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1 Cardiovascular-Pulmonary Research Laboratory, University of Colorado Health Sciences Center, Denver, Colorado 80262; and 2 Department of Pharmacology and Clinical Pharmacology, St. George's Hospital Medical School, London, United Kingdom SW17 ORE
Ascent to high
altitude leads to pulmonary edema formation in some individuals. Recent
laboratory evidence supports the hypothesis that hypoxia may impair the
function of the alveolar epithelium and thus augment edema accumulation
via reduced clearance of lung liquid. We investigated the effect of
hypobaric hypoxia on epithelial sodium transport in adult
Sprague-Dawley rats by measuring the nasal transepithelial potential
difference (PD) as an index of airway sodium transport. Baseline PDs
were similar to those previously reported in other species.
Administration of amiloride resulted in a significant fall in nasal PD,
as did ouabain administration for 24 h (
27.8 vs.
18.8 mV;
P = 0.001;
n = 5 rats). Exposure to hypobaric
hypoxia (0.5 atm) for 24 h caused a significant fall in nasal PD
(
23.7 vs.
18.8 mV; P = 0.002; n = 15 rats), which was not
additive to the changes in nasal PD produced by amiloride or ouabain.
We conclude that subacute exposure to moderate hypobaric hypoxia can
inhibit sodium transport by the airway epithelium in rats.
transepithelial potential difference; ouabain
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