Literature DB >> 14722184

Protective effects of early treatment with propofol on endotoxin-induced acute lung injury in rats.

J Gao1, B X Zeng, L J Zhou, S Y Yuan.   

Abstract

BACKGROUND: To investigate the effects of propofol administration on acute lung injury in endotoxin-induced shock in rats.
METHODS: Seventy-six male Wistar rats were randomly assigned to one of five groups: (i) saline control; (ii) endotoxin alone (receiving lipopolysaccharide (LPS) 8 mg kg(-1) i.v.); (iii) pretreatment with propofol 1 h before LPS; (iv) simultaneous treatment with propofol and LPS; (v) post-treatment with propofol 1 h after LPS. During the 5 h after LPS injection, survival rates were recorded. Lung tissue was sampled to measure values of nitrite/nitrates (NO(2-)/NO(3-)) and tumour necrosis factor (TNF)-alpha in bronchoalveolar lavage (BAL) fluid, and wet-to-dry lung weight ratio, pulmonary permeability index, BAL protein and expression of inducible nitric oxide synthase (iNOS) and nitrotyrosine (NT).
RESULTS: Compared with the endotoxaemic group, both the pre- and simultaneous treatment groups showed significantly improved 5 h survival rates, and attenuated endotoxin-induced increased BAL fluid NO(2-) /NO(3-) and TNF-alpha, iNOS mRNA and NT expression in lung tissue, and decreased pulmonary microvascular permeability. These beneficial effects were blunted in the post-treatment group.
CONCLUSIONS: These findings indicate that early administration of propofol may provide protective effects against endotoxin-induced acute lung injury.

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Year:  2004        PMID: 14722184     DOI: 10.1093/bja/aeh050

Source DB:  PubMed          Journal:  Br J Anaesth        ISSN: 0007-0912            Impact factor:   9.166


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