Static inflation attenuates ischemia/reperfusion injury in an isolated rat lung in situ.
OBJECTIVE
Ischemia (I)/reperfusion (R) lung injury is an important clinical issue in lung transplantation. In the present study, we observed the effects of lung static inflation, different perfusates, and ventilatory gas with nitrogen or oxygen on the I/R-induced pulmonary damage.


METHODS
A total of 96 male Sprague-Dawley rats were used. The lung was isolated in situ.


METHODS
In an isolated lung, the capillary filtration coefficient (Kfc), lung weight gain (LWG), lung weight (LW)/body weight (BW) ratio, and protein concentration in BAL fluid (PCBAL) were measured or calculated to evaluate the degree of lung injury. Histologic examinations with hematoxylin-eosin staining were performed.


RESULTS
I/R caused lung injury, as reflected by increases in Kfc, LWG, LW/BW, and PCBAL. The histopathologic picture revealed the presence of hyaline membrane formation and the infiltration of inflammatory cells. These values were significantly attenuated by static lung inflation. The I/R lung damage appeared to be less in the lung perfused with whole blood than in the lung perfused with an isotonic solution. Therapy with ventilatory air (ie, nitrogen or oxygen) did not alter the I/R lung damage.


CONCLUSIONS
The data suggest that lung inflation is protective to I/R injury, irrespective of the type of ventilatory air used for treatment. The preservation of the lung for transplantation is better kept at a static inflation state and perfused with whole blood instead of an isotonic physiologic solution.
Kao
Shang Jyh
SJ
School of Respiratory Therapy, College of Medicine, Taipei Medical University, Taipei, Taiwan, Republic of China.
Wang
David
D
Yeh
Diana Yu-Wung
DY
Hsu
Kang
K
Hsu
Yung Hsiang
YH
Chen
Hsing I
HI
D000818:Animals; D001992:Bronchoalveolar Lavage Fluid; D066298:In Vitro Techniques; D008168:Lung / Q000502:physiology*; D016040:Lung Transplantation; D008297:Male; D009926:Organ Preservation / Q000379:methods*; D009929:Organ Size; D011506:Proteins / Q000032:analysis; D051381:Rats; D017207:Rats, Sprague-Dawley; D015427:Reperfusion Injury / Q000517:prevention & control*
D011506:Proteins