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Publication : Platelet-activating factor mediates acid-induced lung injury in genetically engineered mice.

First Author  Nagase T Year  1999
Journal  J Clin Invest Volume  104
Issue  8 Pages  1071-6
PubMed ID  10525045 Mgi Jnum  J:58091
Mgi Id  MGI:1346716 Doi  10.1172/JCI7727
Citation  Nagase T, et al. (1999) Platelet-activating factor mediates acid-induced lung injury in genetically engineered mice [see comments]. J Clin Invest 104(8):1071-6
abstractText  Adult respiratory distress syndrome (ARDS) is an acute lung injury of high mortality rate, and the molecular mechanisms underlying it are poorly understood. Acid aspiration-induced lung injury is one of the most common causes of ARDS, characterized by an increase in lung permeability, enhanced polymorphonuclear neutrophil (PMN) sequestration, and respiratory failure. Here, we investigated the role of platelet-activating factor (PAF) and the PAF receptor (PAFR) gene in a murine model of acid aspiration-induced lung injury. Overexpression of the PAFR gene in transgenic mice enhanced lung injury, pulmonary edema, and deterioration of gas exchange caused by HCl aspiration. Conversely, mice carrying a targeted disruption of the PAFR gene experienced significantly less acid-induced injury, edema, and respiratory failure. Nevertheless, the efficiency of PMN sequestration in response to acid aspiration was unaffected by differences in PAFR expression level. The current observations suggest that PAF is involved in the pathogenesis of acute lung injury caused by acid aspiration. Thus, inhibition of this pathway might provide a novel therapeutic approach to acute lung injury, for which no specific pharmaceutical agents are currently available.
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