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Publication : Membrane attack complex of complement and neutrophils mediate the injury of acid aspiration.

First Author  Kyriakides C Year  1999
Journal  J Appl Physiol (1985) Volume  87
Issue  6 Pages  2357-61
PubMed ID  10601189 Mgi Jnum  J:103341
Mgi Id  MGI:3609263 Doi  10.1152/jappl.1999.87.6.2357
Citation  Kyriakides C, et al. (1999) Membrane attack complex of complement and neutrophils mediate the injury of acid aspiration. J Appl Physiol 87(6):2357-61
abstractText  A significant role for the alternative complement pathway in acid aspiration has been demonstrated by the observation that C3 genetic knockout mice are protected from injury. Utilizing C5-deficient mice, we now test the role of the terminal complement components in mediating injury. Lung permeability in C5-deficient mice was 64% less than in wild-type animals and was similar to wild-type mice treated with soluble complement receptor type 1, which gave a 67% protection. Injury was fully restored in C5-deficient mice reconstituted with wild-type serum. The role of neutrophils was established in immunodepleted wild-type animals that showed a 58% protection. Injury was further reduced (90%) with the addition of soluble complement receptor type 1, indicating an additive effect of neutrophils and complement. Similarly, an additional protection was noted in C5-deficient neutropenic mice, indicating that neutrophil-mediated injury does not require C5a. Thus acid aspiration injury is mediated by the membrane attack complex and neutrophils. Neutrophil activity is independent of C5a.
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