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Am. J. Respir. Crit. Care Med., Volume 160, Number 4, October 1999, 1165-1170

Role of Cyclooxygenase-2 in Oleic Acid-Induced Acute Lung Injury

RENÉ GUST, JAMES K. KOZLOWSKI, ALAN H. STEPHENSON, and DANIEL P. SCHUSTER

Pulmonary and Critical Care Division, Washington University School of Medicine, St. Louis; and Department of Pharmacological and Physiological Science, St. Louis University School of Medicine, St. Louis, Missouri

Eicosanoid production appears to be important to both edemagenesis and the pattern of pulmonary perfusion in experimental acute lung injury (ALI). We hypothesized that these effects could be mediated by the inducible form of cyclooxygenase (COX-2). We used positron emission tomography to evaluate the pulmonary perfusion pattern in dogs given oleic acid (OA) only (n = 6), the novel COX-2 inhibitor SC-236 50 min before OA (n = 3), and SC-236 given 20 min before endotoxin (Etx), followed by OA given 30 min after Etx (n = 5). Thromboxane B2 (TXB2) and prostacyclin (6-keto prostaglandin F1alpha ; 6-keto PGF1alpha ) metabolite concentrations in plasma and lung tissue were measured in these groups and in another group given Etx + OA (n = 4). Inhibition of COX-2 before administration of OA alone or before administration of Etx and OA did not have any significant effect on plasma or lung tissue concentrations of TXB2. However, inhibition of COX-2 prior to Etx and OA significantly reduced the plasma and lung tissue concentrations of 6-keto PGF1alpha as compared with those in the group given only Etx + OA. Moreover, SC-236 prevented the expected loss of perfusion redistribution associated with Etx + OA only. The effect of endotoxin on pulmonary perfusion in ALI is therefore the result of a COX-2-mediated increase in prostacyclin production in lung tissue.




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