title: Increased reabsorption of alveolar edema fluid in the obese Zucker rat.
abstract: Diabetic patients have a decreased incidence of acute respiratory distress syndrome, but the mechanism responsible for the decreased incidence is uncertain. Reabsorption of alveolar edema fluid (alveolar fluid clearance) has been considered to play an important role in resolution of acute respiratory distress syndrome. However, little is known regarding alveolar fluid clearance in diabetes mellitus. Since the obese Zucker rat has been used as an experimental model for diabetes mellitus, we determined if alveolar fluid clearance increased in the obese Zucker rat. First, we compared alveolar fluid clearance in obese Zucker rats with that in lean Zucker rats and Sprague-Dawley (SD) rats. Then, we determined the role of sodium channel, Na,K-ATPase, and beta(2)-adrenoceptor, which drives alveolar fluid clearance, in obese Zucker rats. Alveolar fluid clearance was estimated by the progressive increase in alveolar albumin concentrations in the isolated lungs. We found that basal alveolar fluid clearance in obese Zucker rats was two-fold greater than that in lean Zucker rats and SD rats. The mRNA expression of alpha(1)-, beta(1)-Na, K-ATPase and beta(2)-adrenoceptor, but not mRNA expression of sodium channel, increased in obese Zucker rats. A selective beta(2)-agrenergic antagonist, but not a Na, K-ATPase inhibitor, specifically inhibited the increase in alveolar fluid clearance in obese Zucker rats. These results indicate that overexpression of beta(2)-adrenoceptor primarily increases basal alveolar fluid clearance in the obese Zucker rat. We speculate that the stimulation of alveolar fluid clearance ameliorates acute respiratory distress syndrome in patients with diabetes mellitus.
authors.affiliation: Thoracic Surgery, Kanazawa Medical University, Uchinada, Ishikawa, Japan.
authors.forename: Gang
authors.initials: G
authors.lastname: Ma
authors.forename: Xitong
authors.initials: X
authors.lastname: Zhao
authors.forename: Masakatsu
authors.initials: M
authors.lastname: Ueno
authors.forename: Makoto
authors.initials: M
authors.lastname: Tanaka
authors.forename: Yuichiro
authors.initials: Y
authors.lastname: Machida
authors.forename: Hirokazu
authors.initials: H
authors.lastname: Aikawa
authors.forename: Katsuo
authors.initials: K
authors.lastname: Usuda
authors.forename: Motoyasu
authors.initials: M
authors.lastname: Sagawa
authors.forename: Yoshimichi
authors.initials: Y
authors.lastname: Ueda
authors.forename: Tsutomu
authors.initials: T
authors.lastname: Sakuma
mesh_terms: D000042:Absorption / Q000187:drug effects; D000318:Adrenergic beta-Agonists / Q000494:pharmacology; D000319:Adrenergic beta-Antagonists / Q000494:pharmacology; D000584:Amiloride / Q000494:pharmacology; D000818:Animals; D001826:Body Fluids / Q000378:metabolism*; D004487:Edema / Q000150:complications / Q000473:pathology*; D053503:Epithelial Sodium Channels / Q000235:genetics / Q000378:metabolism; D015633:Extravascular Lung Water / Q000187:drug effects; D005786:Gene Expression Regulation / Q000187:drug effects; D009765:Obesity / Q000150:complications / Q000378:metabolism*; D009929:Organ Size; D010042:Ouabain / Q000494:pharmacology; D011650:Pulmonary Alveoli / Q000187:drug effects / Q000378:metabolism* / Q000473:pathology*; D012333:RNA, Messenger / Q000235:genetics / Q000378:metabolism; D051381:Rats; D017207:Rats, Sprague-Dawley; D011924:Rats, Zucker; D018343:Receptors, Adrenergic, beta-2 / Q000235:genetics / Q000378:metabolism; D000254:Sodium-Potassium-Exchanging ATPase / Q000235:genetics / Q000378:metabolism; D013851:Thinness / Q000378:metabolism
chemical_list: D000318:Adrenergic beta-Agonists; D000319:Adrenergic beta-Antagonists; D053503:Epithelial Sodium Channels; D012333:RNA, Messenger; D018343:Receptors, Adrenergic, beta-2; D010042:Ouabain; D000584:Amiloride; D000254:Sodium-Potassium-Exchanging ATPase