(5-hydroxy-5-methylhexyl)-3-methylxanthine
  • Theobromine
  • Pentoxifylline
Topics
  • Acute Disease
  • Animals
  • Blood Pressure (drug effects)
  • Bronchodilator Agents (administration & dosage, therapeutic use)
  • Erythrocytes (metabolism)
  • Escherichia coli Infections (drug therapy)
  • Guinea Pigs
  • Injections, Intravenous
  • Iodine Radioisotopes
  • Leukocyte Count
  • Lung Diseases (chemically induced, drug therapy)
  • Pentoxifylline (administration & dosage, analogs & derivatives, therapeutic use)
  • Respiratory Tract Infections (drug therapy)
  • Theobromine (analogs & derivatives)

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