Ascorbic acid abrogates microparticle generation and vascular injuries associated with high-pressure exposure

Ming Yang1, Veena M Bhopale1, Stephen R Thom2

  • 1Department of Emergency Medicine, University of Maryland, Baltimore, Maryland.

Insights

High-pressure exposures increase microparticles (MPs) and cause vascular injury. Ascorbic acid (vitamin C) prevents these effects, suggesting MPs are an oxidative stress response.

Area of Science:

  • Biomedical Science
  • Physiology
  • Toxicology

Background:

  • High-pressure exposures can lead to pathological changes.
  • Elevated circulating microparticles (MPs) are associated with these changes.
  • Oxidative stress is implicated in decompression-related pathologies.

Purpose of the Study:

  • To investigate the protective effects of ascorbic acid against pathological changes induced by high-pressure exposure.
  • To determine if microparticle production is an oxidative stress response.
  • To assess the efficacy of ascorbic acid administered before and after decompression.

Main Methods:

  • Murine model exposed to 790-kPa air for 2 hours.
  • Assessment of circulating MPs with specific surface protein markers (Ly6G, CD41, Ter119, CD31, CD142).
  • Evaluation of neutrophil activation, platelet-neutrophil interactions, and vascular injury via dextran leakage.

Main Results:

  • Decompression caused threefold elevations in circulating MPs and significant vascular injury in multiple organs.
  • Prophylactic ascorbic acid (500 mg/kg) prevented all neutrophil changes and vascular injuries.
  • Post-decompression ascorbic acid mitigated most, but not all, vascular leakage.

Conclusions:

  • Microparticle production following high-pressure exposure is likely an oxidative stress response.
  • Ascorbic acid demonstrates protective effects against decompression-induced pathology.
  • Antioxidants may serve as a therapeutic strategy for decompression-related injuries.

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