title: Dose and time response after intraamniotic endotoxin in preterm lambs.
abstract: Intraamniotic endotoxin causes chorioamnionitis, which is followed by improved fetal lung function after 4 d in fetal sheep. We evaluated 0.1 mg, 1 mg, 4 mg, and 10 mg endotoxin for inflammation and lung maturation effects after 7 d. Four and 10 mg endotoxin caused similar lung maturation and inflammation in the lung and chorioamnion. The number of neutrophils in cord blood and the inflammatory cells in alveolar lavage and fetal lung tissue increased in a dose-dependent manner. Lower endotoxin doses induced indicators of chorioamnionitis, lung and systemic inflammation without inducing lung maturation. Therefore, some degree of inflammation can occur without subsequent lung maturation. The inflammatory changes caused by 4 mg endotoxin were assessed after 5 h, 24 h, 72 h, and 7 d to discern local versus systemic inflammation after intraamniotic endotoxin. At 5 h active inflammatory cells were in the airways producing hydrogen peroxide, and interleukin-6 and -8 were increased in the cord blood indicating both lung and systemic responses. Cells recruited into the amniotic fluid produced proinflammatory cytokine mRNA for 7 d with no cytokine mRNA in chorioamnion, lung, or spleen after 72 h. The cells in the amniotic fluid may be a source of prolonged fetal exposure to proinflammatory cytokines.
authors.affiliation: Division of Pulmonary Biology, Children's Hospital Medical Center, Cincinnati, Ohio 45229-3039, USA.
authors.forename: B W
authors.initials: BW
authors.lastname: Kramer
authors.forename: T J
authors.initials: TJ
authors.lastname: Moss
authors.forename: K E
authors.initials: KE
authors.lastname: Willet
authors.forename: J P
authors.initials: JP
authors.lastname: Newnham
authors.forename: P D
authors.initials: PD
authors.lastname: Sly
authors.forename: S G
authors.initials: SG
authors.lastname: Kallapur
authors.forename: M
authors.initials: M
authors.lastname: Ikegami
authors.forename: A H
authors.initials: AH
authors.lastname: Jobe
mesh_terms: D000653:Amniotic Fluid / Q000166:cytology; D000818:Animals; D000831:Animals, Newborn; D001992:Bronchoalveolar Lavage Fluid / Q000166:cytology; D001997:Bronchopulmonary Dysplasia / Q000276:immunology / Q000503:physiopathology / Q000517:prevention & control; D002821:Chorioamnionitis / Q000209:etiology / Q000503:physiopathology; D016207:Cytokines / Q000235:genetics / Q000502:physiology; D003627:Data Interpretation, Statistical; D004195:Disease Models, Animal; D004731:Endotoxins / Q000008:administration & dosage*; D004797:Enzyme-Linked Immunosorbent Assay; D005260:Female; D005312:Fetal Blood / Q000166:cytology; D006801:Humans; D007231:Infant, Newborn; D007249:Inflammation / Q000276:immunology / Q000503:physiopathology; D015850:Interleukin-6 / Q000502:physiology; D016209:Interleukin-8 / Q000502:physiology; D008297:Male; D009504:Neutrophils / Q000502:physiology*; D011247:Pregnancy; D011663:Pulmonary Surfactants / Q000737:chemistry / Q000502:physiology*; D012333:RNA, Messenger / Q000032:analysis; D011897:Random Allocation; D012127:Respiratory Distress Syndrome, Newborn / Q000276:immunology / Q000503:physiopathology / Q000517:prevention & control; D012756:Sheep; D013997:Time Factors
chemical_list: D016207:Cytokines; D004731:Endotoxins; D015850:Interleukin-6; D016209:Interleukin-8; D011663:Pulmonary Surfactants; D012333:RNA, Messenger