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Therapeutic hypothermia attenuates physiologic, histologic, and metabolomic markers of injury in a porcine model of acute respiratory distress syndrome
Acute respiratory distress syndrome (ARDS) is a lung injury characterized by noncardiogenic pulmonary edema and hypoxic respiratory failure. The purpose of this study was to investigate the effects of therapeutic hypothermia on short‐term experimental ARDS. Twenty adult female Yorkshire pigs were di...
Autores principales: | , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley and Sons Inc.
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9069168/ https://www.ncbi.nlm.nih.gov/pubmed/35510328 http://dx.doi.org/10.14814/phy2.15286 |
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author | Angus, Sarah A. Henderson, William R. Banoei, Mohammad M. Molgat‐Seon, Yannick Peters, Carli M. Parmar, Hanna R. Griesdale, Donald E. G. Sekhon, Mypinder Sheel, Andrew William Winston, Brent W. Dominelli, Paolo B. |
author_facet | Angus, Sarah A. Henderson, William R. Banoei, Mohammad M. Molgat‐Seon, Yannick Peters, Carli M. Parmar, Hanna R. Griesdale, Donald E. G. Sekhon, Mypinder Sheel, Andrew William Winston, Brent W. Dominelli, Paolo B. |
author_sort | Angus, Sarah A. |
collection | PubMed |
description | Acute respiratory distress syndrome (ARDS) is a lung injury characterized by noncardiogenic pulmonary edema and hypoxic respiratory failure. The purpose of this study was to investigate the effects of therapeutic hypothermia on short‐term experimental ARDS. Twenty adult female Yorkshire pigs were divided into four groups (n = 5 each): normothermic control (C), normothermic injured (I), hypothermic control (HC), and hypothermic injured (HI). Acute respiratory distress syndrome was induced experimentally via intrapulmonary injection of oleic acid. Target core temperature was achieved in the HI group within 1 h of injury induction. Cardiorespiratory, histologic, cytokine, and metabolomic data were collected on all animals prior to and following injury/sham. All data were collected for approximately 12 h from the beginning of the study until euthanasia. Therapeutic hypothermia reduced injury in the HI compared to the I group (histological injury score = 0.51 ± 0.18 vs. 0.76 ± 0.06; p = 0.02) with no change in gas exchange. All groups expressed distinct phenotypes, with a reduction in pro‐inflammatory metabolites, an increase in anti‐inflammatory metabolites, and a reduction in inflammatory cytokines observed in the HI group compared to the I group. Changes to respiratory system mechanics in the injured groups were due to increases in lung elastance (E) and resistance (R) (ΔE from pre‐injury = 46 ± 14 cmH(2)O L(−1), p < 0.0001; ΔR from pre‐injury: 3 ± 2 cmH(2)O L(−1) s(−), p = 0.30) rather than changes to the chest wall (ΔE from pre‐injury: 0.7 ± 1.6 cmH(2)O L(−1), p = 0.99; ΔR from pre‐injury: 0.6 ± 0.1 cmH(2)O L(−1) s(−), p = 0.01). Both control groups had no change in respiratory mechanics. In conclusion, therapeutic hypothermia can reduce markers of injury and inflammation associated with experimentally induced short‐term ARDS. |
format | Online Article Text |
id | pubmed-9069168 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | John Wiley and Sons Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-90691682022-05-09 Therapeutic hypothermia attenuates physiologic, histologic, and metabolomic markers of injury in a porcine model of acute respiratory distress syndrome Angus, Sarah A. Henderson, William R. Banoei, Mohammad M. Molgat‐Seon, Yannick Peters, Carli M. Parmar, Hanna R. Griesdale, Donald E. G. Sekhon, Mypinder Sheel, Andrew William Winston, Brent W. Dominelli, Paolo B. Physiol Rep Original Articles Acute respiratory distress syndrome (ARDS) is a lung injury characterized by noncardiogenic pulmonary edema and hypoxic respiratory failure. The purpose of this study was to investigate the effects of therapeutic hypothermia on short‐term experimental ARDS. Twenty adult female Yorkshire pigs were divided into four groups (n = 5 each): normothermic control (C), normothermic injured (I), hypothermic control (HC), and hypothermic injured (HI). Acute respiratory distress syndrome was induced experimentally via intrapulmonary injection of oleic acid. Target core temperature was achieved in the HI group within 1 h of injury induction. Cardiorespiratory, histologic, cytokine, and metabolomic data were collected on all animals prior to and following injury/sham. All data were collected for approximately 12 h from the beginning of the study until euthanasia. Therapeutic hypothermia reduced injury in the HI compared to the I group (histological injury score = 0.51 ± 0.18 vs. 0.76 ± 0.06; p = 0.02) with no change in gas exchange. All groups expressed distinct phenotypes, with a reduction in pro‐inflammatory metabolites, an increase in anti‐inflammatory metabolites, and a reduction in inflammatory cytokines observed in the HI group compared to the I group. Changes to respiratory system mechanics in the injured groups were due to increases in lung elastance (E) and resistance (R) (ΔE from pre‐injury = 46 ± 14 cmH(2)O L(−1), p < 0.0001; ΔR from pre‐injury: 3 ± 2 cmH(2)O L(−1) s(−), p = 0.30) rather than changes to the chest wall (ΔE from pre‐injury: 0.7 ± 1.6 cmH(2)O L(−1), p = 0.99; ΔR from pre‐injury: 0.6 ± 0.1 cmH(2)O L(−1) s(−), p = 0.01). Both control groups had no change in respiratory mechanics. In conclusion, therapeutic hypothermia can reduce markers of injury and inflammation associated with experimentally induced short‐term ARDS. John Wiley and Sons Inc. 2022-05-04 /pmc/articles/PMC9069168/ /pubmed/35510328 http://dx.doi.org/10.14814/phy2.15286 Text en © 2022 The Authors. Physiological Reports published by Wiley Periodicals LLC on behalf of The Physiological Society and the American Physiological Society. https://creativecommons.org/licenses/by/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Articles Angus, Sarah A. Henderson, William R. Banoei, Mohammad M. Molgat‐Seon, Yannick Peters, Carli M. Parmar, Hanna R. Griesdale, Donald E. G. Sekhon, Mypinder Sheel, Andrew William Winston, Brent W. Dominelli, Paolo B. Therapeutic hypothermia attenuates physiologic, histologic, and metabolomic markers of injury in a porcine model of acute respiratory distress syndrome |
title | Therapeutic hypothermia attenuates physiologic, histologic, and metabolomic markers of injury in a porcine model of acute respiratory distress syndrome |
title_full | Therapeutic hypothermia attenuates physiologic, histologic, and metabolomic markers of injury in a porcine model of acute respiratory distress syndrome |
title_fullStr | Therapeutic hypothermia attenuates physiologic, histologic, and metabolomic markers of injury in a porcine model of acute respiratory distress syndrome |
title_full_unstemmed | Therapeutic hypothermia attenuates physiologic, histologic, and metabolomic markers of injury in a porcine model of acute respiratory distress syndrome |
title_short | Therapeutic hypothermia attenuates physiologic, histologic, and metabolomic markers of injury in a porcine model of acute respiratory distress syndrome |
title_sort | therapeutic hypothermia attenuates physiologic, histologic, and metabolomic markers of injury in a porcine model of acute respiratory distress syndrome |
topic | Original Articles |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9069168/ https://www.ncbi.nlm.nih.gov/pubmed/35510328 http://dx.doi.org/10.14814/phy2.15286 |
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