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Role of alveolar macrophage and migrating neutrophils in hemorrhage-induced priming for ALI subsequent to septic challenge.

Abstract
Acute lung injury (ALI) is identified with the targeting/sequestration of polymorphonuclear leukocytes (PMN) to the lung. Instrumental to PMN targeting are chemokines [e.g., macrophage inflammatory protein-2 (MIP-2), keratinocyte-derived chemokine (KC), etc.] produced by macrophage, PMN, and other resident pulmonary cells. However, the relative contribution of resident pulmonary macrophages as opposed to PMN in inducing ALI is poorly understood. We therefore hypothesize that depletion of peripheral blood PMN and/or the oblation of a macrophage-mediated PMN chemokine signal (via macrophage deficiency) will reduce the inflammation and ALI observed in mice following hemorrhage (Hem) and subsequent sepsis (CLP) in our murine model of ALI. To examine this we pretreated mice with either 500 microg anti-mouse Gr1 antibody/animal (to deplete PMN) or subjected mice deficient in mature macrophage (B6C3Fe-a/a-CsF1op) to Hem (90 min at 35 +/- 5 mmHg) followed by resuscitation. Twenty-four hours post-Hem, mice were subjected to CLP and killed 24 h later, and lung tissue samples were collected. Our data showed that in the absence of either peripheral blood PMN or mature tissue macrophages there was a suppression of IL-6, KC, and MIP-2 levels in lung tissue from Hem/CLP mice as well as a reduction in PMN influx to the lung and lung injury (bronchoalveolar lavage fluid protein). In contrast, lung tissue IL-10 and TNF-alpha levels were suppressed in the macrophage-deficient Hem/CLP mice compared with PMN-depleted Hem/CLP mice. Together, these data suggest that both the PMN and the macrophage are required to induce inflammation seen here, however, macrophage not PMN regulate the release of IL-10, independent of local changes in TNF.
AuthorsJoanne Lomas-Neira, Chun-Shiang Chung, Mario Perl, Stephen Gregory, Walter Biffl, Alfred Ayala
JournalAmerican journal of physiology. Lung cellular and molecular physiology (Am J Physiol Lung Cell Mol Physiol) Vol. 290 Issue 1 Pg. L51-8 (Jan 2006) ISSN: 1040-0605 [Print] United States
PMID16157517 (Publication Type: Journal Article, Research Support, N.I.H., Extramural, Research Support, Non-U.S. Gov't)
Chemical References
  • Chemokines
  • Proteins
  • Tumor Necrosis Factor-alpha
  • Intercellular Adhesion Molecule-1
  • Interleukin-10
  • Peroxidase
  • Esterases
Topics
  • Acute Disease
  • Animals
  • Bronchoalveolar Lavage Fluid (chemistry)
  • Chemokines (antagonists & inhibitors)
  • Endothelial Cells (metabolism)
  • Esterases (metabolism)
  • Hemorrhage (complications, pathology, physiopathology)
  • Intercellular Adhesion Molecule-1 (metabolism)
  • Interleukin-10 (metabolism)
  • Lung (enzymology, metabolism)
  • Lung Diseases (etiology)
  • Macrophages, Alveolar (pathology)
  • Male
  • Mice
  • Mice, Inbred C3H
  • Neutropenia (metabolism, physiopathology)
  • Neutrophil Infiltration
  • Neutrophils (enzymology)
  • Peroxidase (metabolism)
  • Pneumonia (prevention & control)
  • Proteins (metabolism)
  • Sepsis (complications)
  • Tumor Necrosis Factor-alpha (antagonists & inhibitors)

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