Inhibition of acute lung inflammation and injury is a target of brain cooling after heatstroke injury.

作者: Yang Hsi-Hsing , Chang Ching-Ping , Cheng Juei-Tang , Mao-Tsun Lin

DOI: 10.1097/TA.0B013E3181CB43FD

关键词:

摘要: Background: Although brain cooling has recently been reported as effective in improving the survival after heatstroke generation rats, mechanisms underlying therapeutic effects of are not fully elucidated. This study was conducted to test whether acute lung inflammation and damage that might occur during could be affected by cooling. Methods: Anesthetized rats were randomized into four groups follows: (a) normothermic controls (n = 8); (b) without saline delivery (c) treated with 36°C via retrograde jugular vein (d) 4°C 8). Heatstroke induced putting animals a folded heating pad 42°C for 68 minutes controlled circulating hot water. The core temperatures maintained at about 36°C. cardiovascular parameters monitored all experiments. Bronchoalveolar lavage (BAL) done left 20 termination heat stress determination cellular ischemia markers (e.g., glutamate, lactate-to-pyruvate ratio), proinflammatory cytokines (interleukin-1, tumor necrosis factor-alpha), nitric oxide metabolites. Parts right excised meloperoxidase measurement, whereas rest collected score assessments. Results: When compared those controls, untreated or saline-treated had higher values BAL fluid levels markers, cytokines, metabolites, meroperoxidase activity, score, neutrophil infiltration. Brain causes infusion significantly reduced heat-induced increased Conclusions: These experimental data indicate is target injury.

参考文章(31)
H. S. Sharma, P. J. Hoopes, Hyperthermia induced pathophysiology of the central nervous system International Journal of Hyperthermia. ,vol. 19, pp. 325- 354 ,(2003) , 10.1080/0265673021000054621
David M. Hall, Garry R. Buettner, Larry W. Oberley, Linjing Xu, Ronald D. Matthes, Carl V. Gisolfi, Mechanisms of circulatory and intestinal barrier dysfunction during whole body hyperthermia American Journal of Physiology-heart and Circulatory Physiology. ,vol. 280, ,(2001) , 10.1152/AJPHEART.2001.280.2.H509
Penelope Rice, Erica Martin, Ju-Ren He, Mariah Frank, Louis DeTolla, Lisa Hester, Timothy O’Neill, Cheu Manka, Ivor Benjamin, Ashish Nagarsekar, Ishwar Singh, Jeffrey D. Hasday, Febrile-Range Hyperthermia Augments Neutrophil Accumulation and Enhances Lung Injury in Experimental Gram-Negative Bacterial Pneumonia Journal of Immunology. ,vol. 174, pp. 3676- 3685 ,(2005) , 10.4049/JIMMUNOL.174.6.3676
Yueh-Ting Chou, Shiau-Ting Lai, Chin-Cheng Lee, Mao-Tsun Lin, Hypothermia attenuates circulatory shock and cerebral ischemia in experimental heatstroke. Shock. ,vol. 19, pp. 388- 393 ,(2003) , 10.1097/00024382-200304000-00016
Feisal A El-Kassimi, Shihab Al-Mashhadani, Anwar K. Abdullah, Jawaid Akhtar, Adult respiratory distress syndrome and disseminated intravascular coagulation complicating heat stroke. Chest. ,vol. 90, pp. 571- 574 ,(1986) , 10.1378/CHEST.90.4.571
Mao-Tsun Lin, Ching-Ping Chang, The neuropharmacological basis of heat intolerance and its treatment Journal of Thermal Biology. ,vol. 29, pp. 463- 469 ,(2004) , 10.1016/J.JTHERBIO.2004.08.015
Sheng-Huang Hsiao, Ching-Ping Chang, Tsai-Hsien Chiu, Mao-Tsun Lin, Resuscitation from experimental heatstroke by brain cooling therapy Resuscitation. ,vol. 73, pp. 437- 445 ,(2007) , 10.1016/J.RESUSCITATION.2006.11.003
Philip O. Scumpia, Paul J. Sarcia, Vincent G. DeMarco, Bruce R. Stevens, Jeffrey W. Skimming, Hypothermia attenuates iNOS, CAT-1, CAT-2, and nitric oxide expression in lungs of endotoxemic rats American Journal of Physiology-lung Cellular and Molecular Physiology. ,vol. 283, ,(2002) , 10.1152/AJPLUNG.00102.2002
A. S. Warsy, Z. Ansari, H. Zhang, J.-L. Vincent, A. H. Alzeer, A. Al-Arifi, Nitric oxide production is enhanced in patients with heat stroke. Intensive Care Medicine. ,vol. 25, pp. 58- 62 ,(1999) , 10.1007/S001340050787
Yi-Szu Wen, Mu-Shung Huang, Mao-Tsun Lin, Chen-Hsen Lee, Rapid brain cooling by hypothermic retrograde jugular vein flush. Journal of Trauma-injury Infection and Critical Care. ,vol. 58, pp. 577- 581 ,(2005) , 10.1097/01.TA.0000152635.99243.30