title: Keratinocyte growth factor attenuates lung leak induced by alpha-naphthylthiourea in rats.
abstract: OBJECTIVE
  To investigate the effect of pretreatment with keratinocyte growth factor on acute permeability pulmonary edema.
  
  
  METHODS
  Prospective, randomized, controlled animal study.
  
  
  METHODS
  University research laboratory.
  
  
  METHODS
  Specific pathogen-free Sprague-Dawley rats.
  
  
  METHODS
  Acute permeability pulmonary edema was induced with an injection of alpha-naphthylthiourea, and lung leak was assessed in an isolated perfused lung model over 180 mins. Leak was confirmed with wet/dry lung weight ratios, and the alveolar fluid protein concentration was measured after bronchoalveolar lavage. The effect of pretreatment with keratinocyte growth factor (injected intratracheally 48 hrs before the experiment) on alpha-naphthylthiourea-induced pulmonary edema was assessed (keratinocyte growth factor/alpha-naphthylthiourea group). Control groups (Control and keratinocyte growth factor/Control) were also studied. Histopathology was performed for each of the four groups.
  
  
  RESULTS
  The alpha-naphthylthiourea produced an acute permeability pulmonary edema detected by lung leak over the 180-min ex vivo period of monitoring the isolated perfused lung (leak = 8+/-mL; wet/dry weight ratio 14.7+/-2; lavage protein 3.1+/-1 mg/mL). Pretreatment with keratinocyte growth factor significantly attenuated these parameters (leak = 2.3+/-0.4 mL; wet/dry weight ratio 7.1 +/- 0.5; lavage protein 0.28 +/-0.03 mg/mL), which were not significantly different from the control group and the keratinocyte growth factor/control group. Histopathology showed abundant type II pneumocyte hyperplasia in the lungs of animals pretreated with keratinocyte growth factor, and marked pulmonary edema in animals pretreated with alpha-naphthylthiourea. Less edema was apparent in the keratinocyte growth factor/alpha-naphthylthiourea group. All data are expressed as mean +/- SEM.
  
  
  CONCLUSIONS
  Pretreatment with keratinocyte growth factor significantly attenuates pulmonary edema induced by alpha-naphthylthiourea. The mechanisms of this protection are likely related to type II pneumocyte hyperplasia, but remain to be specifically elucidated.
authors.affiliation: Department of Pulmonary/Critical Care Medicine, Louisiana State University Medical Center, New Orleans, 70112, USA.
authors.forename: C M
authors.initials: CM
authors.lastname: Mason
authors.forename: B P
authors.initials: BP
authors.lastname: Guery
authors.forename: W R
authors.initials: WR
authors.lastname: Summer
authors.forename: S
authors.initials: S
authors.lastname: Nelson
mesh_terms: D000818:Animals; D001992:Bronchoalveolar Lavage Fluid / Q000737:chemistry; D051526:Fibroblast Growth Factor 10; D051523:Fibroblast Growth Factor 7; D005346:Fibroblast Growth Factors; D006133:Growth Substances / Q000008:administration & dosage / Q000627:therapeutic use*; D009929:Organ Size / Q000187:drug effects; D011446:Prospective Studies; D011654:Pulmonary Edema / Q000139:chemically induced / Q000473:pathology / Q000517:prevention & control*; D011669:Pulmonary Wedge Pressure; D011897:Random Allocation; D051381:Rats; D017207:Rats, Sprague-Dawley; D012378:Rodenticides / Q000037:antagonists & inhibitors*; D013890:Thiourea / Q000031:analogs & derivatives* / Q000037:antagonists & inhibitors
chemical_list: C496455:Fgf7 protein, rat; D051526:Fibroblast Growth Factor 10; D006133:Growth Substances; D012378:Rodenticides; D051523:Fibroblast Growth Factor 7; D005346:Fibroblast Growth Factors; D013890:Thiourea; C005277:alpha-naphthyl thiourea