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Vadász, I; Morty, RE; Kohstall, MG; Olschewski, A; Grimminger, F; Seeger, W; Ghofrani, HA.
Oleic acid inhibits alveolar fluid reabsorption: a role in acute respiratory distress syndrome?
AMER J RESPIR CRIT CARE MED 2005 171: 469-479. Doi: 10.1164/rccm.200407-954OC [OPEN ACCESS]
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Co-Autor*innen der Med Uni Graz
Olschewski Andrea
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Abstract:
Levels of oleic acid (OA) are elevated in plasma and bronchoalveolar lavage fluids of patients with acute respiratory distress syndrome (ARDS). OA is also widely used to provoke edema, by unknown mechanisms, in experimental models of ARDS. We investigated the impact of intravascularly applied OA on epithelial lining fluid balance. OA (25 microM) dramatically blocked active transepithelial (22)Na(+) transport (by 92%) in an isolated, ventilated, and perfused rabbit lung model, provoking alveolar edema, assessed by increases in lung weight and epithelial lining fluid volume. OA did not alter epithelial permeability, measured by [(3)H]mannitol and fluorescently labeled albumin flux, but did increase endothelial permeability, assessed by capillary filtration coefficient. In A549 cells, OA completely blocked amiloride-sensitive sodium currents measured by patch clamp, and also largely abrogated ouabain-sensitive Na(+),K(+)-ATPase-mediated (86)Rb(+) uptake. Although OA did not alter epithelial sodium channel or Na(+),K(+)-ATPase surface expression, it covalently associated with both molecules and directly, dramatically, and dose-dependently inhibited the catalytic activity of purified Na(+),K(+)-ATPase. Therefore, OA impaired the two essential transepithelial active sodium transport mechanisms of the lung, and could thus promote alveolar edema formation and prevent edema resolution, thereby contributing to the development of ARDS.
Find related publications in this database (using NLM MeSH Indexing)
Animals -
Biological Markers - metabolism
Cell Line - metabolism
Comparative Study - metabolism
Disease Models, Animal - metabolism
In Vitro - metabolism
Ion Transport - drug effects
Male - drug effects
Na(+)-K(+)-Exchanging ATPase - drug effects
Oleic Acid - toxicity
Ouabain - pharmacology
Patch-Clamp Techniques - pharmacology
Pulmonary Alveoli - drug effects
Pulmonary Edema - etiology
Rabbits - etiology
Reference Values - etiology
Research Support, Non-U.S. Gov't - etiology
Respiratory Distress Syndrome, Adult - complications
Sodium - metabolism
Water-Electrolyte Balance - drug effects

Find related publications in this database (Keywords)
acute lung injury
alveolar epithelium
ENaC
Na+
K+-ATPase
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