Physiologic responses to small emboli and hemodynamic effects of changes in deformability of polymorphonuclear

Hiroshi Tanaka1, Masato Nishino, Thomas E Dahms

  • 1Department of Acute Critical Medicine, Osaka University Medical School, Osaka 565-0871, Japan.

Microvascular Research
|December 26, 2001
PubMed

Insights

Polymorphonuclear leukocytes (PMNs) exposed to LPS or FMLP alter lung hemodynamics. PMN deformability changes affect pulmonary vascular resistance, impacting lung function.

Area of Science:

  • Pulmonary Medicine
  • Immunology
  • Physiology

Background:

  • Polymorphonuclear leukocytes (PMNs) play a role in inflammatory responses.
  • Pulmonary hemodynamics can be affected by circulating cells and inflammatory mediators.

Purpose of the Study:

  • To investigate how lipopolysaccharide (LPS) or N-formyl-L-methionyl-L-leucyl-L-phenylalanine (FMLP) exposure affects PMN function and pulmonary hemodynamics.
  • To determine the role of PMN deformability in pulmonary vascular resistance.

Main Methods:

  • Buffer-perfused rabbit lung model.
  • Measurement of pulmonary arterial pressure (Ppa) and pulmonary vascular resistance (PVR).
  • Infusion of PMNs, glutaraldehyde-treated PMNs (GPMNs), beads, and PMNs treated with LPS, FMLP, or Cytochalasin D.

Main Results:

  • PMN infusion caused transient increases in PVR and lung weight.
  • GPMNs and beads increased upstream PVR, while PMNs normalized it.
  • FMLP- and LPS-exposed PMNs increased Ppa and the Ppa x time (PT) product.
  • Cytochalasin D prevented PT product increases, indicating actin polymerization involvement.

Conclusions:

  • PMNs can embolize small pulmonary arteries, affecting hemodynamics.
  • LPS and FMLP alter PMN deformability, increasing pulmonary vascular resistance.
  • PMN actin polymerization is crucial for their response in the pulmonary vasculature.