Warning: file_get_contents(https://eutils.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&id=26620257
&cmd=llinks): Failed to open stream: HTTP request failed! HTTP/1.1 429 Too Many Requests
in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 215
The tyrosine kinase inhibitor imatinib prevents lung injury and death after
intravenous LPS in mice
#MMPMID26620257
Stephens RS
; Johnston L
; Servinsky L
; Kim BS
; Damarla M
Physiol Rep
2015[Nov]; 3
(11
): ? PMID26620257
show ga
Severe sepsis and septic shock are frequent causes of the acute respiratory
distress syndrome, and important sources of human mortality. Lipopolysaccharide
(LPS), a component of Gram-negative bacterial cell walls, plays a major role in
the pathogenesis of severe sepsis and septic shock. LPS exposure induces the
production of harmful reactive oxygen species, and the resultant oxidant injury
has been implicated in the pathogenesis of both severe sepsis and ARDS. We
previously showed that the tyrosine kinase inhibitor imatinib increases lung
endothelial antioxidant enzymes and protects against pulmonary endothelial
antioxidant injury. In the present study, we tested the hypothesis that imatinib
would protect against lung injury and systemic inflammation caused by intravenous
LPS in an intact mouse model of endotoxemia mimicking early sepsis. We found that
intravenous LPS induced a significant increase in the activity of lung xanthine
oxidoreductase (XOR), an enzyme which is a major source of reactive oxygen
species and implicated in the pathogenesis of acute lung injury. Imatinib had no
effect of LPS-induced XOR activity. However, pretreatment of mice with imatinib
increased lung catalase activity and decreased intravenous LPS-induced lung
oxidant injury as measured by ?-H2AX, a marker of oxidant-induced DNA damage,
lung apoptosis, and pulmonary edema. Imatinib also attenuated systemic cytokine
expression after intravenous LPS exposure. Finally, imatinib completely prevented
mortality in an in vivo, intravenous LPS mouse model of endotoxemia and lung
injury. These results support the testing of imatinib as a novel pharmacologic
agent in the treatment of Gram-negative sepsis and sepsis-induced ARDS.