L-Arginine prevents air embolism-induced acute lung injury in rats.

Abstract:

OBJECTIVE:Pulmonary air embolism, causing vessel obstruction and primary or secondary reactions of blood, can lead to acute lung injury. In addition, nitric oxide has been known to play a key role in various causes of lung injury. In this study we employed the isolated rat lung model to investigate the effects of l-arginine on air embolism-induced lung injury. DESIGN:Randomized, controlled study. SETTING:Animal-care facility procedure room. SUBJECTS:Forty-two adult male Sprague-Dawley rats each weighing 250-350 g. INTERVENTIONS:Infusion of air at the rate of 0.25 mL/min for 1 min into the pulmonary artery in isolated and perfused rat lung resulted in pulmonary hypertension and lung edema. Air embolism elicited a significant increase in microvascular permeability as measured by the capillary filtration coefficient, lung weight gain, lung weight-to-body weight ratio, pulmonary arterial pressure, and protein concentration of bronchoalveolar lavage fluid. MEASUREMENTS AND MAIN RESULTS:Pretreatment with L-arginine (4 mmol/L) significantly attenuated the acute lung injury induced by air embolism as shown by a significant decrease in all of the assessed variables but did not alter the pulmonary arterial pressure (p < .05). The protective effect of l-arginine was blocked when N(G)-nitro-L-arginine methyl ester (5 mmol/L) was added. Pretreatment with N(G)-nitro-L-arginine methyl ester exacerbated air embolism-induced lung injury. CONCLUSIONS:Our findings suggest that L-arginine can prevent air embolism-induced lung injury.

journal_name

Crit Care Med

journal_title

Critical care medicine

authors

Chu SJ,Lee TY,Yan HC,Lin SH,Li MH

doi

10.1097/01.ccm.0000178175.54354.ea

subject

Has Abstract

pub_date

2005-09-01 00:00:00

pages

2056-60

issue

9

eissn

0090-3493

issn

1530-0293

pii

00003246-200509000-00024

journal_volume

33

pub_type

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