Document Detail


O2- and pneumonia-induced lung injury. I. Pathological and morphometric studies.
MedLine Citation:
PMID:  2759963     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The physiological, morphological, and morphometric findings of several lung injury models in baboons have been compared in the following six study groups: 1) initial injury with oleic acid followed by ventilation with 100% O2, 2) ventilation with 100% O2, 3) ventilation with 80% O2, 4) ventilation with 80% O2 followed by inoculation of Pseudomonas aeruginosa, 5) ventilation with 40% O2, and 6) normal nonventilated room-air-breathing animals. The animals were maintained for 11 days in an intensive care unit. Light microscopically, animals ventilated with 40 and 80% O2 showed mild lung injury, consisting mostly of an increase in alveolar macrophages in peribronchiolar sites and focal alveolar wall widening. The 100% O2-oleic acid, 100% O2, and 80% O2-Pseudomonas-treated baboons showed mixed exudative-reparative diffuse alveolar lesions. Ultrastructurally, the type II cells of these three groups had significantly altered morphology with aberrations of lamellar body configurations. Morphometric findings showed increases in type II and interstitial cells and decreases in type I and endothelial cells in these injured animals. A striking finding was that the physiological, morphological, and morphometric changes of an 80% O2-Pseudomonas insult was as injurious as 100% O2. This synergistic effect of hyperoxia and infection very likely reflects the most frequent evolution of adult respiratory distress syndrome in patients in intensive care units.
Authors:
J J Coalson; R J King; V T Winter; T J Prihoda; A R Anzueto; J I Peters; W G Johanson
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Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, Non-P.H.S.; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Journal of applied physiology (Bethesda, Md. : 1985)     Volume:  67     ISSN:  8750-7587     ISO Abbreviation:  J. Appl. Physiol.     Publication Date:  1989 Jul 
Date Detail:
Created Date:  1989-09-15     Completed Date:  1989-09-15     Revised Date:  2013-09-26    
Medline Journal Info:
Nlm Unique ID:  8502536     Medline TA:  J Appl Physiol (1985)     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  346-56     Citation Subset:  IM    
Affiliation:
Department of Physiology, University of Texas Health Science Center, San Antonio.
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MeSH Terms
Descriptor/Qualifier:
Animals
Disease Models, Animal
Lung / pathology
Lung Injury*
Male
Oxygen / adverse effects
Papio
Pneumonia / chemically induced,  pathology*
Pseudomonas Infections / pathology*
Respiratory Distress Syndrome, Adult / pathology
Respiratory Tract Infections / microbiology,  pathology*
Grant Support
ID/Acronym/Agency:
HL-23578/HL/NHLBI NIH HHS
Chemical
Reg. No./Substance:
7782-44-7/Oxygen

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


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