title: Pancreatitis-induced acute lung injury. An ARDS model.
abstract: Cerulein-induced acute pancreatitis in rats is associated with acute lung injury characterized by increased pulmonary microvascular permeability, increased wet lung weights, and histologic features of alveolar capillary endothelial cell and pulmonary parenchymal injury. The alveolar capillary permeability index is increased 1.8-fold after a 3-hour injury (0.30 to 0.54, p less than 0.05). Gravimetric analysis shows a similar 1.5-fold increase in wet lung weights at 3 hours (0.35% vs. 0.51% of total body weight, p less than 0.05). Histologic features assessed by quantitative morphometric analysis include significant intra-alveolar hemorrhage (0.57 +/- 0.08 vs. 0.12 +/- 0.02 RBC/alveolus at 6 hours, p less than 0.001); endothelial cell disruption (28.11% vs. 4.3%, p less than 0.001); and marked, early neutrophil infiltration (7.45 +/- 0.53 vs. 0.83 +/- 0.18 PMN/hpf at 3 hours, p less than 0.001). The cerulein peptide itself, a cholecystokinin (CCK) analog, is naturally occurring and is not toxic and in several in vitro settings including exposure to pulmonary artery endothelial cells, Type II epithelial cells, and an ex vivo perfused lung preparation. The occurrence of this ARDS-like acute lung injury with acute pancreatitis provides an excellent experimental model to investigate mechanisms and mediators involved in the pathogenesis of ARDS.
authors.affiliation: Section of General Surgery, University of Michigan Medical Center, Ann Arbor 48109.
authors.forename: K S
authors.initials: KS
authors.lastname: Guice
authors.forename: K T
authors.initials: KT
authors.lastname: Oldham
authors.forename: K J
authors.initials: KJ
authors.lastname: Johnson
authors.forename: R G
authors.initials: RG
authors.lastname: Kunkel
authors.forename: M L
authors.initials: ML
authors.lastname: Morganroth
authors.forename: P A
authors.initials: PA
authors.lastname: Ward
mesh_terms: D000818:Animals; D002199:Capillary Permeability; D002108:Ceruletide; D004195:Disease Models, Animal; D007262:Infusions, Intravenous; D007457:Iodine Radioisotopes; D008297:Male; D009929:Organ Size; D010195:Pancreatitis / Q000139:chemically induced / Q000150:complications* / Q000473:pathology; D051381:Rats; D011919:Rats, Inbred Strains; D012128:Respiratory Distress Syndrome / Q000209:etiology* / Q000473:pathology
chemical_list: D007457:Iodine Radioisotopes; D002108:Ceruletide