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Pulmonary intravascular macrophages appear in rats after long-term administration of lipid emulsion and amino acid

J Aksnes1, T J Eide, K Nordstrand

  • 1Cardiothoracic Unit, The National Hospital, University of Oslo, Norway.

Insights

Parenteral nutrition lipid emulsions stimulate the accumulation of pulmonary intravascular macrophages in rats, suggesting an impact on the mononuclear phagocyte system. Amino acid solutions showed a less pronounced effect.

Area of Science:

  • Immunology
  • Cell Biology
  • Histology

Background:

  • Intravascular macrophages are rarely observed in normal rat lungs.
  • Endotoxemia is known to induce the presence of intravascular macrophages in rats.

Purpose of the Study:

  • To investigate the potential stimulatory effect of parenteral nutrition substrates on mononuclear phagocytes.
  • To evaluate the impact of lipid emulsion and amino acid solutions on pulmonary intravascular macrophages.

Main Methods:

  • Rats received central venous infusions of lipid emulsion, amino acid solution, or saline for 3 weeks.
  • Lung microvessel structures were analyzed using electron microscopy.
  • The areal fraction of pulmonary intravascular mononuclear phagocytes was quantified.

Main Results:

  • Lipid emulsion significantly increased the areal fraction of pulmonary intravascular macrophages (19.6%) compared to saline (2.4%).
  • Amino acid solution showed a non-significant increase in intravascular macrophages (8.2%).
  • Increased macrophage numbers, not size, accounted for the higher areal fraction in the lipid emulsion group, with mature morphological features.

Conclusions:

  • Lipid emulsion administration recruits pulmonary intravascular macrophages in rats.
  • Parenteral nutrition lipid emulsions exert a stimulatory effect on the mononuclear phagocyte system.
  • Amino acid solutions had a less pronounced effect compared to lipid emulsions.

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