Hypercapnia: a nonpermissive environment for the lung.

Abstract:

:Patients with severe acute and chronic lung diseases develop derangements in gas exchange that may result in increased levels of CO(2) (hypercapnia), the effects of which on human health are incompletely understood. It has been proposed that hypercapnia may have beneficial effects in patients with acute lung injury, and the concepts of "permissive" and even "therapeutic" hypercapnia have emerged. However, recent work suggests that CO(2) can act as a signaling molecule via pH-independent mechanisms, resulting in deleterious effects in the lung. Here we review recent research on how elevated CO(2) is sensed by cells in the lung and the potential harmful effects of hypercapnia on epithelial and endothelial barrier, lung edema clearance, innate immunity, and host defense. In view of these findings, we raise concerns about the potentially deleterious effects hypercapnia may have in patients with acute and chronic lung diseases.

authors

Vadász I,Hubmayr RD,Nin N,Sporn PH,Sznajder JI

doi

10.1165/rcmb.2011-0395PS

subject

Has Abstract

pub_date

2012-04-01 00:00:00

pages

417-21

issue

4

eissn

1044-1549

issn

1535-4989

pii

rcmb.2011-0395PS

journal_volume

46

pub_type

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