Delayed elevation of ED1-cellular fibronectin in plasma following postsurgical bacteremia

T A Rizk1, R A Rebres, P A Vincent

  • 1Department of Physiology and Cell Biology, Albany Medical College of Union University, New York 12208.

Insights

Acute vascular injury in sheep increased lung lymph flow and protein clearance. Cellular fibronectin (ED1-cFn) release into plasma indicated increased lung endothelial permeability following Pseudomonas aeruginosa challenge.

Area of Science:

  • Physiology
  • Immunology
  • Biochemistry

Background:

  • Fibronectin (Fn) exists in plasma (pFn) and extracellular matrix (cFn).
  • Cellular fibronectin (cFn) contains extra domains (ED1/ED2) absent in plasma Fn (pFn).
  • ED1-containing cFn in blood (<1-2%) suggests acute vascular injury upon release.

Purpose of the Study:

  • To measure plasma and lymph fibronectin levels in relation to lung lymph flow (QL), lymph-to-plasma protein ratio (L/P), and protein clearance (LPC).
  • To assess the role of ED1-containing cellular fibronectin (ED1-cFn) as a marker of lung endothelial permeability.

Main Methods:

  • Unanesthetized sheep (n=7) with lung lymph fistulas were challenged with Pseudomonas aeruginosa intravenously.
  • Polyclonal antibody to sheep pFn and monoclonal antibody to ED1 domain of cFn were used for measurements.
  • Measurements of QL, L/P ratio, and LPC were taken over time post-challenge.

Main Results:

  • Bacterial challenge caused an early increase in QL and a slight L/P ratio decline (0-2h), indicating fluid filtration.
  • Later, QL further increased, L/P ratio elevated, and lung protein clearance (LPC) markedly increased (3-6h), signifying increased endothelial permeability.
  • Pre-challenge, ED1-cFn was ~2% of total plasma Fn and 6-8% of total lymph Fn.

Conclusions:

  • Pseudomonas aeruginosa challenge increases lung endothelial protein permeability in sheep.
  • Elevated lung protein clearance and lymph flow indicate significant vascular injury.
  • ED1-cFn release into plasma and lymph correlates with increased lung endothelial permeability.