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PMID: 17143330 Published · ppublish English Journal Article Research Support, N.I.H., Extramural Research Support, Non-U.S. Gov't

Complete reversal of acid-induced acute lung injury by blocking of platelet-neutrophil aggregation.

The Journal of clinical investigation ·Vol. 116 ·No. 12 ·2006-12-00 ·Pages 3211-9

Zarbock A, Singbartl K, Ley K

Abstract

Acute lung injury (ALI) causes high mortality, but its molecular mechanisms are poorly understood. Acid aspiration is a frequent cause of ALI, leading to neutrophil sequestration, increased permeability, and deterioration of gas exchange. We investigated the role of platelet-neutrophil interactions in a murine model of acid-induced ALI. Acid aspiration induced P-selectin-dependent platelet-neutrophil interactions in blood and in lung capillaries. Reducing circulating platelets or blocking P-selectin halted the development of ALI. Bone marrow chimeras showed that platelet, not endothelial, P-selectin was responsible for the injury. The interaction of platelets with neutrophils and endothelia was associated with TXA(2) formation, with detrimental effects on permeability and tissue function. Activated platelets induced endothelial expression of ICAM-1 and increased neutrophil adhesion. Inhibition of platelet-neutrophil aggregation improved gas exchange, reduced neutrophil recruitment and permeability, and prolonged survival. The key findings were confirmed in a sepsis-induced model of ALI. These findings may translate into improved clinical treatments for ALI.

MeSH Terms
Acids/toxicity Animals Blood Platelets/cytology,drug effects Busulfan/pharmacology Cell Adhesion/drug effects Cell Communication/drug effects Cells, Cultured Disease Models, Animal Endothelial Cells/cytology,drug effects,metabolism Flow Cytometry Humans Lung/drug effects,metabolism,pathology Mice Mice, Inbred C57BL Neutrophil Activation/drug effects Neutrophils/cytology,drug effects,metabolism P-Selectin/metabolism,physiology Platelet Activation/drug effects Platelet Aggregation/drug effects Receptors, Thromboxane/antagonists & inhibitors Respiratory Distress Syndrome/chemically induced,metabolism,prevention & control
Chemicals
Acids P-Selectin Receptors, Thromboxane Busulfan
Authors & Affiliations
3 authors, click to expand affiliations / ORCID
Zarbock Alexander
Robert M Berne Cardiovascular Research Center, University of Virginia, Charlottesville, VA 22908-1394, USA.
Singbartl Kai
Ley Klaus
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Article Info
Journal
The Journal of clinical investigation
Abbr.
J Clin Invest
ISSN
0021-9738
Published
2006-12-00
Pages
3211-9
Language
English
Region
United States
NLM ID
7802877
PMCID
PMC1679711
Subset
IM
Grants
NHLBI NIH HHS · P01 HL073361 · United States
NHLBI NIH HHS · P01 HL 73361 · United States
Corrections
CommentIn
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