help button home button
AJRCCM
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH

Published ahead of print on August 21, 2008, doi:10.1164/rccm.200712-1835OC

Am. J. Respir. Crit. Care Med., Volume 178, Number 11, December 2008, 1148-1155

A more recent version of this article appeared on December 1, 2008
This Article
Right arrow Full Text (PDF)
Right arrow All Versions of this Article:
200712-1835OCv1
178/11/1148    most recent
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Mostefai, H. A.
Right arrow Articles by Andriantsitohaina, R.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Mostefai, H. A.
Right arrow Articles by Andriantsitohaina, R.

Submitted on December 17, 2007
Accepted on August 19, 2008

Circulating Microparticles from Septic Shock Patients Exert Protective Role on Vascular Function

Hadj Ahmed Mostefai1, Ferhat Meziani2, Maria Letizia Mastronardi1, Abdelali Agouni1, Christophe Heymes3, Cyrille Sargentini4, Pierre Asfar4, Maria Carmen Martinez1, and Ramaroson Andriantsitohaina1*

1 INSERM, U771, Universite d'Angers, Angers, France, 2 INSERM, U771, Universite d'Angers, Angers, France; Service de Reanimation Medicale, Centre Hospitalier Universitaire d'Angers, Angers, France, 3 INSERM, U689, Paris, France, 4 Service de Reanimation Medicale, Centre Hospitalier Universitaire d'Angers, Angers, France

* To whom correspondence should be addressed. E-mail: ramaroson.andriantsitohaina{at}univ-angers.fr.

Rationale: Sepsis is an archetypal condition with molecular links between inflammation and coagulation. Both events can be orchestrated by the interaction between circulating and vascular cells that under activation release microparticles. Objectives: We characterised circulating microparticles from both non-septic and septic shock subjects and evaluated their contribution on vascular function. Methods: Circulating microparticles and their cell origin were measured in blood from 36 patients with septic shock and 18 non-septic subjects by flow cytometer. Then, microparticles were injected i.v to mice and vascular reactivity was assessed in aorta. Expression and activity of enzymes involved in nitric oxide and cyclooxygenase metabolites production were analyzed. Results: Circulating levels of microparticles, platelet- and endothelial-derived microparticles were increased in septic patients. Surprisingly, septic microparticles enhanced but not reduced sensitivity of contraction of mouse aortas in response to serotonin. Interestingly, septic microparticles enhanced contraction of aortas from lipopolysaccharide-treated mice. This effect was linked neither to increased calcium entry nor Rho-kinase inhibitor-sensitive mechanisms. Besides, the effect of septic microparticles was not modified either by NO-synthase or cyclooxygenase-2 inhibitors, and was not associated with NO or O2- overproduction. The non-selective cyclooxygenase-2 inhibitor, indomethacin, and the specific thromboxane A2 antagonist, SQ-29548, either reduced or abolished contraction in aorta from mice treated with non-septic and septic microparticles, respectively. The effect of septic microparticles was associated with an increased thromboxane A2 production, and was sensitive to a selective thromboxane A2 antagonist. Conclusion: We provide evidence that increased circulating microparticles are protective against vascular hyporeactivity accounting for hypotension in patients with septic shock.


Key words: Microparticles, sepsis, vascular reactivity, cyclooxygenase, nitric oxide




This article has been cited by other articles:


Home page
Am. J. Respir. Crit. Care Med.Home page
K. L. H. Walenta, A. Link, E. B. Friedrich, and M. Bohm
Circulating Microparticles in Septic Shock
Am. J. Respir. Crit. Care Med., July 1, 2009; 180(1): 100 - 100.
[Full Text] [PDF]


Home page
Am. J. Respir. Crit. Care Med.Home page
M. C. Martinez and R. Andriantsitohaina
Circulating Microparticles in Septic Shock
Am. J. Respir. Crit. Care Med., July 1, 2009; 180(1): 100 - 101.
[Full Text] [PDF]


Home page
Am. J. Respir. Crit. Care Med.Home page
R. A. Fowler, N. K. J. Adhikari, D. C. Scales, W. L. Lee, and G. D. Rubenfeld
Update in Critical Care 2008
Am. J. Respir. Crit. Care Med., May 1, 2009; 179(9): 743 - 758.
[Full Text] [PDF]


Home page
haematolHome page
O. Morel, F. Toti, N. Morel, and J.-M. Freyssinet
Microparticles in endothelial cell and vascular homeostasis: are they really noxious?
Haematologica, March 1, 2009; 94(3): 313 - 317.
[Full Text] [PDF]




HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH
Proc. Am. Thorac. Soc. Am. J. Respir. Cell Mol. Biol.
Copyright © 2008 American Thoracic Society
  Work-Life