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Lachmann, RA; Werchan, S; Schachtrup, C; Haitsma, JJ; Spener, F; Lachmann, B.
Liver-type fatty acid binding protein in serum and broncho-alveolar lavage in a model of acute respiratory failure because of surfactant depletion--a possible marker for lung damage?
Clin Physiol Funct Imaging. 2006; 26(6):371-375
Doi: 10.1111/j.1475-097X.2006.00703.x
Web of Science
PubMed
FullText
FullText_MUG
- Co-Autor*innen der Med Uni Graz
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Spener Friedrich
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- Abstract:
- INTRODUCTION: Liver-type fatty acid binding proteins (L-FABP) have been shown to be present in alveolar macrophages and type II pneumocytes of the lung. This study determined levels of L-FABP in serum and broncho-alveolar lavage (BAL) during experimental acute respiratory failure (ARF) to evaluate whether this molecule can serve as a marker for lung damage. METHODS: Male Sprague-Dawley rats (n = 24) were ventilated and either lung lavaged or lavaged and treated with surfactant, and compared to ventilated, non-lavaged controls. Blood samples were drawn every hour for 4 h to measure L-FABP concentrations in serum. At the end of the experiment a BAL was performed to determine L-FABP levels in BAL fluid. L-FABP was measured with a sandwich enzyme-linked immunosorbent assays. RESULTS: Serum L-FABP concentrations rose significantly during the first 2 h of ventilation in all groups compared with baseline values. After 2 h L-FABP levels were significantly higher in lavaged animals compared with the ventilated controls and to animals treated with surfactant. After 4 h of ventilation, L-FABP in BAL was significantly higher in lavaged, non-surfactant treated animals compared with the ventilated controls. CONCLUSION: In the early phase of experimental ARF serum L-FABP levels correlate well with the degree of lung injury.
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Acute Disease -
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Alanine Transaminase - blood Alanine Transaminase - drug effects
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Animals -
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Aspartate Aminotransferases - blood Aspartate Aminotransferases - drug effects
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Biological Markers - blood
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Blood Gas Analysis -
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Bronchoalveolar Lavage -
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Carbon Dioxide - analysis
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Disease Models, Animal -
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Enzyme-Linked Immunosorbent Assay -
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Fatty Acid-Binding Proteins - blood Fatty Acid-Binding Proteins - drug effects
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Lung Compliance - drug effects
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Male -
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Oxygen - analysis
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Pulmonary Surfactants - pharmacology
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Random Allocation -
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Rats -
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Rats, Sprague-Dawley -
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Respiration, Artificial -
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Respiratory Insufficiency - blood Respiratory Insufficiency - physiopathology
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Time Factors -
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alveolar macrophages
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mechanical ventilation
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rat
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surfactant
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type II pneumocytes