The association between LASSBio596 and surfactant improves lung morpho-function and reduces the inflammatory process in experimental sepsis-induced acute lung injury

C. Garcia, J. Silva, G. Oliveira, M. Oliveira, C. Samary, C. Araujo, G. Padilha, V. Capelozzi, L. Lima, E. Barreiro, P. Rocco (Sao Paulo, Brazil)

Source: Annual Congress 2010 - Acute respiratory failure
Session: Acute respiratory failure
Session type: Thematic Poster Session
Number: 2285
Disease area: Airway diseases

Congress or journal article abstract

Abstract

This study investigated the effects of LASSBio596, which exhibits potent inhibitory effects on TNF-α and TGF-β, associated with surfactant on lung and distal organ injury in an experimental sepsis-induced acute lung injury (ALI). 32 BALB/c mice were randomized to undergo cecal ligation and puncture surgery (CLP) or sham (C). At 1 hour, C and CLP groups were further randomized into subgroups to receive saline (0.2 ml ip), LASSBio 596 (10 mg/kg ip, 596), surfactant (Survanta® 4 ml/kg, 0.1 ml it, S) or LASSBio596 associated with surfactant (596-S). The survival rates were monitored for 7 days after CLP. At 24 hours, LASSBio596 associated or not with surfactant significantly improved survival (p<0.01) [40% (ALI) to 78% (596) and 76% (596-S)] and lung mechanics (static elastance, airway resistance, and viscoelastic pressure), reduced the amount of atelectasis, repaired epithelium and endothelium injury, attenuated lung and distal organ cell apoptosis, diminished urea, creatinine, aspartate aminotransferase and alanine aminotransferase levels, and decreased cellularity in the bronchoalveolar and peritoneal lavage fluids, and blood. Surfactant improved lung mechanics and histology but did not act on systemic inflammatory process. In conclusion, in the present ALI model, a single early dose of LASSBio596 associated or not with surfactant may modulate the inflammatory process reducing not only the risk of lung injury, but also distal organ impairment.
Supported by: INCT-INOFAR, FAPERJ, PRONEX, CNPq, CAPES


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C. Garcia, J. Silva, G. Oliveira, M. Oliveira, C. Samary, C. Araujo, G. Padilha, V. Capelozzi, L. Lima, E. Barreiro, P. Rocco (Sao Paulo, Brazil). The association between LASSBio596 and surfactant improves lung morpho-function and reduces the inflammatory process in experimental sepsis-induced acute lung injury. Eur Respir J 2010; 36: Suppl. 54, 2285

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