Am. J. Respir. Crit. Care Med., Vol 150, No. 2, 08 1994, 337-341.
Role of neutrophils and nitric oxide in lung alveolar injury from smoke inhalation
H Ischiropoulos, I Mendiguren, D Fisher, AB Fisher and SR Thom
Institute for Environmental Medicine, University of Pennsylvania, School of Medicine, Philadelphia 19104-6068.
We examined potential mechanisms responsible for the parenchymal lung
injury seen in an animal model of smoke inhalation with concurrent
inflammation. Rats injected with sterile glycogen and exposed to smoke
generated by the nonflaming pyrolysis of combined Douglas fir wood and
polyvinylchloride showed a 74% increase in 125I-albumin lung permeability
and a fivefold increase in lung myeloperoxidase (MPO) compared with control
rats. There was also a significant increase in plasma indices of oxidative
injury in these animals. Compared with control animals, plasma
concentrations of thiobarbituric acid reactive substances (TBARS) were
elevated by 62%, the concentrations of reduced sulfhydryl groups declined
by 37%, and the levels of dinitrophenylhydrazine-reactive proteins
(DNPH-RP) were doubled. In addition, the plasma concentrations of nitrate
(NO3-) in rats exposed to glycogen plus smoke were increased three times
that of control animals. Injection of the nitric oxide synthase inhibitor,
NG-nitro-L- arginine methyl ester (L-NAME), immediately after smoke
exposure or induction of neutropenia using either nitrogen mustard or
antineutrophil antiserum, abolished the increase in concentrations of
circulating NO3-, and prevented changes in plasma concentrations of TBARS,
DNPH-RP, lung MPO activity, and tissue permeability index. These data
suggest that neutrophil activation and the production of nitric
oxide-derived oxidants contribute to the lung and plasma indices of
oxidative injury in this smoke inhalation model.
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Copyright © 1994 American Thoracic Society
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