Marked difference in pathophysiology between tissue factor- and lipopolysaccharide-induced disseminated intravascular coagulation models in rats

OBJECTIVETissue factor and lipopolysaccharide frequently have been used to induce disseminated intravascular coagulation in experimental animal models. Although the pathophysiology of disseminated intravascular coagulation may differ according to the agents used to induce it, these previous models h...

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Veröffentlicht in:Critical care medicine 2002-01, Vol.30 (1), p.161-164
Hauptverfasser: Asakura, Hidesaku, Suga, Yukio, Aoshima, Keiji, Ontachi, Yasuo, Mizutani, Tomoe, Kato, Minori, Saito, Masanori, Morishita, Eriko, Yamazaki, Masahide, Takami, Akiyoshi, Miyamoto, Ken-ichi, Nakao, Shinji
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container_end_page 164
container_issue 1
container_start_page 161
container_title Critical care medicine
container_volume 30
creator Asakura, Hidesaku
Suga, Yukio
Aoshima, Keiji
Ontachi, Yasuo
Mizutani, Tomoe
Kato, Minori
Saito, Masanori
Morishita, Eriko
Yamazaki, Masahide
Takami, Akiyoshi
Miyamoto, Ken-ichi
Nakao, Shinji
description OBJECTIVETissue factor and lipopolysaccharide frequently have been used to induce disseminated intravascular coagulation in experimental animal models. Although the pathophysiology of disseminated intravascular coagulation may differ according to the agents used to induce it, these previous models have not distinguished between the use of different disseminated intravascular coagulation-inducing agents. In this study, we attempted to evaluate the characteristic features of these agents in two types of disseminated intravascular coagulation models, with special reference to selected hemostatic parameters and pathologic findings in the kidney. DESIGNProspective, comparative, experimental study. SETTINGLaboratory at a university hospital. SUBJECTSTwenty-seven male Wistar rats, age 6–7 wks, weighing 160–170 g. INTERVENTIONSThree groups of animals were studieda control group (n = 8) receiving physiologic saline, a tissue factor-treated group (n = 11) receiving tissue factor 3.75 units/kg, and a lipopolysaccharide-treated group (n = 8) receiving lipopolysaccharide 30 mg/kg; each group sustained infusion for 4 hrs via the tail vein. MEASUREMENTS AND MAIN RESULTSThe degree of hemostatic activation in both types of experimental disseminated intravascular coagulation was identical, based on the results of thrombin-antithrombin III complex levels. Markedly elevated D-dimer concentrations were observed without organ dysfunction or fibrin deposition in the kidney on administration of tissue factor, whereas markedly elevated plasminogen activator inhibitor activity, decreased antithrombin III activity, severe organ failure, and marked fibrin deposition in the kidney were observed for lipopolysaccharide administration. CONCLUSIONBecause pathophysiology differed remarkably between the tissue factor- and lipopolysaccharide-induced disseminated intravascular coagulation models in rats, we recommend that they be assessed carefully as distinct entities to determine implications of their experimental and clinical use.
doi_str_mv 10.1097/00003246-200201000-00023
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Although the pathophysiology of disseminated intravascular coagulation may differ according to the agents used to induce it, these previous models have not distinguished between the use of different disseminated intravascular coagulation-inducing agents. In this study, we attempted to evaluate the characteristic features of these agents in two types of disseminated intravascular coagulation models, with special reference to selected hemostatic parameters and pathologic findings in the kidney. DESIGNProspective, comparative, experimental study. SETTINGLaboratory at a university hospital. SUBJECTSTwenty-seven male Wistar rats, age 6–7 wks, weighing 160–170 g. INTERVENTIONSThree groups of animals were studieda control group (n = 8) receiving physiologic saline, a tissue factor-treated group (n = 11) receiving tissue factor 3.75 units/kg, and a lipopolysaccharide-treated group (n = 8) receiving lipopolysaccharide 30 mg/kg; each group sustained infusion for 4 hrs via the tail vein. MEASUREMENTS AND MAIN RESULTSThe degree of hemostatic activation in both types of experimental disseminated intravascular coagulation was identical, based on the results of thrombin-antithrombin III complex levels. Markedly elevated D-dimer concentrations were observed without organ dysfunction or fibrin deposition in the kidney on administration of tissue factor, whereas markedly elevated plasminogen activator inhibitor activity, decreased antithrombin III activity, severe organ failure, and marked fibrin deposition in the kidney were observed for lipopolysaccharide administration. 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Although the pathophysiology of disseminated intravascular coagulation may differ according to the agents used to induce it, these previous models have not distinguished between the use of different disseminated intravascular coagulation-inducing agents. In this study, we attempted to evaluate the characteristic features of these agents in two types of disseminated intravascular coagulation models, with special reference to selected hemostatic parameters and pathologic findings in the kidney. DESIGNProspective, comparative, experimental study. SETTINGLaboratory at a university hospital. SUBJECTSTwenty-seven male Wistar rats, age 6–7 wks, weighing 160–170 g. INTERVENTIONSThree groups of animals were studieda control group (n = 8) receiving physiologic saline, a tissue factor-treated group (n = 11) receiving tissue factor 3.75 units/kg, and a lipopolysaccharide-treated group (n = 8) receiving lipopolysaccharide 30 mg/kg; each group sustained infusion for 4 hrs via the tail vein. 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Although the pathophysiology of disseminated intravascular coagulation may differ according to the agents used to induce it, these previous models have not distinguished between the use of different disseminated intravascular coagulation-inducing agents. In this study, we attempted to evaluate the characteristic features of these agents in two types of disseminated intravascular coagulation models, with special reference to selected hemostatic parameters and pathologic findings in the kidney. DESIGNProspective, comparative, experimental study. SETTINGLaboratory at a university hospital. SUBJECTSTwenty-seven male Wistar rats, age 6–7 wks, weighing 160–170 g. INTERVENTIONSThree groups of animals were studieda control group (n = 8) receiving physiologic saline, a tissue factor-treated group (n = 11) receiving tissue factor 3.75 units/kg, and a lipopolysaccharide-treated group (n = 8) receiving lipopolysaccharide 30 mg/kg; each group sustained infusion for 4 hrs via the tail vein. MEASUREMENTS AND MAIN RESULTSThe degree of hemostatic activation in both types of experimental disseminated intravascular coagulation was identical, based on the results of thrombin-antithrombin III complex levels. Markedly elevated D-dimer concentrations were observed without organ dysfunction or fibrin deposition in the kidney on administration of tissue factor, whereas markedly elevated plasminogen activator inhibitor activity, decreased antithrombin III activity, severe organ failure, and marked fibrin deposition in the kidney were observed for lipopolysaccharide administration. CONCLUSIONBecause pathophysiology differed remarkably between the tissue factor- and lipopolysaccharide-induced disseminated intravascular coagulation models in rats, we recommend that they be assessed carefully as distinct entities to determine implications of their experimental and clinical use.</abstract><cop>Hagerstown, MD</cop><pub>by the Society of Critical Care Medicine and Lippincott Williams &amp; Wilkins</pub><pmid>11902257</pmid><doi>10.1097/00003246-200201000-00023</doi><tpages>4</tpages></addata></record>
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subjects Animals
Antithrombin III
Biological and medical sciences
Disease Models, Animal
Disseminated Intravascular Coagulation - etiology
Disseminated Intravascular Coagulation - physiopathology
Fibrin - analysis
Fibrin Fibrinogen Degradation Products - analysis
Hematologic and hematopoietic diseases
Hemostasis - physiology
Kidney - pathology
Lipopolysaccharides
Male
Medical sciences
Peptide Hydrolases - blood
Platelet diseases and coagulopathies
Prospective Studies
Rats
Rats, Wistar
Thromboplastin
title Marked difference in pathophysiology between tissue factor- and lipopolysaccharide-induced disseminated intravascular coagulation models in rats
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