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Publication : Pentraxin 3 accelerates lung injury in high tidal volume ventilation in mice.

First Author  Real JM Year  2012
Journal  Mol Immunol Volume  51
Issue  1 Pages  82-90
PubMed ID  22425349 Mgi Jnum  J:322968
Mgi Id  MGI:6870624 Doi  10.1016/j.molimm.2012.02.113
Citation  Real JM, et al. (2012) Pentraxin 3 accelerates lung injury in high tidal volume ventilation in mice. Mol Immunol 51(1):82-90
abstractText  Mechanical ventilation is the major cause of iatrogenic lung damage in intensive care units. Although inflammation is known to be involved in ventilator-induced lung injury (VILI), several aspects of this process are still unknown. Pentraxin 3 (PTX3) is an acute phase protein with important regulatory functions in inflammation which has been found elevated in patients with acute respiratory distress syndrome. This study aimed at investigating the direct effect of PTX3 production in the pathogenesis of VILI. Genetically modified mice deficient and that over express murine Ptx3 gene were subjected to high tidal volume ventilation (V(T)=45 mL/kg, PEEP(zero)). Morphological changes and time required for 50% increase in respiratory system elastance were evaluated. Gene expression profile in the lungs was also investigated in earlier times in Ptx3-overexpressing mice. Ptx3 knockout and wild-type mice developed same lung injury degree in similar times (156+/-42 min and 148+/-41 min, respectively; p=0.8173). However, Ptx3 over-expression led to a faster development of VILI in Ptx3-overexpressing mice (77+/-29 min vs 118+/-41 min, p=0.0225) which also displayed a faster kinetics of Il1b expression and elevated Ptx3, Cxcl1 and Ccl2 transcripts levels in comparison with wild-type mice assessed by quantitative real-time polymerase chain reaction. Ptx3 deficiency did not impacted the time for VILI induced by high tidal volume ventilation but Ptx3-overexpression increased inflammatory response and reflected in a faster VILI development.
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