Elevated concentrations of leukotriene D4 in pulmonary edema fluid of patients with the adult respiratory distress syndrome

The possible contribution of metabolites of arachidonic acid to the increased permeability of the alveolar-capillary barrier in the adult respiratory distress syndrome was examined by quantifying the pulmonary edema fluid concentrations of lipoxygenase and cyclooxygenase products. The concentration...

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Veröffentlicht in:Journal of clinical immunology 1984-11, Vol.4 (6), p.479-483
Hauptverfasser: MATTHAY, M. A, ESCHENBACHER, W. L, GOETZL, E. J
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container_issue 6
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container_title Journal of clinical immunology
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creator MATTHAY, M. A
ESCHENBACHER, W. L
GOETZL, E. J
description The possible contribution of metabolites of arachidonic acid to the increased permeability of the alveolar-capillary barrier in the adult respiratory distress syndrome was examined by quantifying the pulmonary edema fluid concentrations of lipoxygenase and cyclooxygenase products. The concentration of leukotriene D4 in pulmonary edema fluid of 10 patients with the adult respiratory distress syndrome (18.5 +/- 6.8 pmol/ml; mean +/- SD), assessed by specific radioimmunoassay after isolation of the mediator, was significantly higher (P less than 0.001) than that of five patients with cardiogenic pulmonary edema (4.4 +/- 1.1 pmol/ml). The concentrations of leukotrienes B4 and C4, prostaglandin E2, and thromboxane B2 in edema fluid were not significantly different in the adult respiratory distress syndrome patients than in the other subjects with pulmonary edema. The edema fluid concentration of leukotriene D4 correlated with the ratio of edema fluid to plasma concentrations of albumin (r = 0.64). Leukotriene D4 thus may contribute to the permeability defect which allows an accumulation of protein-rich alveolar fluid in the adult respiratory distress syndrome.
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The concentrations of leukotrienes B4 and C4, prostaglandin E2, and thromboxane B2 in edema fluid were not significantly different in the adult respiratory distress syndrome patients than in the other subjects with pulmonary edema. The edema fluid concentration of leukotriene D4 correlated with the ratio of edema fluid to plasma concentrations of albumin (r = 0.64). 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A</creatorcontrib><creatorcontrib>ESCHENBACHER, W. L</creatorcontrib><creatorcontrib>GOETZL, E. J</creatorcontrib><collection>Pascal-Francis</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>Journal of clinical immunology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>MATTHAY, M. A</au><au>ESCHENBACHER, W. L</au><au>GOETZL, E. 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The concentration of leukotriene D4 in pulmonary edema fluid of 10 patients with the adult respiratory distress syndrome (18.5 +/- 6.8 pmol/ml; mean +/- SD), assessed by specific radioimmunoassay after isolation of the mediator, was significantly higher (P less than 0.001) than that of five patients with cardiogenic pulmonary edema (4.4 +/- 1.1 pmol/ml). The concentrations of leukotrienes B4 and C4, prostaglandin E2, and thromboxane B2 in edema fluid were not significantly different in the adult respiratory distress syndrome patients than in the other subjects with pulmonary edema. The edema fluid concentration of leukotriene D4 correlated with the ratio of edema fluid to plasma concentrations of albumin (r = 0.64). Leukotriene D4 thus may contribute to the permeability defect which allows an accumulation of protein-rich alveolar fluid in the adult respiratory distress syndrome.</abstract><cop>New York, NY</cop><pub>Kluwer/Plenum</pub><pmid>6511865</pmid><doi>10.1007/BF00916578</doi><tpages>5</tpages></addata></record>
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subjects Adolescent
Adult
Aged
Biological and medical sciences
Capillary Permeability
Female
Humans
Male
Medical sciences
Middle Aged
Pneumology
Pulmonary Alveoli - physiopathology
Pulmonary Edema - complications
Pulmonary Edema - metabolism
Pulmonary Edema - physiopathology
Respiratory Distress Syndrome, Adult - complications
Respiratory Distress Syndrome, Adult - metabolism
Respiratory Distress Syndrome, Adult - physiopathology
Respiratory system : syndromes and miscellaneous diseases
Serum Albumin - metabolism
SRS-A - metabolism
title Elevated concentrations of leukotriene D4 in pulmonary edema fluid of patients with the adult respiratory distress syndrome
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