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1 Departments of Anaesthesia and Critical Care Medicine, St. Michael's Hospital, Toronto M5B 1W8; 2 Department of Pathology and Laboratory Medicine, Samuel Lunenfeld Research Institute, Mount Sinai Hospital, Toronto M5G 1X5; and 3 Division of Thoracic Surgery, Toronto General Hospital, University of Toronto, Toronto, Ontario M5G 2C4, Canada
High concentrations of
neutrophil defensins from airway and blood have been reported in
patients with inflammatory lung diseases, but their exact role is
unclear. We investigated the direct effect of defensins on the lungs of
mice. Intratracheal instillation of purified defensins (5-30
mg/kg) induced a progressive reduction in peripheral arterial
O2 saturation, increased lung permeability, and enhanced
the lung cytochrome c content. These indexes of acute lung
dysfunction were associated with an increased total cell number and a
significant neutrophil influx into the lung [5.1 ± 0.04% in
control vs. 48.6 ± 12.7% in the defensin (30 mg/kg) group,
P < 0.05]. Elastase concentrations in the
bronchoalveolar lavage (BAL) fluids increased from 38 ± 11 ng/ml
(control) to 80 ± 4 ng/ml (defensins, P < 0.05).
Five hours after defensin instillation, concentrations of tumor
necrosis factor-
and macrophage inflammatory protein-2 in
BAL fluid were significantly increased. High levels of monocyte
chemoattractant protein-1 in BAL fluid and plasma were also found after
defensin stimulation. We conclude that intratracheal instillation of
defensins causes acute lung inflammation and dysfunction, suggesting
that high concentrations of defensins in the airways may play an
important role in the pathogenesis of inflammatory lung diseases.
cytokine; inflammatory lung disease; human neutrophil peptides
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