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1 Istituto di Fisiologia Umana,
We evaluated the
effect of pancreatic elastase (7 IU iv) on pulmonary interstitial
pressure (Pip) in in situ rabbit
lungs by a micropuncture technique through the intact parietal pleura. Pip was
10.8 ± 2.2 (SD)
cmH2O in the control condition,
increased to +5.1 ± 1.7 cmH2O
at ~60 min [condition referred to as mild edema (ME)],
and subsequently decreased to
0.15 ± 0.8 cmH2O, remaining steady from 80 up
to 200 min with a marked increase in lung wet-to-dry weight ratio
[condition referred to as severe edema (SE)], suggesting an
increase in tissue compliance. We functionally correlated the measured
Pip to structural modifications of
proteoglycans, the major interfibrillar component of the
extracellular matrix (ECM). The strength of the noncovalent bonds
linking proteoglycans to other ECM components decreased with increasing
severity of edema, as indicated by the increased extractability of
proteoglycans with guanidine hydrochloride. Total proteoglycan recovery
(expressed as µg hexuronate/g dry tissue) increased from 436.8 ± 14 in the control condition to 495.3 ± 23 and 547.0 ± 10 in ME
and SE, respectively. Gel-filtration chromatography showed in ME a
fragmentation of heparan sulfate proteoglycans, suggesting that
elastase treatment first affected basement membrane integrity, whereas
large chondroitin sulfate proteoglycans were degraded only in SE.
Elastase caused a fragmentation only of the core protein of
proteoglycans, the binding properties of which to collagens,
fibronectin, and hyaluronic acid were markedly decreased, as indicated
by a solid-phase binding assay. The sequential degradation of heparan
sulfate and chondroitin sulfate proteoglycans may account for the
initial increase in microvascular permeability, followed by a loss of
the native architecture of the ECM, which may be responsible for the
increase in tissue compliance.
heparan sulfate proteoglycans; chondroitin sulfate proteoglycans; pulmonary interstitial pressure; elastase
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