Journal of Applied Physiology AJP: Endocrinology and Metabolism
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH
 QUICK SEARCH:   [advanced]


     


J Appl Physiol (June 14, 2007). doi:10.1152/japplphysiol.00056.2007
This Article
Right arrow Full Text (PDF) Free
Right arrow All Versions of this Article:
103/3/747    most recent
00056.2007v1
Right arrow Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when eLetters are posted
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Citing Articles
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Moriondo, A.
Right arrow Articles by Negrini, D.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Moriondo, A.
Right arrow Articles by Negrini, D.
Submitted on January 12, 2007
Accepted on June 14, 2007

PROTEOGLYCANS FRAGMENTATION AND RESPIRATORY MECHANICS IN MECHANICALLY VENTILATED HEALTHY RATS

Andrea Moriondo1, Paolo Pelosi2, Alberto Passi1, Manuela Viola3, Cristiana Marcozzi3, Paolo Severgnini4, Vittoria Ottani5, Marilisa Quaranta6, and Daniela Negrini7*

1 Dipartimento Scienze Biomediche Sperimentali e Cliniche, Universita degli Studi dell'Insubria, Varese , Italy
2 Dipartimento Ambiente, Salute e Sicurezza, Universita degli Studi dell'Insubria, Varese, Italy
3 Dipartimento Scienze Biomediche Sperimentali e Cliniche, Universita dell'Insubria, Varese , Italy
4 Dipartimento Ambiente, Salute e Sicurezza, University degli Studi dell'Insubria, Varese, Italy
5 Dipartimento Scienze Anatomiche Umane, Universita degli Studi di Bologna, Varese , Italy
6 Dipartimento Scienze Anatomiche Umane, Universita degli Studi di Bologna, Bologna, Italy
7 Dipartimento Scienze Biomediche Sperimentali e Cliniche, Universita degli Studi dell'Insubria, Italy

* To whom correspondence should be addressed. E-mail: daniela.negrini{at}uninsubria.it.

This research investigated whether stretching of lung tissue due to increased positive alveolar pressure swings during mechanical ventilation (MV) at various tidal volumes (VT) might affect the composition and/or structure of the glycosaminoglycans (GAGs) components of pulmonary extracellular proteoglycans (PGs). Experiments were performed in 30 healthy rats: 1) anesthetized and immediately sacrificed (Controls, C-0); 2) anesthetized and spontaneously breathing for 4 hours (C-4h); 3) anesthetized, paralyzed and mechanically ventilated for 4 hours with air at 0 cmH2O end-expiratory pressure with VT of 8 ml·Kg-1 (MV-1), 16 ml·Kg-1 (MV-2), 24 ml·Kg-1 (MV-3) or 32 ml·Kg-1 (MV-4), adjusting respiratory rates to maintain a minute ventilation of 270 ml·min-1 . Compared to C-0 and C-4h, a significant reduction of dynamic and static compliance of the respiratory system and of the lung was observed only in MV-4, while extravascular lung water significantly increased in MV-3 and MV-4, but not in MV-1 and MV-2. However, even in MV-1, mechanical ventilation induced a significant fragmentation of pulmonary GAGs. Extraction of covalently bond GAGs and the wash-out of loosely bond or fragmented GAGs progressively increased with increasing VT and was associated with an increased expression of local (MMP-2) and systemic (MMP-9) activated metalloproteases. We conclude that: 1) mechanical ventilation even at "physiological" low VT, severely affects the pulmonary extracellular architecture, exposing the lung parenchyma to development of ventilator-induced lung injury; 2) respiratory mechanics is not a reliable clinical tool for early detection of lung injury.







HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH
Visit Other APS Journals Online
Copyright © 1948 by the American Physiological Society.