Document Detail


Influence of fructose-1,6-diphosphate on endotoxin-induced lung injuries in sheep.
MedLine Citation:
PMID:  17161427     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Fructose-1,6-diphosphate (FDP) is reported to have a salutary effect in endotoxin shock and sepsis. This investigation describes the effect of FDP on pulmonary and systemic hemodynamics, lung lymph protein clearance, and leukocyte count in sheep infused with Escherichia coli endotoxin. MATERIALS AND METHODS: Anesthetized sheep (n = 18), some of which underwent thoracotomy to cannulate lymphatic nodes, were used in this study. After stabilization, all sheep received E. coli endotoxin, 5 microg/kg i.v. infusion over 30 min. Concomitant with the endotoxin infusion, half of the animals were randomly selected to receive an i.v. bolus of FDP (10%), 50 mg/kg, followed by a continuous infusion of 5 mg.kg(-1).min(-1) for 4 h; the rest were treated in the same manner with glucose (10%) in 0.9% NaCl. RESULTS: Pulmonary artery pressure (PAP) and resistance in the glucose group increased from 20.8 +/- 1.6 to 36.7 +/- 3.2 mmHg (P < 0.007) and from 531 +/- 114 to 1137 +/- 80 dyn.s(-1).cm(-5), respectively (P < 0.005). Despite an increase during endotoxin infusion, these parameters in the FDP group returned to control values. There were no differences in left ventricular pressures, cardiac output, heart rate, and arterial oxygen tension between the groups. In the glucose group, lymph protein clearance was higher (P < 0.01) and blood leukocyte count was lower (P < 0.02). The wet/dry lung weight ratio (g/g) for the glucose group was 5.57 +/- 0.04 and for the FDP-treated group 4.76 +/- 0.06 (P < 0.0005). CONCLUSION: FDP treatment attenuated significantly the characteristic pulmonary hypertension, lung lymph protein clearance, and pulmonary vascular leakage seen in sheep infused with endotoxin.
Authors:
Angel K Markov; E Taliferio Warren; Hari H P Cohly; David J Sauls; Thomas N Skelton
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't     Date:  2006-12-08
Journal Detail:
Title:  The Journal of surgical research     Volume:  138     ISSN:  0022-4804     ISO Abbreviation:  J. Surg. Res.     Publication Date:  2007 Mar 
Date Detail:
Created Date:  2007-02-16     Completed Date:  2007-04-05     Revised Date:  2007-12-03    
Medline Journal Info:
Nlm Unique ID:  0376340     Medline TA:  J Surg Res     Country:  United States    
Other Details:
Languages:  eng     Pagination:  45-50     Citation Subset:  IM    
Affiliation:
Division of Cardiovascular Diseases, Department of Medicine, Jackson State University, University of Mississippi Medical Center, Jackson, Mississippi 39216, USA. amarkov@medicine.umsmed.edu <amarkov@medicine.umsmed.edu>
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MeSH Terms
Descriptor/Qualifier:
Animals
Cardiovascular Agents / pharmacology*
Endotoxemia / complications,  drug therapy*,  physiopathology
Endotoxins
Extravascular Lung Water / metabolism
Fructosediphosphates / pharmacology*
Hypertension, Pulmonary / drug therapy,  etiology,  physiopathology
Leukocyte Count
Lymph / physiology
Pulmonary Wedge Pressure / drug effects
Respiratory Distress Syndrome, Adult / drug therapy*,  etiology,  physiopathology
Sheep
Vascular Resistance / drug effects
Grant Support
ID/Acronym/Agency:
R0I GM 33333/GM/NIGMS NIH HHS
Chemical
Reg. No./Substance:
0/Cardiovascular Agents; 0/Endotoxins; 0/Fructosediphosphates; 488-69-7/fructose-1,6-diphosphate; 67924-63-4/endotoxin, Escherichia coli

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