Document Detail


Influence of detergent aerosol on lung microvascular permeability.
MedLine Citation:
PMID:  8482639     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Noncardiogenic edema fluid often contains high levels of plasma proteins, which may inhibit the function of the lung surfactant complex and thus decrease interstitial hydrostatic pressures. We questioned whether, in the awake and standing animal, displacement of the alveolar surface lining would alter the permeability of the thin and sparsely supported pulmonary capillaries. Sheep prepared with lung lymph fistulae were given an aerosolized detergent (Det) to displace the lung surfactant complex. After the sheep were given Det, protein flux was significantly increased (P < 0.05). To validate the suggested permeability increase, pulmonary vein occluders were surgically implanted and experiments repeated with pulmonary arterial pressures elevated 10 mmHg above baseline. After 2 h of elevated pulmonary arterial pressure, lung lymph increased fivefold. At this time, lymph-to-plasma total protein concentration ratios for air and saline-plus-ethanol vehicle were significantly lower (P < 0.01) than baseline ratios (0.26 +/- 0.06 and 0.34 +/- 0.07, respectively). No significant difference could be shown in lymph-to-plasma ratios after the sheep were given Det. We conclude that disruption of the alveolar lining can cause a detectable increase in protein flux due, in part, to an increase in microvascular permeability.
Authors:
C Z Wang; R E Barrow; C S Cox; S F Yang; D N Herndon
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of applied physiology (Bethesda, Md. : 1985)     Volume:  74     ISSN:  8750-7587     ISO Abbreviation:  J. Appl. Physiol.     Publication Date:  1993 Mar 
Date Detail:
Created Date:  1993-06-01     Completed Date:  1993-06-01     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8502536     Medline TA:  J Appl Physiol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1016-23     Citation Subset:  IM    
Affiliation:
Department of Surgery, University of Texas Medical Branch, Galveston 77550.
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MeSH Terms
Descriptor/Qualifier:
Aerosols
Animals
Blood Gas Analysis
Blood Pressure / physiology
Blood Proteins / metabolism
Capillary Permeability / drug effects*
Detergents / administration & dosage,  pharmacology*
Extravascular Lung Water / metabolism
Female
Lung / metabolism*
Lymph / drug effects
Organ Size / physiology
Pulmonary Circulation / drug effects
Pulmonary Edema / physiopathology
Pulmonary Veins / drug effects
Sheep
Surface Tension
Chemical
Reg. No./Substance:
0/Aerosols; 0/Blood Proteins; 0/Detergents

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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