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1 Muscle & Respiratory System Research Unit, Pneumology Department, CEXS, IMIM-Hospital del Mar, Pompeu Fabra University, Barcelona, Catalonia, Spain
2 Pneumology Department, Cruces Hospital, Basque Country University, Barakaldo, Basque Country, Spain
3 Critical Care & Respiratory Divisions, Royal Victoria Hospital-Meakins Christie Labs, McGill University, Montreal, Quebec, Canada
* To whom correspondence should be addressed. E-mail: ebarreiro{at}imim.es.
We hypothesized that resistive breathing of moderate-to-high intensity might increase diaphragm oxidative stress, which could be partially attenuated by antioxidants. Our objective was to assess the levels of oxidative stress in the dog diaphragm after respiratory muscle training of a wide range of intensities, and whether N-acetylcysteine (NAC) might act as an antioxidant. Twelve Beagle dogs were anesthetized with 1% propophol, tracheostomized and subjected to continuous inspiratory resistive breathing (IRB) (2 hours/day for 2 weeks). They were further divided into 2 groups (n=6): NAC group (oral NAC administration/24h for 14 days) and control group (placebo). Diaphragm biopsies were obtained before (baseline biopsy) and after (contralateral hemidiaphragm) IRB, and NAC versus placebo treatment. Oxidative stress was evaluated in all diaphragm biopsies through determination of 3-nitrotyrosine immunoreactivity, protein carbonylation, hydroxynoneal (HNE)-protein adducts, Mn-superoxide dismutase, and catalase, using immunoblotting and immunohistochemistry. Both protein tyrosine nitration and protein carbonylation were directly related to the amount of the respiratory loads, and NAC treatment abrogated this proportional rise in these two indices of oxidative stress in response to increasing inspiratory loads. A post hoc analysis revealed that only the diaphragms of dogs subjected to high-intensity loads showed a significant increase in both protein tyrosine nitration and carbonylation, which were also significantly reduced by NAC treatment. These results suggest that high-intensity respiratory loading-induced oxidative stress may be neutralized by NAC treatment during IRB in the canine diaphragm.
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