Journal of Applied Physiology  AJP: Regulatory, Integrative and Comparative Physiology
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J Appl Physiol (November 16, 2001). doi:10.1152/japplphysiol.00697.2001
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Articles in PresS, published online ahead of print November 16, 2001
J Appl Physiol, 10.1152/jap.00697.2001
Submitted on July 6, 2001
Accepted on November 5, 2001

MECHANICAL VENTILATION OF ISOLATED RAT LUNGS CHANGES THE STRUCTURE AND BIOPHYSICAL PROPERTIES OF LARGE SURFACTANT AGGREGATES

Ruud A Veldhuizen1*, Blayne Welk2, Rob Harbottle3, Stephen Hearn4, Kaushik Nag5, Nils Petersen5, and Fred Possmayer6

1 Vascular Biology program, Lawson Health Research Institute, London, Ontario, Canada; Physiology, The Universtity of Western Ontario, London, Ontario, Canada; Medicine, The Universtity of Western Ontario, London, Ontario, Canada
2 Medicine, The Universtity of Western Ontario, London, Ontario, Canada
3 Chemistry, The Universtity of Western Ontario, London, Ontario, Canada
4 Vascular Biology program, Lawson Health Research Institute, London, Ontario, Canada
5 Chemistry, The Universtity of Western Ontario, London, Ontario, Canada; Obstetrics & Gyneacology, The Universtity of Western Ontario, London, Ontario, Canada
6 Obstetrics & Gyneacology, The Universtity of Western Ontario, London, Ontario, Canada; Biochemistry, The Universtity of Western Ontario, London, Ontario, Canada; Vascular Biology program, Lawson Health Research Institute, London, Ontario, Canada

* To whom correspondence should be addressed. E-mail: rveldhui{at}julian.uwo.ca.

Mechanical ventilation is an essential but potentially harmful therapeutic intervention for patients with acute lung injury. The objective of this study was to investigate the effects of mechanical ventilation on surfactant large aggregates (LA) structure and function. Isolated rat lungs were randomized to either a nonventilated control group, a relatively noninjuriously ventilated group (1hr, tidal volume 10ml/kg, 3cm PEEP) or an injuriously ventilated group (1hr, 20ml/kg, 0cm PEEP). Injurious ventilation resulted in significantly decrease lung compliance compared to the other two groups. LA structure, as determined by electronmicroscopy, revealed that LA from the injurious group had significantly lower amounts of organized lipid-protein structures compared to LA obtained from the other groups. Analysis of the biophysical properties using a captive bubble surfactometer demonstrated that the adsorption and surface tension reduction was significantly impaired with LA from the injuriously ventilated lungs. We conclude that the injurious mechanical ventilation impairs LA function and that this impairment is associated with significant morphological alterations.




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