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1 Pulmonary and Critical Care Medicine, Northwestern University, Chicago, Illinois 60611; and 2 Departamento de Enfermedades Respiratorias, Pontificia Universidad Católica de Chile, Santiago, Chile
Short-term mechanical ventilation with
high tidal volume (HVT) causes mild to moderate lung injury and impairs
active Na+ transport and lung liquid clearance in rats.
Dopamine (DA) enhances active Na+ transport in normal rat
lungs by increasing Na+-K+-ATPase activity in
the alveolar epithelium. We examined whether DA would increase alveolar
fluid reabsorption in rats ventilated with HVT for 40 min compared with
those ventilated with low tidal volume (LVT) and with nonventilated
rats. Similar to previous reports, HVT ventilation decreased alveolar
fluid reabsorption by ~50% (P < 0.001). DA
increased alveolar fluid reabsorption in nonventilated control rats (by
~60%), LVT ventilated rats (by ~55%), and HVT ventilated rats (by
~200%). In parallel studies, DA increased
Na+-K+-ATPase activity in cultured rat alveolar
epithelial type II cells (ATII). Depolymerization of cellular
microtubules by colchicine inhibited the effect of DA on HVT ventilated
rats as well as on Na+-K+-ATPase activity in
ATII cells. Neither DA nor colchicine affected the short-term
Na+-K+-ATPase
1- and
1-subunit mRNA steady-state levels or total
1- and
1-subunit protein abundance in
ATII cells. Thus we reason that DA improved alveolar fluid reabsorption
in rats ventilated with HVT by upregulating the
Na+-K+-ATPase function in alveolar epithelial cells.
Na+-K+-ATPase; alveolar fluid clearance
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