Journal of Applied Physiology
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J Appl Physiol 94: 975-982, 2003. First published November 15, 2002; doi:10.1152/japplphysiol.00619.2002
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Vol. 94, Issue 3, 975-982, March 2003

High oxygen concentrations predispose mouse lungsto the deleterious effects of high stretch ventilation

Timothy C. Bailey1, Erica L. Martin1, Lin Zhao2, and Ruud A. W. Veldhuizen1,3

1 Departments of Physiology and Pharmacology, 2 Obstetrics and Gynaecology, and 3 Medicine, Lawson Health Research Institute, University of Western Ontario, London, Ontario, Canada N6A 4V2

Mechanical ventilation is a necessary intervention for patients with acute lung injury. However, mechanical ventilation can propagate acute lung injury and increase systemic inflammation. The exposure to >21% oxygen is often associated with mechanical ventilation yet has not been examined within the context of lung stretch. We hypothesized that mice exposed to >90% oxygen will be more susceptible to the deleterious effects of high stretch mechanical ventilation. C57B1/6 mice were randomized into 48-h exposure of 21 or >90% oxygen; mice were then killed, and isolated lungs were randomized into a nonstretch or an ex vivo, high-stretch mechanical ventilation group. Lungs were assessed for compliance and lavaged for surfactant analysis, and cytokine measurements or lungs were homogenized for surfactant-associated protein analysis. Mice exposed to >90% oxygen + stretch had significantly lower compliance, altered pulmonary surfactant, and increased inflammatory cytokines compared with all other groups. Our conclusion is that 48 h of >90% oxygen and high-stretch mechanical ventilation deleteriously affect lung function to a greater degree than stretch alone.

pulmonary surfactant; inflammatory cytokines


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