Neutrophils accumulate in skeletal muscle subjected to
ischemia-reperfusion and appear to contribute to reperfusion-induced microvascular dysfunction. The overall objective of this study was to assess the role of the neutrophilic hydrolytic
enzyme elastase in
ischemia-reperfusion-induced granulocyte accumulation and microvascular dysfunction in skeletal muscle. We examined the effect of three structurally unrelated
elastase inhibitors [
eglin C,
MeOsuc-Ala-Ala-Val-CH2Cl (MAAPV), or
L-658758], administered at the onset of reperfusion, on neutrophil content and the increase in microvascular permeability induced by 4 h of
ischemia and 0.5 h of reperfusion in the isolated canine gracilis muscle. Changes in vascular permeability (1 - sigma) were assessed by determining the
solvent drag reflection coefficient for total
plasma proteins (sigma) in the following groups: 1) 4.5 h of continuous perfusion (nonischemic), 2)
ischemia-reperfusion alone, 3)
ischemia-reperfusion +
eglin C, 4)
ischemia-reperfusion + MAAPV, and 5)
ischemia-reperfusion +
L-658758. Muscle neutrophil content was monitored by assessing tissue
myeloperoxidase (MPO) activity in biopsies obtained at the end of the experiments. In nonischemic muscles, 1 - sigma and MPO activity averaged 0.13 +/- 0.03 and 0.7 +/- 0.2 units/g wet wt, respectively.
Ischemia-reperfusion was associated with marked increases in microvascular permeability (1 - sigma = 0.39 +/- 0.02) and muscle MPO activity (8.9 +/- 1.2 units/g wet wt) that were attenuated by
eglin C, MAAPV, and
L-658758 (1 - sigma = 0.21 +/- 0.01, 0.22 +/- 0.02, and 0.21 +/- 0.03, respectively; MPO activity = 2.7 +/- 0.4, 2.1 +/- 0.8, and 2.8 +/- 1.8 units/g wet wt, respectively). These results suggest that granulocyte accumulation in postischemic skeletal muscle is dependent on the release of
elastase from activated phagocytic cells. Moreover, neutrophilic
elastase appears to play a major role in reperfusion-induced increases in microvascular permeability in skeletal muscle.