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J Appl Physiol 89: 1759-1765, 2000;
8750-7587/00 $5.00
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Vol. 89, Issue 5, 1759-1765, November 2000

Continuous enteral nutrition attenuates pulmonary edema in rats exposed to 100% oxygen

Phillip Factor1,2, Karen Ridge2, John Alverdy3, and Jacob I. Sznajder2

1 Pulmonary and Critical Care Medicine, Evanston Northwestern Healthcare, Evanston 60201; 2 Northwestern University Medical School, Chicago 60611; and 3 Department of Surgery, University of Chicago, Chicago, Illinois 60616

Adult rats exposed to hyperoxia develop anorexia, weight loss, and a lung injury characterized by pulmonary edema and decreased lung liquid clearance. We hypothesized that maintenance of nutrition during hyperoxia could attenuate hyperoxia-induced pulmonary edema. To test this hypothesis, we enterally fed adult male Sprague-Dawley rats via gastrostomy tubes and exposed them to oxygen (inspired O2 fraction >0.95) for 64 h. In contrast to controls, enterally fed hyperoxic animals did not lose weight and had smaller pleural effusions and wet-to-dry weight ratios (a measure of lung edema) that were not different from room air controls. Enterally fed rats exposed to hyperoxia had increased levels of mRNA for the Na+-K+-ATPase alpha 1- and beta 1-subunits and glutathione peroxidase. These findings suggest that maintenance of nutrition during an oxidative lung injury reduces lung edema, perhaps by allowing for continued expression and function of protective proteins such as the Na+-K+-ATPase.

sodium-potassium-adenosine 5'-triphosphatase; glutathione peroxidase; hyperoxia


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