Decreased lung ischemia-reperfusion injury in rats after preoperative administration of cyclosporine and tacrolimus

Objectives: Calcineurin inhibitors reduce experimental reperfusion injury in the liver, brain, heart, kidney, and small bowel. These studies were undertaken to determine whether these agents are similarly protective against lung ischemia-reperfusion injury. Methods: Left lungs of male rats were rend...

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Veröffentlicht in:The Journal of thoracic and cardiovascular surgery 2002-04, Vol.123 (4), p.756-767
Hauptverfasser: Krishnadasan, B., Naidu, B., Rosengart, M., Farr, A.L., Barnes, A., Verrier, E.D., Mulligan, M.S.
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container_end_page 767
container_issue 4
container_start_page 756
container_title The Journal of thoracic and cardiovascular surgery
container_volume 123
creator Krishnadasan, B.
Naidu, B.
Rosengart, M.
Farr, A.L.
Barnes, A.
Verrier, E.D.
Mulligan, M.S.
description Objectives: Calcineurin inhibitors reduce experimental reperfusion injury in the liver, brain, heart, kidney, and small bowel. These studies were undertaken to determine whether these agents are similarly protective against lung ischemia-reperfusion injury. Methods: Left lungs of male rats were rendered ischemic for 90 minutes and reperfused for as long as 4 hours. Treated animals received cyclosporine A (INN: ciclosporin; 1 or 5 mg/kg) or tacrolimus (0.2 mg/kg) 6 hours before ischemia, at reperfusion, or 2 hours after reperfusion. Injury was quantitated in terms of tissue polymorphonuclear leukocyte accumulation (myeloperoxidase content), vascular permeability (iodine 125-labeled bovine serum albumin extravasation), and bronchoalveolar lavage leukocyte content. Separate tissue samples were processed for nuclear protein and cytokine messenger RNA. Results: Treatment with cyclosporine (5 mg/kg) or tacrolimus (0.2 mg/kg) 6 hours before reperfusion reduced lung vascular permeability by 54% and 56% relative to control animals (P
doi_str_mv 10.1067/mtc.2002.120351
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These studies were undertaken to determine whether these agents are similarly protective against lung ischemia-reperfusion injury. Methods: Left lungs of male rats were rendered ischemic for 90 minutes and reperfused for as long as 4 hours. Treated animals received cyclosporine A (INN: ciclosporin; 1 or 5 mg/kg) or tacrolimus (0.2 mg/kg) 6 hours before ischemia, at reperfusion, or 2 hours after reperfusion. Injury was quantitated in terms of tissue polymorphonuclear leukocyte accumulation (myeloperoxidase content), vascular permeability (iodine 125-labeled bovine serum albumin extravasation), and bronchoalveolar lavage leukocyte content. Separate tissue samples were processed for nuclear protein and cytokine messenger RNA. Results: Treatment with cyclosporine (5 mg/kg) or tacrolimus (0.2 mg/kg) 6 hours before reperfusion reduced lung vascular permeability by 54% and 56% relative to control animals (P &lt;.03). The protective effects of cyclosporine and tacrolimus treatment before reperfusion correlated with 42% and 43% reductions in tissue polymorphonuclear leukocyte (myeloperoxidase) content (P &lt;.008) and marked reductions in bronchoalveolar lavage leukocyte accumulation (P &lt;.01). Administration of cyclosporine or tacrolimus at the time of reperfusion or 2 hours into the reperfusion period offered little or no protection. Animals treated before reperfusion also demonstrated marked reductions in nuclear factor κB activation and expression of proinflammatory cytokine messenger RNA. Conclusion: Cyclosporine and tacrolimus treatment before reperfusion was protective against lung ischemia-reperfusion injury in rats. The mechanism of these protective effects may involve the inhibition of nuclear factor κB, a central transcription factor mediating inflammatory injury. The decreased expression of cytokine messenger RNA indicates that both cyclosporine and tacrolimus may exert their protective effects at the pretranscriptional level. J Thorac Cardiovasc Surg 2002;123:756-67</description><identifier>ISSN: 0022-5223</identifier><identifier>EISSN: 1097-685X</identifier><identifier>DOI: 10.1067/mtc.2002.120351</identifier><identifier>PMID: 11986604</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Animals ; Bronchoalveolar Lavage Fluid - cytology ; Capillary Permeability - drug effects ; Cyclosporine - administration &amp; dosage ; Cyclosporine - pharmacokinetics ; Cytokines - biosynthesis ; Cytokines - drug effects ; Disease Models, Animal ; Dose-Response Relationship, Drug ; Electrophoretic Mobility Shift Assay ; Immunosuppressive Agents - administration &amp; dosage ; Immunosuppressive Agents - pharmacokinetics ; Leukocytes - drug effects ; Lung - blood supply ; Male ; NF-kappa B - biosynthesis ; NF-kappa B - drug effects ; Peroxidase - drug effects ; Preoperative Care ; Rats ; Rats, Long-Evans ; Reperfusion Injury - prevention &amp; control ; RNA, Messenger - biosynthesis ; RNA, Messenger - drug effects ; Tacrolimus - administration &amp; dosage ; Tacrolimus - pharmacokinetics ; Treatment Outcome</subject><ispartof>The Journal of thoracic and cardiovascular surgery, 2002-04, Vol.123 (4), p.756-767</ispartof><rights>2002 American Association for Thoracic Surgery</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c416t-59f5f1652f96e7b5f99cc0e8694ba49839b7e413e4bc82d7be1e7115dc4038193</citedby><cites>FETCH-LOGICAL-c416t-59f5f1652f96e7b5f99cc0e8694ba49839b7e413e4bc82d7be1e7115dc4038193</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S002252230205198X$$EHTML$$P50$$Gelsevier$$Hfree_for_read</linktohtml><link.rule.ids>314,776,780,3536,27903,27904,65309</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/11986604$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Krishnadasan, B.</creatorcontrib><creatorcontrib>Naidu, B.</creatorcontrib><creatorcontrib>Rosengart, M.</creatorcontrib><creatorcontrib>Farr, A.L.</creatorcontrib><creatorcontrib>Barnes, A.</creatorcontrib><creatorcontrib>Verrier, E.D.</creatorcontrib><creatorcontrib>Mulligan, M.S.</creatorcontrib><title>Decreased lung ischemia-reperfusion injury in rats after preoperative administration of cyclosporine and tacrolimus</title><title>The Journal of thoracic and cardiovascular surgery</title><addtitle>J Thorac Cardiovasc Surg</addtitle><description>Objectives: Calcineurin inhibitors reduce experimental reperfusion injury in the liver, brain, heart, kidney, and small bowel. These studies were undertaken to determine whether these agents are similarly protective against lung ischemia-reperfusion injury. Methods: Left lungs of male rats were rendered ischemic for 90 minutes and reperfused for as long as 4 hours. Treated animals received cyclosporine A (INN: ciclosporin; 1 or 5 mg/kg) or tacrolimus (0.2 mg/kg) 6 hours before ischemia, at reperfusion, or 2 hours after reperfusion. Injury was quantitated in terms of tissue polymorphonuclear leukocyte accumulation (myeloperoxidase content), vascular permeability (iodine 125-labeled bovine serum albumin extravasation), and bronchoalveolar lavage leukocyte content. Separate tissue samples were processed for nuclear protein and cytokine messenger RNA. Results: Treatment with cyclosporine (5 mg/kg) or tacrolimus (0.2 mg/kg) 6 hours before reperfusion reduced lung vascular permeability by 54% and 56% relative to control animals (P &lt;.03). The protective effects of cyclosporine and tacrolimus treatment before reperfusion correlated with 42% and 43% reductions in tissue polymorphonuclear leukocyte (myeloperoxidase) content (P &lt;.008) and marked reductions in bronchoalveolar lavage leukocyte accumulation (P &lt;.01). Administration of cyclosporine or tacrolimus at the time of reperfusion or 2 hours into the reperfusion period offered little or no protection. Animals treated before reperfusion also demonstrated marked reductions in nuclear factor κB activation and expression of proinflammatory cytokine messenger RNA. Conclusion: Cyclosporine and tacrolimus treatment before reperfusion was protective against lung ischemia-reperfusion injury in rats. The mechanism of these protective effects may involve the inhibition of nuclear factor κB, a central transcription factor mediating inflammatory injury. The decreased expression of cytokine messenger RNA indicates that both cyclosporine and tacrolimus may exert their protective effects at the pretranscriptional level. 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control</subject><subject>RNA, Messenger - biosynthesis</subject><subject>RNA, Messenger - drug effects</subject><subject>Tacrolimus - administration &amp; dosage</subject><subject>Tacrolimus - pharmacokinetics</subject><subject>Treatment Outcome</subject><issn>0022-5223</issn><issn>1097-685X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2002</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kE1v1DAURS0EotPCmh3yClaZ2o4_4iVqgSJVYgMSO8txnjseJXGwnaL593iUkVixerLeuVfPB6F3lOwpkep2Km7PCGF7ykgr6Au0o0SrRnbi10u0qwvWCMbaK3Sd85EQogjVr9EVpbqTkvAdyvfgEtgMAx7X-QmH7A4wBdskWCD5NYc44zAf13SqAydbMra-QMJLglgRW8IzYDtMYQ65nJ81ED12JzfGvMQU5rqeB1ysS3EM05rfoFfejhneXuYN-vnl84-7h-bx-9dvd58eG8epLI3QXngqBfNaguqF19o5Ap3UvLdcd63uFXDaAu9dxwbVAwVFqRgcJ21HdXuDPmy9S4q_V8jFTPV7MI52hrhmo87lneYVvN3AemHOCbxZUphsOhlKzNmzqZ7N2bPZPNfE-0v12k8w_OMvYivwcQMO4enwJyQwebLjWHFqjsVlylrDjRKyknojoap4DpBMdgFmB0NNuWKGGP57xl_8vZya</recordid><startdate>20020401</startdate><enddate>20020401</enddate><creator>Krishnadasan, B.</creator><creator>Naidu, B.</creator><creator>Rosengart, M.</creator><creator>Farr, A.L.</creator><creator>Barnes, A.</creator><creator>Verrier, E.D.</creator><creator>Mulligan, M.S.</creator><general>Elsevier Inc</general><general>AATS/WTSA</general><scope>6I.</scope><scope>AAFTH</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20020401</creationdate><title>Decreased lung ischemia-reperfusion injury in rats after preoperative administration of cyclosporine and tacrolimus</title><author>Krishnadasan, B. ; Naidu, B. ; Rosengart, M. ; Farr, A.L. ; Barnes, A. ; Verrier, E.D. ; Mulligan, M.S.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c416t-59f5f1652f96e7b5f99cc0e8694ba49839b7e413e4bc82d7be1e7115dc4038193</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2002</creationdate><topic>Animals</topic><topic>Bronchoalveolar Lavage Fluid - cytology</topic><topic>Capillary Permeability - drug effects</topic><topic>Cyclosporine - administration &amp; dosage</topic><topic>Cyclosporine - pharmacokinetics</topic><topic>Cytokines - biosynthesis</topic><topic>Cytokines - drug effects</topic><topic>Disease Models, Animal</topic><topic>Dose-Response Relationship, Drug</topic><topic>Electrophoretic Mobility Shift Assay</topic><topic>Immunosuppressive Agents - administration &amp; dosage</topic><topic>Immunosuppressive Agents - pharmacokinetics</topic><topic>Leukocytes - drug effects</topic><topic>Lung - blood supply</topic><topic>Male</topic><topic>NF-kappa B - biosynthesis</topic><topic>NF-kappa B - drug effects</topic><topic>Peroxidase - drug effects</topic><topic>Preoperative Care</topic><topic>Rats</topic><topic>Rats, Long-Evans</topic><topic>Reperfusion Injury - prevention &amp; control</topic><topic>RNA, Messenger - biosynthesis</topic><topic>RNA, Messenger - drug effects</topic><topic>Tacrolimus - administration &amp; dosage</topic><topic>Tacrolimus - pharmacokinetics</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Krishnadasan, B.</creatorcontrib><creatorcontrib>Naidu, B.</creatorcontrib><creatorcontrib>Rosengart, M.</creatorcontrib><creatorcontrib>Farr, A.L.</creatorcontrib><creatorcontrib>Barnes, A.</creatorcontrib><creatorcontrib>Verrier, E.D.</creatorcontrib><creatorcontrib>Mulligan, M.S.</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Journal of thoracic and cardiovascular surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Krishnadasan, B.</au><au>Naidu, B.</au><au>Rosengart, M.</au><au>Farr, A.L.</au><au>Barnes, A.</au><au>Verrier, E.D.</au><au>Mulligan, M.S.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Decreased lung ischemia-reperfusion injury in rats after preoperative administration of cyclosporine and tacrolimus</atitle><jtitle>The Journal of thoracic and cardiovascular surgery</jtitle><addtitle>J Thorac Cardiovasc Surg</addtitle><date>2002-04-01</date><risdate>2002</risdate><volume>123</volume><issue>4</issue><spage>756</spage><epage>767</epage><pages>756-767</pages><issn>0022-5223</issn><eissn>1097-685X</eissn><abstract>Objectives: Calcineurin inhibitors reduce experimental reperfusion injury in the liver, brain, heart, kidney, and small bowel. These studies were undertaken to determine whether these agents are similarly protective against lung ischemia-reperfusion injury. Methods: Left lungs of male rats were rendered ischemic for 90 minutes and reperfused for as long as 4 hours. Treated animals received cyclosporine A (INN: ciclosporin; 1 or 5 mg/kg) or tacrolimus (0.2 mg/kg) 6 hours before ischemia, at reperfusion, or 2 hours after reperfusion. Injury was quantitated in terms of tissue polymorphonuclear leukocyte accumulation (myeloperoxidase content), vascular permeability (iodine 125-labeled bovine serum albumin extravasation), and bronchoalveolar lavage leukocyte content. Separate tissue samples were processed for nuclear protein and cytokine messenger RNA. Results: Treatment with cyclosporine (5 mg/kg) or tacrolimus (0.2 mg/kg) 6 hours before reperfusion reduced lung vascular permeability by 54% and 56% relative to control animals (P &lt;.03). The protective effects of cyclosporine and tacrolimus treatment before reperfusion correlated with 42% and 43% reductions in tissue polymorphonuclear leukocyte (myeloperoxidase) content (P &lt;.008) and marked reductions in bronchoalveolar lavage leukocyte accumulation (P &lt;.01). Administration of cyclosporine or tacrolimus at the time of reperfusion or 2 hours into the reperfusion period offered little or no protection. Animals treated before reperfusion also demonstrated marked reductions in nuclear factor κB activation and expression of proinflammatory cytokine messenger RNA. Conclusion: Cyclosporine and tacrolimus treatment before reperfusion was protective against lung ischemia-reperfusion injury in rats. The mechanism of these protective effects may involve the inhibition of nuclear factor κB, a central transcription factor mediating inflammatory injury. The decreased expression of cytokine messenger RNA indicates that both cyclosporine and tacrolimus may exert their protective effects at the pretranscriptional level. J Thorac Cardiovasc Surg 2002;123:756-67</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>11986604</pmid><doi>10.1067/mtc.2002.120351</doi><tpages>12</tpages><oa>free_for_read</oa></addata></record>
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subjects Animals
Bronchoalveolar Lavage Fluid - cytology
Capillary Permeability - drug effects
Cyclosporine - administration & dosage
Cyclosporine - pharmacokinetics
Cytokines - biosynthesis
Cytokines - drug effects
Disease Models, Animal
Dose-Response Relationship, Drug
Electrophoretic Mobility Shift Assay
Immunosuppressive Agents - administration & dosage
Immunosuppressive Agents - pharmacokinetics
Leukocytes - drug effects
Lung - blood supply
Male
NF-kappa B - biosynthesis
NF-kappa B - drug effects
Peroxidase - drug effects
Preoperative Care
Rats
Rats, Long-Evans
Reperfusion Injury - prevention & control
RNA, Messenger - biosynthesis
RNA, Messenger - drug effects
Tacrolimus - administration & dosage
Tacrolimus - pharmacokinetics
Treatment Outcome
title Decreased lung ischemia-reperfusion injury in rats after preoperative administration of cyclosporine and tacrolimus
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