Abstract | BACKGROUND:
Nitric oxide (NO) seems to play an important role in tissue injury during reperfusion of the lung. FK409 is the first spontaneous NO donor that increases plasma guanosine 3':5'-cyclic monophosphate. It is reported that FK409 prevented myocardial infarction following occlusion and reperfusion in rat coronary arteries. In this study, we evaluated the effects of FK409 on pulmonary ischemia-reperfusion injury in an in situ warm ischemia model of rats. METHODS: Animals were divided into 2 groups: the FK409 study group that was administered FK409 (0.4 mg/kg) before reperfusion and the control group, administered a saline vehicle only. Following a thoracotomy, the bronchus, pulmonary artery and vein were separately clamped for 1 hour. Arterial oxygen tension (PaO2), arterial oxygen saturation (SaO2), and endothelin-I (ET-I) were measured after 2 hours of reperfusion. Histologic and immunohistochemical studies were performed; polymorphonuclear neutrophils (PMNs) were counted after 2 hours of reperfusion. RESULTS: PaO2, SaO2, ET-I after 2 hours of reperfusion and the 7-day survival rate were significantly (p < 0.05) better in the FK409 group than the control group. Histologic damage was reduced in the FK409 group compared with the control group. PMN infiltration was also significantly (p < 0.05) lower in the FK409 group than in the control group. CONCLUSION: FK409 seems to protect against ischemia-reperfusion injury of the lung. This effect may be related to a homeostatic effect on pulmonary vascular beds and prevention of PMN sequestration.
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Authors | I Takeyoshi, Y Otani, D Yoshinari, Y Kawashima, S Ohwada, K Matsumoto, Y Morishita |
Journal | The Journal of heart and lung transplantation : the official publication of the International Society for Heart Transplantation
(J Heart Lung Transplant)
Vol. 19
Issue 2
Pg. 185-92
(Feb 2000)
ISSN: 1053-2498 [Print] United States |
PMID | 10703696
(Publication Type: Journal Article)
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Chemical References |
- Endothelin-1
- Nitric Oxide Donors
- Nitro Compounds
- FK 409
- Nitric Oxide Synthase
- Nitric Oxide Synthase Type II
- Nitric Oxide Synthase Type III
- Nos2 protein, rat
- Nos3 protein, rat
- Oxygen
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Topics |
- Animals
- Endothelin-1
(analysis)
- Immunohistochemistry
- Lung
(blood supply, pathology)
- Lung Transplantation
(pathology)
- Male
- Nitric Oxide Donors
(therapeutic use)
- Nitric Oxide Synthase
(analysis)
- Nitric Oxide Synthase Type II
- Nitric Oxide Synthase Type III
- Nitro Compounds
(therapeutic use)
- Oxygen
(blood)
- Pulmonary Edema
(pathology, prevention & control)
- Rats
- Rats, Wistar
- Reperfusion Injury
(prevention & control)
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