Functional impairment of bronchoalveolar lavage phospholipids in early Pneumocystis carinii pneumonia in rats

Surfactant abnormalities may contribute to the impairment of gas exchange observed in Pneumocystis carinii pneumonia. Analysis of rat bronchoalveolar lavage (BAL) lipid extracts from normal controls, steroid controls, trimethaprim-sulfamethoxazole (TMPSMX) controls, TMP-SMX/ P. carinii pneumonia con...

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Veröffentlicht in:The Journal of laboratory and clinical medicine 1996-03, Vol.127 (3), p.263-271
Hauptverfasser: Su, Tony H., Natarajan, Viswanathan, Kachel, Diane L., Moxley, Michael A., Longmore, William J., Martin, William J.
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container_end_page 271
container_issue 3
container_start_page 263
container_title The Journal of laboratory and clinical medicine
container_volume 127
creator Su, Tony H.
Natarajan, Viswanathan
Kachel, Diane L.
Moxley, Michael A.
Longmore, William J.
Martin, William J.
description Surfactant abnormalities may contribute to the impairment of gas exchange observed in Pneumocystis carinii pneumonia. Analysis of rat bronchoalveolar lavage (BAL) lipid extracts from normal controls, steroid controls, trimethaprim-sulfamethoxazole (TMPSMX) controls, TMP-SMX/ P. carinii pneumonia controls, and P. carinii pneumonia animals reveal similar total phospholipid and total protein levels. However, there was a marked reduction in phosphatidylglycerol (PG) from the BAL of P. carinii pneumonia rats as compared with control animals, with a decrease from 4.91 ± 1.29 nmol/mg protein to 0.46 ± 0.57 nmol/mg protein ( p < 0.05) and a decrease, as a percent of total phospholipids, from 7.7% ± 0.88% to 0.91% ± 0.59% ( p < 0.001). Furthermore, in vitro surface activities of BAL lipid extracts from control and P. carinii pneumonia rats revealed minimum surface tension increases from 9.38 ± 1.71 mN/m in controls to 16.36 ± 0.83 mN/m in P. carinii pneumonia rats ( p < 0.05) and likewise maximum surface tension increases from 22.14 ± 4.34 mN/m to 38.57 ± 2.07 mN/m ( p < 0.01). Of interest, the surface activity of PG-deficient P. carinii pneumonia BAL lipid extracts is completely restored to that of normal controls by the addition of exogenous PG. These findings suggest that a functionally abnormal surfactant occurs in P. carinii pneumonia and that this may account, in part, for the impairment of gas exchange observed in this disorder.
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Analysis of rat bronchoalveolar lavage (BAL) lipid extracts from normal controls, steroid controls, trimethaprim-sulfamethoxazole (TMPSMX) controls, TMP-SMX/ P. carinii pneumonia controls, and P. carinii pneumonia animals reveal similar total phospholipid and total protein levels. However, there was a marked reduction in phosphatidylglycerol (PG) from the BAL of P. carinii pneumonia rats as compared with control animals, with a decrease from 4.91 ± 1.29 nmol/mg protein to 0.46 ± 0.57 nmol/mg protein ( p &lt; 0.05) and a decrease, as a percent of total phospholipids, from 7.7% ± 0.88% to 0.91% ± 0.59% ( p &lt; 0.001). Furthermore, in vitro surface activities of BAL lipid extracts from control and P. carinii pneumonia rats revealed minimum surface tension increases from 9.38 ± 1.71 mN/m in controls to 16.36 ± 0.83 mN/m in P. carinii pneumonia rats ( p &lt; 0.05) and likewise maximum surface tension increases from 22.14 ± 4.34 mN/m to 38.57 ± 2.07 mN/m ( p &lt; 0.01). Of interest, the surface activity of PG-deficient P. carinii pneumonia BAL lipid extracts is completely restored to that of normal controls by the addition of exogenous PG. 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Analysis of rat bronchoalveolar lavage (BAL) lipid extracts from normal controls, steroid controls, trimethaprim-sulfamethoxazole (TMPSMX) controls, TMP-SMX/ P. carinii pneumonia controls, and P. carinii pneumonia animals reveal similar total phospholipid and total protein levels. However, there was a marked reduction in phosphatidylglycerol (PG) from the BAL of P. carinii pneumonia rats as compared with control animals, with a decrease from 4.91 ± 1.29 nmol/mg protein to 0.46 ± 0.57 nmol/mg protein ( p &lt; 0.05) and a decrease, as a percent of total phospholipids, from 7.7% ± 0.88% to 0.91% ± 0.59% ( p &lt; 0.001). Furthermore, in vitro surface activities of BAL lipid extracts from control and P. carinii pneumonia rats revealed minimum surface tension increases from 9.38 ± 1.71 mN/m in controls to 16.36 ± 0.83 mN/m in P. carinii pneumonia rats ( p &lt; 0.05) and likewise maximum surface tension increases from 22.14 ± 4.34 mN/m to 38.57 ± 2.07 mN/m ( p &lt; 0.01). Of interest, the surface activity of PG-deficient P. carinii pneumonia BAL lipid extracts is completely restored to that of normal controls by the addition of exogenous PG. These findings suggest that a functionally abnormal surfactant occurs in P. carinii pneumonia and that this may account, in part, for the impairment of gas exchange observed in this disorder.</description><subject>Animals</subject><subject>Biological and medical sciences</subject><subject>Bronchoalveolar Lavage Fluid - chemistry</subject><subject>Experimental protozoal diseases and models</subject><subject>Female</subject><subject>Immunosuppression</subject><subject>Infectious diseases</subject><subject>Lipids - analysis</subject><subject>Medical sciences</subject><subject>Parasitic diseases</subject><subject>Phosphatidylglycerols - deficiency</subject><subject>Phosphatidylglycerols - pharmacology</subject><subject>Phospholipids - analysis</subject><subject>Phospholipids - physiology</subject><subject>Pneumonia, Pneumocystis - physiopathology</subject><subject>Protozoal diseases</subject><subject>Rats</subject><subject>Rats, Inbred Lew</subject><subject>Time Factors</subject><issn>0022-2143</issn><issn>1532-6543</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1996</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkEtr3DAQgEVoSbeb_ISADqW0B7d6-KVTCaFJC4EW2pzFWB41KrLkSvbC_vvau8tecxgGZr4ZjT5Cbjj7xBmvP_9iTIhC8FJ-UPVHxZgqC3lBNrySoqirUr4imzPyhrzN-S9bIKmaS3KpRCNlpTZkuJ-DmVwM4KkbRnBpwDDRaGmXYjDPEfwOo4dEPezgD9LxOeYlvBtdn6kLFCH5Pf0ZcB6i2efJZWogueAcHQ_F4GDlEkz5iry24DNen_KWPN1__X33rXj88fD97vaxMLJVUyFlZythZVtJ7DrZgq0b1hqDNe_70nIFSgllRCPaxmDflWVlWmaF4k1pACu5Je-Pe8cU_82YJz24bNB7CBjnrJuWsZItCrakOoImxZwTWj0mN0Daa870qlkfNOvVoVa1PmjW69zN6YG5G7A_T528Lv13pz5kA94mCMblMybZcmm7Yl-OGC4ydg6TzsZhWP7kEppJ99G9cMh_MG2b9Q</recordid><startdate>19960301</startdate><enddate>19960301</enddate><creator>Su, Tony H.</creator><creator>Natarajan, Viswanathan</creator><creator>Kachel, Diane L.</creator><creator>Moxley, Michael A.</creator><creator>Longmore, William J.</creator><creator>Martin, William J.</creator><general>Mosby, Inc</general><general>Elsevier</general><scope>IQODW</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>19960301</creationdate><title>Functional impairment of bronchoalveolar lavage phospholipids in early Pneumocystis carinii pneumonia in rats</title><author>Su, Tony H. ; 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Analysis of rat bronchoalveolar lavage (BAL) lipid extracts from normal controls, steroid controls, trimethaprim-sulfamethoxazole (TMPSMX) controls, TMP-SMX/ P. carinii pneumonia controls, and P. carinii pneumonia animals reveal similar total phospholipid and total protein levels. However, there was a marked reduction in phosphatidylglycerol (PG) from the BAL of P. carinii pneumonia rats as compared with control animals, with a decrease from 4.91 ± 1.29 nmol/mg protein to 0.46 ± 0.57 nmol/mg protein ( p &lt; 0.05) and a decrease, as a percent of total phospholipids, from 7.7% ± 0.88% to 0.91% ± 0.59% ( p &lt; 0.001). Furthermore, in vitro surface activities of BAL lipid extracts from control and P. carinii pneumonia rats revealed minimum surface tension increases from 9.38 ± 1.71 mN/m in controls to 16.36 ± 0.83 mN/m in P. carinii pneumonia rats ( p &lt; 0.05) and likewise maximum surface tension increases from 22.14 ± 4.34 mN/m to 38.57 ± 2.07 mN/m ( p &lt; 0.01). Of interest, the surface activity of PG-deficient P. carinii pneumonia BAL lipid extracts is completely restored to that of normal controls by the addition of exogenous PG. These findings suggest that a functionally abnormal surfactant occurs in P. carinii pneumonia and that this may account, in part, for the impairment of gas exchange observed in this disorder.</abstract><cop>Saint Louis, MO</cop><pub>Mosby, Inc</pub><pmid>9273359</pmid><doi>10.1016/S0022-2143(96)90094-3</doi><tpages>9</tpages></addata></record>
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subjects Animals
Biological and medical sciences
Bronchoalveolar Lavage Fluid - chemistry
Experimental protozoal diseases and models
Female
Immunosuppression
Infectious diseases
Lipids - analysis
Medical sciences
Parasitic diseases
Phosphatidylglycerols - deficiency
Phosphatidylglycerols - pharmacology
Phospholipids - analysis
Phospholipids - physiology
Pneumonia, Pneumocystis - physiopathology
Protozoal diseases
Rats
Rats, Inbred Lew
Time Factors
title Functional impairment of bronchoalveolar lavage phospholipids in early Pneumocystis carinii pneumonia in rats
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