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2015 ; 16
(1
): 112
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Activation of Src-dependent Smad3 signaling mediates the neutrophilic
inflammation and oxidative stress in hyperoxia-augmented ventilator-induced lung
injury
#MMPMID26377087
Li LF
; Lee CS
; Liu YY
; Chang CH
; Lin CW
; Chiu LC
; Kao KC
; Chen NH
; Yang CT
Respir Res
2015[Sep]; 16
(1
): 112
PMID26377087
show ga
BACKGROUND: Mechanical ventilation and concomitant administration of hyperoxia in
patients with acute respiratory distress syndrome can damage the alveolar
epithelial and capillary endothelial barrier by producing inflammatory cytokines
and reactive oxygen species. The Src tyrosine kinase and Smad3 are crucial
inflammatory regulators used for ventilator-induced lung injury (VILI). The
mechanisms regulating interactions between high-tidal-volume mechanical
ventilation, hyperoxia, and acute lung injury (ALI) are unclear. We hypothesized
that high-tidal-volume mechanical stretches and hyperoxia augment lung
inflammation through upregulation of the Src and Smad3 pathways. METHODS:
Wild-type or Src-deficient C57BL/6 mice, aged between 6 and 8 weeks, were exposed
to high-tidal-volume (30 mL/kg) ventilation with room air or hyperoxia for 1-4 h
after 2-mg/kg Smad3 inhibitor (SIS3) administration. Nonventilated mice were used
as control subjects. RESULTS: We observed that the addition of hyperoxia to
high-tidal-volume mechanical ventilation further induced microvascular
permeability, neutrophil infiltration, macrophage inflammatory protein-2 and
matrix metalloproteinase-9 (MMP-9) production, malondialdehyde, nicotinamide
adenine dinucleotide phosphate oxidase activity, MMP-9 mRNA expression,
hypoxemia, and Src and Smad3 activation (P < 0.05). Hyperoxia-induced
augmentation of VILI was attenuated in Src-deficient mice and mice with
pharmacological inhibition of Smad3 activity by SIS3 (P < 0.05). Mechanical
ventilation of Src-deficient mice with hyperoxia further reduced the activation
of Smad3. CONCLUSIONS: Our data suggest that hyperoxia-increased
high-tidal-volume ventilation-induced ALI partially depends on the Src and Smad3
pathways.