Cyclin-dependent kinase inhibition reduces lung damage in a mouse model of ventilator-induced lung injury

Arie J Hoogendijk1, Maria T Kuipers, Tom van der Poll

  • 1Center for Infection and Immunity Amsterdam, Academic Medical Center, Amsterdam, the Netherlands. a.j.hoogendijk@amc.uva.nl

Shock (Augusta, Ga.)
|July 11, 2012
PubMed

Insights

R-roscovitine treatment reduces lung damage from mechanical ventilation. This drug promotes apoptosis in polymorphonuclear neutrophils (PMNs), decreasing lung injury markers in a VILI mouse model.

Area of Science:

  • Pulmonary Medicine
  • Cell Biology
  • Pharmacology

Background:

  • Mechanical ventilation (MV) can cause lung damage, known as ventilator-induced lung injury (VILI).
  • Polymorphonuclear neutrophil (PMN) infiltration is a key factor in VILI pathogenesis.
  • R-roscovitine, a cyclin-dependent kinase inhibitor, induces apoptosis in PMNs.

Purpose of the Study:

  • To investigate the efficacy of r-roscovitine in mitigating lung damage in a mouse model of VILI.
  • To determine if r-roscovitine's protective effects are linked to PMN apoptosis.

Main Methods:

  • Mice underwent mechanical ventilation with either lung-protective or lung-injurious tidal volumes.
  • R-roscovitine treatment was administered.
  • PMN counts, RAGE, and IgM levels in bronchoalveolar lavage fluid were measured.
  • In vitro studies assessed r-roscovitine's effect on PMN apoptosis.

Main Results:

  • R-roscovitine enhanced PMN apoptosis in vitro.
  • VILI was characterized by increased PMN influx.
  • In lung-injurious MV, r-roscovitine reduced PMN counts and lowered RAGE and IgM levels.
  • Cytokine and chemokine levels remained unaffected by r-roscovitine.

Conclusions:

  • R-roscovitine treatment attenuates lung damage in a VILI mouse model.
  • The protective effect of r-roscovitine may be mediated by increased PMN apoptosis.

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