Effects of N-acetylcysteine plus deferoxamine in lipopolysaccharide-induced acute lung injury in the rat.

Abstract:

OBJECTIVES:Interventions that reduce the generation or the effects of reactive oxygen species exert controversial effects in animal models of lung injury, and these could be secondary to the pro-oxidant effects of antioxidants generally by their interaction with iron. We here describe the effects of N-acetylcysteine, deferoxamine, or both in the treatment of acute lung injury induced by intratracheal lipopolysaccharide injection. DESIGN:Prospective, randomized, controlled experiment. SETTING:Animal basic science laboratory. SUBJECTS:Male Wistar rats, weighing 200-250 g. INTERVENTIONS:Rats exposed intratracheally to lipopolysaccharide were treated with N-acetylcysteine (20 mg/kg subcutaneously 3, 6, and 12 hrs after lipopolysaccharide instillation), deferoxamine (20 mg/kg subcutaneously 3 hrs after lipopolysaccharide instillation), N-acetylcysteine (20 mg/kg, 3, 6, and 12 hrs after lipopolysaccharide instillation) plus deferoxamine (20 mg/kg 3 hrs after lipopolysaccharide instillation), or vehicle. MEASUREMENTS AND MAIN RESULTS:Acute lung injury was induced by intratracheal instillation of lipopolysaccharide in Wistar rats. The animals were randomly divided into five groups: group 1, control with instillation of isotonic saline; group 2, lipopolysaccharide treated with saline; group 3, lipopolysaccharide treated with N-acetylcysteine; group 4, lipopolysaccharide treated with deferoxamine; and group 5, lipopolysaccharide treated with N-acetylcysteine plus deferoxamine. Several times after lipopolysaccharide instillation, the rats were killed and a bronchoalveolar lavage was performed to determine thiobarbituric acid reactive species, protein carbonyls, superoxide dismutase and catalase activities, mitochondrial superoxide production (oxidative stress variables), the degree of the alveolar-capillary membrane compromise, and inflammatory infiltration. Samples from the lung were isolated and assayed for oxidative stress variables or histopathologic analyses. N-acetylcysteine plus deferoxamine decreased bronchoalveolar lavage fluid protein, inflammatory cells, oxidative damage variables, and proinflammatory cytokines. N-acetylcysteine plus deferoxamine treatment significantly attenuated lung oxidative damage, mitochondrial superoxide production, and histopathologic alterations after lipopolysaccharide instillation. CONCLUSIONS:Our data provide the first experimental demonstration that N-acetylcysteine plus deferoxamine decreases oxidative stress and mitochondrial dysfunction and limits inflammatory response and alveolar pathology induced by lipopolysaccharide in the rat.

journal_name

Crit Care Med

journal_title

Critical care medicine

authors

Ritter C,da Cunha AA,Echer IC,Andrades M,Reinke A,Lucchiari N,Rocha J,Streck EL,Menna-Barreto S,Moreira JC,Dal-Pizzol F

doi

10.1097/01.ccm.0000199069.19193.89

subject

Has Abstract

pub_date

2006-02-01 00:00:00

pages

471-7

issue

2

eissn

0090-3493

issn

1530-0293

pii

00003246-200602000-00027

journal_volume

34

pub_type

杂志文章
  • Mechanisms of ventilator-induced lung injury.

    abstract:OBJECTIVES:To describe the physiologic mechanisms of ventilator-induced lung injury and to define the major ventilator and host-dependent risk factors that contribute to such injury. DATA SOURCE:Basic science and clinical studies related to ventilator-induced barotrauma and lung pathophysiology. STUDY SELECTION:Empha...

    journal_title:Critical care medicine

    pub_type: 杂志文章,评审

    doi:10.1097/00003246-199301000-00024

    authors: Parker JC,Hernandez LA,Peevy KJ

    更新日期:1993-01-01 00:00:00

  • Complications of the flow-directed pulmonary artery catheter: A prospective analysis in 219 patients.

    abstract::In order to determine and analyze the complication rate of the insertion and maintenance of the balloon-tipped, flow-directed pulmonary artery catheter (PAC), the authors prospectively studied the use of 320 catheters in 219 critically ill patients. Mean patient age was 53 +/- 1 years, and 36% had a history of cardiov...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/00003246-198104000-00006

    authors: Sise MJ,Hollingsworth P,Brimm JE,Peters RM,Virgilio RW,Shackford SR

    更新日期:1981-04-01 00:00:00

  • Xenon reduces neurohistopathological damage and improves the early neurological deficit after cardiac arrest in pigs.

    abstract:OBJECTIVE:Treatment options to ameliorate brain damage following cardiopulmonary resuscitation from cardiac arrest are limited. DESIGN:In a porcine model, we evaluated the effects of xenon treatment on neuropathologic and functional outcomes after cardiopulmonary resuscitation. SETTING:Prospective, randomized laborat...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/CCM.0b013e3181802874

    authors: Fries M,Nolte KW,Coburn M,Rex S,Timper A,Kottmann K,Siepmann K,Häusler M,Weis J,Rossaint R

    更新日期:2008-08-01 00:00:00

  • Mechanisms of sepsis-induced cardiac dysfunction.

    abstract:OBJECTIVES:To review mechanisms underlying sepsis-induced cardiac dysfunction in general and intrinsic myocardial depression in particular. DATA SOURCE:MEDLINE database. DATA SYNTHESIS:Myocardial depression is a well-recognized manifestation of organ dysfunction in sepsis. Due to the lack of a generally accepted defi...

    journal_title:Critical care medicine

    pub_type: 杂志文章,评审

    doi:10.1097/01.CCM.0000266683.64081.02

    authors: Rudiger A,Singer M

    更新日期:2007-06-01 00:00:00

  • Sepsis and its complications: the clinical problem.

    abstract:OBJECTIVES:To review the difficulties associated with defining sepsis and its complications and to characterize the role of the proinflammatory cytokines in the development of human septic shock, adult respiratory distress syndrome, and the systemic inflammatory response syndrome. DATA SOURCES:Information presented at...

    journal_title:Critical care medicine

    pub_type: 杂志文章,评审

    doi:

    authors: Bone RC

    更新日期:1994-07-01 00:00:00

  • Reversal of late septic shock with supraphysiologic doses of hydrocortisone.

    abstract:OBJECTIVES:Preliminary studies have suggested that low doses of corticosteroids might rapidly improve hemodynamics in late septic shock treated with catecholamines. We examined the effect of hydrocortisone on shock reversal, hemodynamics, and survival in this particular setting. DESIGN:Prospective, randomized, double-...

    journal_title:Critical care medicine

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

    doi:10.1097/00003246-199804000-00010

    authors: Bollaert PE,Charpentier C,Levy B,Debouverie M,Audibert G,Larcan A

    更新日期:1998-04-01 00:00:00

  • Soluble human leukocyte antigen-G5 in septic shock: marked and persisting elevation as a predictor of survival.

    abstract:OBJECTIVE:Although it is established that septic shock induces immunosuppression, the mechanisms for this phenomenon remain poorly understood. Human leukocyte antigen-G exerts strong inhibitory effects that are directed at different arms of the immune system. The main objective of the current study was to measure human...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/01.CCM.0000277039.84372.1C

    authors: Monneret G,Voirin N,Krawice-Radanne I,Bohé J,Lepape A,Rouas-Freiss N,Carosella ED

    更新日期:2007-08-01 00:00:00

  • Extracorporeal Membrane Oxygenation for Poisonings Reported to U.S. Poison Centers from 2000 to 2018: An Analysis of the National Poison Data System.

    abstract:OBJECTIVES:To assess trends in the use of extracorporeal membrane oxygenation for poisoning in the United States. DESIGN:Retrospective cohort study. SETTING:The National Poison Data System, the databased owned and managed by the American Association of Poison Control Centers, the organization that supports and accred...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/CCM.0000000000004401

    authors: Cole JB,Olives TD,Ulici A,Litell JM,Bangh SA,Arens AM,Puskarich MA,Prekker ME

    更新日期:2020-08-01 00:00:00

  • Effects of naloxone and morphine on acute hypoxic survival in mice.

    abstract:OBJECTIVE:To investigate a role of the opiate system during acute hypoxic hypoxia, the effects of naloxone and morphine on hypoxic survival rate were investigated in awake adult mice. DESIGN:Prospective, randomized, animal trial. SETTING:University research laboratory. SUBJECTS:Male dd-Y mice (n = 864 in experiment ...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/00003246-199909000-00035

    authors: Endoh H,Taga K,Yamakura T,Sato K,Watanabe I,Fukuda S,Shimoji K

    更新日期:1999-09-01 00:00:00

  • A randomized trial of the effect of patient race on physicians' intensive care unit and life-sustaining treatment decisions for an acutely unstable elder with end-stage cancer.

    abstract:OBJECTIVES:To test whether hospital-based physicians made different intensive care unit and life-sustaining treatment decisions for otherwise identical black and white patients with end-stage cancer and life-threatening hypoxia. DESIGN:We conducted a randomized trial of the relationship between patient race and physic...

    journal_title:Critical care medicine

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/CCM.0b013e3182186e98

    authors: Barnato AE,Mohan D,Downs J,Bryce CL,Angus DC,Arnold RM

    更新日期:2011-07-01 00:00:00

  • Death in the ICU: does the patient predict his own demise?

    abstract::Critically ill patients who fear impending death may die suddenly. We studied prospectively the incidence of death in critically ill surgical patients who articulated the fear that they were about to die. Physiologic, environmental, and behavioral correlates which might influence perceptions of impending death were ex...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/00003246-198607000-00005

    authors: Poulton TJ,Butdorf MB

    更新日期:1986-07-01 00:00:00

  • Lung morphology predicts response to recruitment maneuver in patients with acute respiratory distress syndrome.

    abstract:OBJECTIVES:The impact of recruitment maneuvers on gas exchange, hemodynamics, alveolar recruitment, and hyperinflation is highly variable among patients with acute respiratory distress syndrome. The objective was to determine whether differences in lung morphology, defined as differences in the pulmonary distribution o...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/CCM.0b013e3181d451ec

    authors: Constantin JM,Grasso S,Chanques G,Aufort S,Futier E,Sebbane M,Jung B,Gallix B,Bazin JE,Rouby JJ,Jaber S

    更新日期:2010-04-01 00:00:00

  • Outcome of mechanically ventilated patients who require a tracheostomy.

    abstract:OBJECTIVE:To estimate the prevalence of, the risk factors associated with, and the outcome of tracheostomy in a heterogeneous population of mechanically ventilated patients. DESIGN:Prospective, observational cohort study. SETTING:A total of 361 intensive care units from 12 countries. PATIENTS:A cohort of 5,081 patie...

    journal_title:Critical care medicine

    pub_type: 评论,杂志文章,多中心研究

    doi:10.1097/01.ccm.0000150026.85210.13

    authors: Frutos-Vivar F,Esteban A,Apezteguía C,Anzueto A,Nightingale P,González M,Soto L,Rodrigo C,Raad J,David CM,Matamis D,D' Empaire G,International Mechanical Ventilation Study Group.

    更新日期:2005-02-01 00:00:00

  • Stressful intensive care unit medical crises: How individual responses impact on team performance.

    abstract:BACKGROUND:Intensive care units (ICUs) are recognized as stressful environments. However, the conditions in which stressors may affect health professionals' performance and well-being and the conditions that potentially lead to impaired performance and staff psychological distress are not well understood. OBJECTIVES:T...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/CCM.0b013e31819c1496

    authors: Piquette D,Reeves S,LeBlanc VR

    更新日期:2009-04-01 00:00:00

  • Systemic hemodynamics, gastric intramucosal PCO2 changes, and outcome in critically ill burn patients.

    abstract:OBJECTIVES:To define the hemodynamic and gastric intramucosal PCO2 (PiCO2) changes during the first 48 hrs after burn trauma and to analyze their relationship with outcome. DESIGN:Prospective, observational study in a cohort of consecutively admitted critically ill burn patients. SETTING:Intensive care burn unit in a...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/00003246-200006000-00005

    authors: Lorente JA,Ezpeleta A,Esteban A,Gordo F,de la Cal MA,Díaz C,Arévalo JM,Tejedor C,Pascual T

    更新日期:2000-06-01 00:00:00

  • Timing of renal replacement therapy and patient outcomes in the randomized evaluation of normal versus augmented level of replacement therapy study.

    abstract:OBJECTIVES:To explore the relationship between timing of continuous renal replacement therapy commencement and clinical outcomes in critically ill patients with acute kidney injury. The primary outcomes were all-cause mortality at 28 and 90 days. DESIGN:Nested observational cohort study using data from the Randomized ...

    journal_title:Critical care medicine

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1097/CCM.0000000000000343

    authors: Jun M,Bellomo R,Cass A,Gallagher M,Lo S,Lee J,Randomized Evaluation of Normal Versus Augmented Level of Replacement Therapy (RENAL) Study Investigators.

    更新日期:2014-08-01 00:00:00

  • Use of Doppler ultrasound in performing percutaneous cannulation of the radial artery.

    abstract::Doppler ultrasound has been used extensively in assessing adequacy of circulation. We have found it to be convenient in the identification of blood flow, particularly in hypotensive states where percutaneous radial artery cannulation of the vessel is tedious and difficult to perform. The technique is simple, atraumati...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/00003246-197611000-00011

    authors: Nagabhushan S,Colella JJ Jr,Wagner R

    更新日期:1976-11-01 00:00:00

  • A Multicenter Study of the Causes and Consequences of Optimistic Expectations About Prognosis by Surrogate Decision-Makers in ICUs.

    abstract:OBJECTIVES:Optimistic expectations about prognosis by surrogate decision-makers in ICUs are common, but there are few data about the causes and clinical consequences. Our objective was to determine the causes of optimistic expectations about prognosis among surrogates and whether it is associated with more use of life ...

    journal_title:Critical care medicine

    pub_type: 杂志文章,多中心研究

    doi:10.1097/CCM.0000000000003807

    authors: White DB,Carson S,Anderson W,Steingrub J,Bird G,Curtis JR,Matthay M,Peterson M,Buddadhumaruk P,Shields AM,Ernecoff N,Shotsberger K,Weissfeld L,Chang CH,Pike F,Lo B,Hough CL

    更新日期:2019-09-01 00:00:00

  • Timing of Intubation and Mortality Among Critically Ill Coronavirus Disease 2019 Patients: A Single-Center Cohort Study.

    abstract:OBJECTIVES:Increasing time to mechanical ventilation and high-flow nasal cannula use may be associated with mortality in coronavirus disease 2019. We examined the impact of time to intubation and use of high-flow nasal cannula on clinical outcomes in patients with coronavirus disease 2019. DESIGN:Retrospective cohort ...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/CCM.0000000000004600

    authors: Hernandez-Romieu AC,Adelman MW,Hockstein MA,Robichaux CJ,Edwards JA,Fazio JC,Blum JM,Jabaley CS,Caridi-Scheible M,Martin GS,Murphy DJ,Auld SC,Emory COVID-19 Quality and Clinical Research Collaborative.

    更新日期:2020-11-01 00:00:00

  • Procalcitonin for reduced antibiotic exposure in the critical care setting: a systematic review and an economic evaluation.

    abstract:OBJECTIVE:Procalcitonin may be associated with reduced antibiotic usage compared to usual care. However, individual randomized controlled trials testing this hypothesis were too small to rule out harm, and the full cost-benefit of this strategy has not been evaluated. The purpose of this analysis was to evaluate the ef...

    journal_title:Critical care medicine

    pub_type: 杂志文章,meta分析,评审

    doi:10.1097/CCM.0b013e31821201a5

    authors: Heyland DK,Johnson AP,Reynolds SC,Muscedere J

    更新日期:2011-07-01 00:00:00

  • Open chest resuscitation for cardiopulmonary arrest related to mechanical impairment of circulation: a report of two cases.

    abstract::Cardiac arrest is most commonly encountered as the end result of severe derangements in metabolic homeostasis. These derangements may include toxic, ischemic, or electrophysiological causes of circulatory and/or respiratory arrests. Occasionally, mechanical obstruction or impediment to circulation may cause cardiac ar...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/00003246-198203000-00013

    authors: Ewer MS,Ali MK,Frazier OH

    更新日期:1982-03-01 00:00:00

  • Prevention of hemolysis-induced organ damage by nutritional activation of the vagal anti-inflammatory reflex*.

    abstract:OBJECTIVES:Acute hemolysis is associated with organ damage, inflammation, and impaired vascular function. Stimulation of the cholecystokinin-1 receptor-dependent vagal anti-inflammatory reflex with lipid-rich enteral nutrition was demonstrated to prevent tissue damage and attenuate inflammation. This study investigates...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/CCM.0b013e31828e9262

    authors: de Haan JJ,Windsant IV,Lubbers T,Hanssen SJ,Hadfoune M,Prinzen FW,Greve JW,Buurman WA

    更新日期:2013-11-01 00:00:00

  • Effects of mannitol on cerebral circulation after transient complete cerebral ischemia in dogs.

    abstract::The effects of hypertonic mannitol on postischemic cerebral circulation were studied in 20 dogs. Mannitol, 2 g/kg iv, was infused into ten dogs during a 2-h period starting 1.5 h after 6 min of complete cerebral ischemia. One hour postischemia, regional cerebral blood flow (rCBF) was 36% in the control group (ten dogs...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/00003246-198607000-00010

    authors: Arai T,Tsukahara I,Nitta K,Watanabe T

    更新日期:1986-07-01 00:00:00

  • Inappropriate secretion of antidiuretic hormone in a postsurgical pediatric population.

    abstract::Twenty-four pediatric patients undergoing corrective posterior spinal fusion surgery for idiopathic scoliosis were studied to determine the frequency with which the syndrome of inappropriate antidiuretic hormone secretion (SIADH) developed. We measured arterial blood gases, serum and urine electrolytes and osmolalitie...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/00003246-198307000-00009

    authors: Burrows FA,Shutack JG,Crone RK

    更新日期:1983-07-01 00:00:00

  • Funding resuscitation research.

    abstract::The present trend in managed care has meant downsizing expectations concerning the availability of support for resuscitation research. This trend applies to funding possibilities from industry, governmental agencies, and nongovernmental agencies (Table 1). There will be increasing barriers to making innovations. Truth...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:

    authors: Thompson WL,Bellamy R,Cummins RO,Delooz HH,Dick W,Kochanek PM,Ornato JP,Ricci EM,Weil MH,Winter PM

    更新日期:1996-02-01 00:00:00

  • Head computed tomography in medical intensive care unit patients: clinical indications.

    abstract:OBJECTIVE:To assess whether clinical variables might be useful in selecting patients who will have an acute intracranial abnormality seen in head computed tomographic scans (HCT). DESIGN:Retrospective study. SETTING:Medical intensive care unit (MICU) in a tertiary teaching hospital. MEASUREMENTS:Medical records of p...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/00003246-200005000-00008

    authors: Rafanan AL,Kakulavar P,Perl J 2nd,Andrefsky JC,Nelson DR,Arroliga AC

    更新日期:2000-05-01 00:00:00

  • Impact of patient volume on the mortality rate of adult intensive care unit patients.

    abstract:OBJECTIVE:Expert task forces have proposed that adult critical care medicine services should be regionalized in order to improve outcomes. However, it is currently unknown if high intensive care unit (ICU) patient volumes are associated with reduced mortality rate. The objective was to investigate whether high-volume I...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/01.CCM.0000226415.93237.84

    authors: Glance LG,Li Y,Osler TM,Dick A,Mukamel DB

    更新日期:2006-07-01 00:00:00

  • Left ventricular diastolic function in sepsis.

    abstract::Although systolic dysfunction of the left ventricle has been characterized in septic shock (SS) and sepsis without shock (SWS), diastolic abnormalities are less well characterized. Diastolic filling was determined using pulsed Doppler transmitral spectral tracings in 13 patients with SS, ten patients with SWS, and 33 ...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/00003246-199007000-00005

    authors: Jafri SM,Lavine S,Field BE,Bahorozian MT,Carlson RW

    更新日期:1990-07-01 00:00:00

  • Lithium dilution cardiac output measurement: a comparison with thermodilution.

    abstract:OBJECTIVE:To compare the results of cardiac output measurements obtained by lithium dilution and thermodilution. DESIGN:Case series, observational study. SETTING:High-dependency postoperative unit and intensive care unit of a teaching hospital. PATIENTS:Forty patients were studied. Thirty-four patients had undergoin...

    journal_title:Critical care medicine

    pub_type: 临床试验,杂志文章

    doi:10.1097/00003246-199711000-00015

    authors: Linton R,Band D,O'Brien T,Jonas M,Leach R

    更新日期:1997-11-01 00:00:00

  • Postresuscitation cyclosporine treatment attenuates myocardial and cardiac mitochondrial injury in newborn piglets with asphyxia-reoxygenation.

    abstract:OBJECTIVES:Cardiovascular dysfunction occurs in the majority of asphyxiated neonates and has been suggested to be a major cause of neonatal morbidity and mortality. We previously demonstrated that cyclosporine A treatment during resuscitation can significantly improve cardiovascular performance in asphyxiated newborn p...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/CCM.0b013e3182746704

    authors: Gill RS,Lee TF,Manouchehri N,Liu JQ,Lopaschuk G,Bigam DL,Cheung PY

    更新日期:2013-04-01 00:00:00