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Am J Physiol Lung Cell Mol Physiol 281: L677-L684, 2001;
1040-0605/01 $5.00
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Vol. 281, Issue 3, L677-L684, September 2001

A low level of TNF-alpha mediates hemorrhage-induced acute lung injury via p55 TNF receptor

Yong Song1, Lihua Ao1, Christopher D. Raeburn1, Casey M. Calkins1, Edward Abraham2, Alden H. Harken1, and Xianzhong Meng1

1 Department of Surgery and 2 Division of Pulmonary Sciences and Critical Care Medicine, University of Colorado Health Sciences Center, Denver, Colorado 80262

Acute lung injury after hemorrhagic shock (HS) is associated with the expression of tumor necrosis factor (TNF)-alpha in the lung. However, the role of TNF-alpha and its receptors in this pulmonary disorder remains obscure. This study examined the temporal relationship of pulmonary TNF-alpha production to neutrophil accumulation during HS and determined the role of TNF-alpha in neutrophil accumulation and lung leak. HS was induced in mice by removal of 30% of total blood volume. Lung TNF-alpha was measured by ELISA. Neutrophil accumulation was detected by immunofluorescent staining, and microvascular permeability was assessed using Evans blue dye. Although HS induced a slight and transient increase in lung TNF-alpha , neutrophil accumulation preceded the increase in TNF-alpha . However, lung neutrophil accumulation and lung leak were abrogated in TNF-alpha knockout mice, and both were restored by administration of recombinant TNF-alpha to TNF-alpha knockout mice before HS. Neutrophil accumulation and lung leak were abrogated in mice lacking the p55 TNF-alpha receptor, but neither was influenced by p75 TNF-alpha receptor knockout. This study demonstrates that a low level of pulmonary TNF-alpha is sufficient to mediate HS-induced acute lung injury during HS and that the p55 TNF-alpha receptor plays a dominant role in regulating the pulmonary inflammatory response to HS.

gene knockout; neutrophils; microvascular permeability; mouse; tumor necrosis factor-alpha


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