Protective effects of intravascular pressure and nitric oxide in ischemic lung injury

被引:19
作者
Becker, PM [1 ]
Buchanan, W [1 ]
Sylvester, JT [1 ]
机构
[1] Johns Hopkins Univ, Sch Med, Dept Med, Div Pulm & Crit Care Med, Baltimore, MD 21205 USA
关键词
osmotic reflection coefficient; vascular permeability; acute lung injury;
D O I
10.1152/jappl.1998.84.3.803
中图分类号
Q4 [生理学];
学科分类号
071003 ;
摘要
Cessation of blood flow during ischemia will decrease both distending and shear forces exerted on endothelium and may worsen ischemic lung injury by decreasing production of nitric oxide (NO), which influences vascular barrier function. We hypothesized that increased intravascular pressure (Piv) during ventilated ischemia might maintain NO production by increasing endothelial stretch or shear forces, thereby attenuating ischemic lung injury. Injury was assessed by measuring the filtration coefficient (K-f) and the osmotic reflection coefficient for albumin (sigma(alb)) after 3 h of ventilated (95% O-2-5% CO2; expiratory pressure 3 mmHg) ischemia. Lungs were flushed with physiological salt solution, and then Piv was adjusted to achieve High Piv (mean 6.7 +/- 0.4 mmHg, n = 15) or Low Piv (mean 0.83 +/- 0.4 mmHg, n = 10). N-G-nitro-L-arginine methyl ester (L-NAME; 10(-5) M, n = 10), N-G-nitro-D-arginine methyl ester (D-NAME; 10(-5) M, n = 11), or LNAME (10(-5) M)+L-arginine (5 x 10(-4) M, n = 6) was added at the start of ischemia in three additional groups of lungs with High Piv. High Piv attenuated ischemic injury compared with Low Piv (sigma(alb) 0.67 +/- 0.04 vs. 0.35 +/- 0.04, P < 0.05). The protective effect of High Piv was abolished by L-NAME (sigma(alb) 0.37 +/- 0.04, P < 0.05) but not by D-NAME (sigma(alb) 0.63 +/- 0.07). The effects of L-NAME were overcome by an excess of L-arginine (sigma(alb) 0.56 +/- 0.05, P < 0.05). K-f did not differ significantly among groups. These results suggest that Piv modulates ischemia-induced barrier dysfunction in the lung, and these effects may be mediated by NO.
引用
收藏
页码:803 / 808
页数:6
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