title: Chlorine gas induced acute lung injury in isolated rabbit lung.
abstract: This study was designed to investigate the pathogenesis of chlorine gas (Cl2) induced acute lung injury and oedema. Isolated blood-perfused rabbit lungs were ventilated either with air (n=7) or air plus 500 parts per million (ppm) of Cl2 (n=7) for 10 min. Capillary pressure, measured by analysing the pressure/time transients of pulmonary arterial, venous and double (both arterial and venous) occlusions, was unchanged in both groups. In Cl2-exposed lungs, the fluid filtration rate increased from -0.228+/-0.25 to 1.823+/-1.23 mL min(-1) x 100 g(-1) (p<0.001) and the filtration coefficient increased from 0.091+/-0.01 to 0.259+/-0.07 mL x min(-1) x cmH2O(-1) x 100 g(-1) (p<0.001). No changes were observed in the control lungs. The extravascular lung water/blood-free dry weight ratio was 8.6+/-1.6 in the Cl2 group and 4.0+/-0.5 in the control group (p<0.001), confirming that the increase in lung weight was related to accumulation of extravascular fluid. Although the alveolar flooding by oedema is explained, in part, by the Cl2-induced epithelial injury, our results suggest that Cl2 exposure induces acute lung injury and oedema due to an increased microvascular permeability.
authors.affiliation: TIM C-PRETA, UMR CNRS 5525, Université Joseph Fourier (Grenoble I), France.
authors.forename: A
authors.initials: A
authors.lastname: Menaouar
authors.forename: D
authors.initials: D
authors.lastname: Anglade
authors.forename: P
authors.initials: P
authors.lastname: Baussand
authors.forename: A
authors.initials: A
authors.lastname: Pelloux
authors.forename: M
authors.initials: M
authors.lastname: Corboz
authors.forename: S
authors.initials: S
authors.lastname: Lantuejoul
authors.forename: G
authors.initials: G
authors.lastname: Benchetrit
authors.forename: F A
authors.initials: FA
authors.lastname: Grimbert
mesh_terms: D000818:Animals; D002199:Capillary Permeability / Q000502:physiology; D002713:Chlorine / Q000008:administration & dosage / Q000633:toxicity*; D004487:Edema / Q000139:chemically induced / Q000175:diagnosis / Q000503:physiopathology; D005740:Gases / Q000008:administration & dosage / Q000633:toxicity; D066298:In Vitro Techniques; D008168:Lung / Q000473:pathology; D011651:Pulmonary Artery / Q000502:physiology; D011667:Pulmonary Veins / Q000502:physiology; D011669:Pulmonary Wedge Pressure / Q000502:physiology; D011817:Rabbits; D012128:Respiratory Distress Syndrome / Q000139:chemically induced* / Q000503:physiopathology*
chemical_list: D005740:Gases; D002713:Chlorine