title: Platelet activating factor mediates interleukin-2-induced lung injury in the rat.
abstract: Interleukin-2 was recently shown to cause acute lung injury characterized by microvascular permeability defect, interstitial edema, and leukosequestration. Similar responses can also be produced by platelet activating factor (PAF). Thus, the present study aimed to examine whether PAF plays a key role in the development of IL-2-induced lung injury in the anesthetized rat. Intravenous infusion (60 min) of recombinant human IL-2 at 10(5)-10(6) U/rat (n = 7-9) dose-dependently elevated lung water content (27 +/- 1%, P less than 0.01), myeloperoxidase activity (+84 +/- 23%, P less than 0.05), and serum thromboxane B2 (990 +/- 70%, P less than 0.01), but failed to alter blood pressure, hematocrit, serum tumor necrosis factor-alpha, and circulating leukocytes and platelets. Pretreatment (-30 min) with a potent and specific PAF antagonist, BN 50739 (10 mg/kg, intraperitoneally, n = 6) prevented the pulmonary edema (P less than 0.05) and thromboxane B2 production (P less than 0.01), and attenuated the elevation of lung myeloperoxidase activity (+18 +/- 16%, P less than 0.05) induced by IL-2. These data suggest that PAF is involved in the pathophysiological processes leading to IL-2-induced lung injury, and point to the potential therapeutic capacity of PAF antagonists in preventing pulmonary edema during IL-2 therapy.
authors.affiliation: Department of Surgery, Jefferson Medical College, Philadelphia, Pennsylvania 19107-5083.
authors.forename: R
authors.initials: R
authors.lastname: Rabinovici
authors.forename: M D
authors.initials: MD
authors.lastname: Sofronski
authors.forename: J F
authors.initials: JF
authors.lastname: Renz
authors.forename: L M
authors.initials: LM
authors.lastname: Hillegas
authors.forename: K M
authors.initials: KM
authors.lastname: Esser
authors.forename: J
authors.initials: J
authors.lastname: Vernick
authors.forename: G
authors.initials: G
authors.lastname: Feuerstein
mesh_terms: D000818:Animals; D001381:Azepines / Q000494:pharmacology*; D001794:Blood Pressure / Q000187:drug effects; D007376:Interleukin-2 / Q000633:toxicity*; D007958:Leukocyte Count; D008171:Lung Diseases / Q000139:chemically induced*; D008297:Male; D009195:Peroxidase / Q000378:metabolism; D010972:Platelet Activating Factor / Q000502:physiology*; D010976:Platelet Count / Q000187:drug effects; D051381:Rats; D011919:Rats, Inbred Strains; D013929:Thromboxane B2 / Q000097:blood; D014230:Triazoles / Q000494:pharmacology*; D014409:Tumor Necrosis Factor-alpha / Q000378:metabolism
chemical_list: D001381:Azepines; D007376:Interleukin-2; D010972:Platelet Activating Factor; D014230:Triazoles; D014409:Tumor Necrosis Factor-alpha; C064509:BN 50739; D013929:Thromboxane B2; D009195:Peroxidase