Postexposure aerosolized heparin reduces lung injury in chlorine-exposed mice

作者:Zarogiannis Sotirios G; Wagener Brant M; Basappa Susanna; Doran Stephen; Rodriguez Cilina A; Jurkuvenaite Asta; Pittet Jean Francois; Matalon Sadis*
来源:American Journal of Physiology - Lung Cellular and Molecular Physiology, 2014, 307(5): L347-L354.
DOI:10.1152/ajplung.00152.2014

摘要

Chlorine (Cl-2) is a highly reactive oxidant gas that, when inhaled, may cause acute lung injury culminating in death from respiratory failure. In this study, we tested the hypothesis that exposure of mice to Cl-2 causes intra-alveolar and systemic activation of the coagulation cascade that plays an important role in development of lung injury. C57B1/6 mice were exposed to Cl-2 (400 for 30 min or 600 ppm for 45 min) in environmental chambers and then returned to room air for 1 or 6 h. Native coagulation (NATEM) parameters such as blood clotting time and clot formation time were measured in whole blood by the viscoelastic technique. D-dimers and thrombin-anti-thrombin complexes were measured in both plasma and bronchoalveolar lavage fluid (BALF) by ELISA. Our results indicate that mice exposed to Cl-2 gas had significantly increased clotting time, clot formation time, and D-dimers compared with controls. The thrombin-anti-thrombin complexes were also increased in the BALF of Cl-2 exposed animals. To test whether increased coagulation contributed to the development of acute lung injury, mice exposed to Cl-2 and returned to room air were treated with aerosolized heparin or vehicle for 20 min. Aerosolized heparin significantly reduced protein levels and the number of inflammatory cells in the BALF at 6 h postexposure. These findings highlight the importance of coagulation abnormities in the development of Cl-2-induced lung injury.

  • 出版日期2014-9-1

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