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Department of Medicine, University of California San Diego, La Jolla, California 92093-0623
Received 23 September 1996; accepted in final form 7 March 1997.
Berg, John T., Zhenxing Fu, Ellen C. Breen, Hung-Cuong Tran,
Odile Mathieu-Costello, and John B. West. High lung inflation increases mRNA levels of ECM components and growth factors in lung
parenchyma. J. Appl. Physiol. 83(1):
120-128, 1997.
Remodeling of pulmonary capillaries occurs after
chronic increases in capillary pressure (e.g., mitral stenosis). Also,
remodeling of pulmonary arteries begins within 4 h of increased wall
stress and is endothelium dependent. We have previously shown that high
lung inflation increases wall stress in pulmonary capillaries. This
study was designed to determine whether high lung inflation induces
remodeling of the extracellular matrix (ECM) in lung parenchyma.
Open-chest rabbits were ventilated for 4 h with
9-cmH2O positive end-expiratory pressure (PEEP) on one lung and
1-cmH2O PEEP on the other
(High-PEEP group), or with 2-cmH2O
PEEP on both lungs (Low-PEEP group). An additional untreated control
group was also included. We found increased levels of mRNA in both
lungs of High-PEEP rabbits (compared with both the Low-PEEP and
untreated groups) for
1(III)
and
2(IV) procollagen,
fibronectin, basic fibroblast growth factor, and transforming growth
factor-
1. In contrast,
2(I) procollagen and vascular
endothelial growth factor mRNA levels were not changed. We conclude
that high lung inflation for 4 h increases mRNA levels of ECM
components and growth factors in lung parenchyma.
extracellular matrix; messenger ribonucleic acid; stress failure; wall tension; vascular remodeling; strength of capillaries
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