Surfactant treatment before reperfusion improves the immediate function of lung transplants in rats

An impaired function of alveolar surfactant can cause lung transplant dysfunction early after reperfusion. In this study it was investigated whether treatment with surfactant before reperfusion improves the immediate function of lung transplants and whether an improved transplant function was associ...

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Veröffentlicht in:American journal of respiratory and critical care medicine 1996-02, Vol.153 (2), p.665-670
Hauptverfasser: ERASMUS, M. E, PETERSEN, A. H, HOFSTEDE, G, HAAGSMAN, H. P, OETOMO, S. B, PROP, J
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container_title American journal of respiratory and critical care medicine
container_volume 153
creator ERASMUS, M. E
PETERSEN, A. H
HOFSTEDE, G
HAAGSMAN, H. P
OETOMO, S. B
PROP, J
description An impaired function of alveolar surfactant can cause lung transplant dysfunction early after reperfusion. In this study it was investigated whether treatment with surfactant before reperfusion improves the immediate function of lung transplants and whether an improved transplant function was associated with an increase in alveolar surfactant components. Left lungs with 6-h (n = 8) or prolonged 20-h ischemia (n = 10) were transplanted syngeneically in rats. In both ischemia groups half of the lung transplants were treated with surfactant just before reperfusion. Lung function was measured during reperfusion for 1 h. Thereafter, the rats were killed and bronchoalveolar lavage was performed to measure alveolar surfactant components. We found that surfactant treatment improved the immediate function of lung transplants in parallel with a higher amount of total surfactant phospholipids, a higher percentage of the heavy subtype of surfactant, a normalized percentage of phosphatidylcholine, and a higher amount of endogenous surfactant protein A (SP-A). We conclude that surfactant treatment before reperfusion does improve the immediate lung transplant function in rats in association with an increase in alveolar surfactant components. More particularly, the amount of (endogenous) SP-A is thought to be crucial for the efficacy of surfactant treatment after lung transplantation.
doi_str_mv 10.1164/ajrccm.153.2.8564115
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In both ischemia groups half of the lung transplants were treated with surfactant just before reperfusion. Lung function was measured during reperfusion for 1 h. Thereafter, the rats were killed and bronchoalveolar lavage was performed to measure alveolar surfactant components. We found that surfactant treatment improved the immediate function of lung transplants in parallel with a higher amount of total surfactant phospholipids, a higher percentage of the heavy subtype of surfactant, a normalized percentage of phosphatidylcholine, and a higher amount of endogenous surfactant protein A (SP-A). We conclude that surfactant treatment before reperfusion does improve the immediate lung transplant function in rats in association with an increase in alveolar surfactant components. 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Left lungs with 6-h (n = 8) or prolonged 20-h ischemia (n = 10) were transplanted syngeneically in rats. In both ischemia groups half of the lung transplants were treated with surfactant just before reperfusion. Lung function was measured during reperfusion for 1 h. Thereafter, the rats were killed and bronchoalveolar lavage was performed to measure alveolar surfactant components. We found that surfactant treatment improved the immediate function of lung transplants in parallel with a higher amount of total surfactant phospholipids, a higher percentage of the heavy subtype of surfactant, a normalized percentage of phosphatidylcholine, and a higher amount of endogenous surfactant protein A (SP-A). We conclude that surfactant treatment before reperfusion does improve the immediate lung transplant function in rats in association with an increase in alveolar surfactant components. 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source MEDLINE; Journals@Ovid Complete
subjects Animals
Biological and medical sciences
Blood Proteins - analysis
Bronchoalveolar Lavage Fluid - chemistry
Glycoproteins - analysis
In Vitro Techniques
L-Lactate Dehydrogenase - analysis
Lipids - pharmacology
Lung - physiopathology
Lung Transplantation
Male
Medical sciences
Phospholipids - analysis
Proteolipids - analysis
Pulmonary Circulation
Pulmonary Surfactant-Associated Protein A
Pulmonary Surfactant-Associated Proteins
Pulmonary Surfactants - analysis
Pulmonary Surfactants - pharmacology
Rats
Rats, Inbred Lew
Reperfusion
Surface Tension
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the respiratory system
title Surfactant treatment before reperfusion improves the immediate function of lung transplants in rats
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