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Polymorphonuclear leukocyte cytoplasts mediate acute lung injury

V B Antony1, C L Owen, D English

  • 1Department of Medicine, Veterans Administration Medical Center, Indianapolis, Indiana.

Insights

Activated polymorphonuclear leukocyte (PMN) cytoplasts, vesicles released by PMNs, induce acute lung injury by increasing vascular permeability. Dimethylthiourea (DMTU) pretreatment attenuated these effects, suggesting a role for reactive oxygen species.

Area of Science:

  • Pulmonary Medicine
  • Cell Biology
  • Toxicology

Background:

  • Polymorphonuclear leukocytes (PMNs) play a role in inflammatory lung injury.
  • PMN cytoplasts are anucleated cytoplasmic fragments capable of releasing reactive oxygen species (ROS).
  • The specific contribution of PMN cytoplasts to acute lung injury (ALI) is not fully understood.

Purpose of the Study:

  • To investigate the role of PMN cytoplasts in the development of ALI.
  • To determine if PMN cytoplasts can mediate increased endothelial permeability.
  • To assess the potential protective effect of dimethylthiourea (DMTU) against PMN cytoplast-induced ALI.

Main Methods:

  • Acute lung injury was induced in PMN-depleted rabbits by injecting phorbol 12-myristate 13-acetate (PMA) to activate PMN cytoplasts.
  • Measurements included lung weight-to-body weight ratios, circulating cytoplast counts, and levels of angiotensin-converting enzyme and albumin in lung lavage.
  • In vitro experiments assessed the effect of activated PMN cytoplasts on endothelial monolayer permeability.

Main Results:

  • PMA injection into PMN cytoplast-repleted rabbits caused ALI, evidenced by increased lung weight and elevated albumin in lung lavage.
  • Activated PMN cytoplasts significantly increased endothelial monolayer permeability in vitro.
  • Pretreatment with DMTU attenuated the ALI and vascular permeability changes.

Conclusions:

  • PMN cytoplasts, when activated, can induce acute lung injury.
  • PMN cytoplasts mediate increased endothelial permeability, likely through the release of toxic O2 radicals.
  • DMTU demonstrates a protective effect, suggesting that ROS contribute to PMN cytoplast-induced lung injury.

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