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10.1152/ajplung.00136.2015

http://scihub22266oqcxt.onion/10.1152/ajplung.00136.2015
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suck abstract from ncbi


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pmid26163512      Am+J+Physiol+Lung+Cell+Mol+Physiol 2015 ; 309 (6): L562-72
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  • The time course of resolution of adhesions during fibrinolytic therapy in tetracycline-induced pleural injury in rabbits #MMPMID26163512
  • Komissarov AA; Florova G; Azghani AO; Buchanan A; Bradley WM; Schaefer C; Koenig K; Idell S
  • Am J Physiol Lung Cell Mol Physiol 2015[Sep]; 309 (6): L562-72 PMID26163512show ga
  • The time required for the effective clearance of pleural adhesions/organization after intrapleural fibrinolytic therapy (IPFT) is unknown. Chest ultrasonography and computed tomography (CT) were used to assess the efficacy of IPFT in a rabbit model of tetracycline-induced pleural injury, treated with single-chain (sc) urokinase plasminogen activators (scuPAs) or tissue PAs (sctPA). IPFT with sctPA (0.145 mg/kg; n = 10) and scuPA (0.5 mg/kg; n = 12) was monitored by serial ultrasonography alone (n = 12) or alongside CT scanning (n = 10). IPFT efficacy was assessed with gross lung injury scores (GLIS) and ultrasonography scores (USS). Pleural fluids withdrawn at 0?240 min and 24 h after IPFT were assayed for PA and fibrinolytic activities, ?-macroglobulin/fibrinolysin complexes, and active PA inhibitor 1 (PAI-1). scuPA and sctPA generated comparable steady-state fibrinolytic activities by 20 min. PA activity in the scuPA group decreased slower than the sctPA group (kobs = 0.016 and 0.042 min?1). Significant amounts of bioactive uPA/?-macroglobulin (but not tPA; P < 0.05) complexes accumulated at 0?40 min after IPFT. Despite the differences in intrapleural processing, IPFT with either fibrinolysin was effective (GLIS ? 10) in animals imaged with ultrasonography only. USS correlated well with postmortem GLIS (r2 = 0.85) and confirmed relatively slow intrapleural fibrinolysis after IPFT, which coincided with effective clearance of adhesions/organization at 4?8 h. CT scanning was associated with less effective (GLIS > 10) IPFT and higher levels of active PAI-1 at 24 h following therapy. We concluded that intrapleural fibrinolysis in tetracycline-induced pleural injury in rabbits is relatively slow (4?8 h). In CT-scanned animals, elevated PAI-1 activity (possibly radiation induced) reduced the efficacy of IPFT, buttressing the major impact of active PAI-1 on IPFT outcomes.
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