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1Departments of Anesthesiology, Pathology, and Pediatrics, The University of Texas Medical Branch, Shriners Burns Hospital, Galveston, Texas 77555-0833; and 2Inotek Pharmaceuticals, Beverly, Massachusetts 01915
Submitted 20 September 2002 ; accepted in final form 28 February 2003
We investigated the role of the nuclear enzyme poly (ADP ribose) synthetase (PARS) in the pathogenesis of combined burn and smoke inhalation (burn/smoke) injury in an ovine model. Eighteen sheep were operatively prepared for chronic study. PARS inhibition was achieved by treatment with a novel and selective PARS inhibitor INO-1001. The PARS inhibitor attenuated 1) lung edema formation, 2) deterioration of gas exchange, 3) changes in airway blood flow, 4) changes in airway pressure, 5) lung histological injury, and 6) systemic vascular leakage. Lipid oxidation and plasma nitrite/nitrate (stable breakdown products of nitric oxide) levels were suppressed with the use of INO-1001. We conclude that PARS inhibition attenuates various aspects of the pathophysiological response in a clinically relevant experimental model of burn/smoke inhalation injury.
acute respiratory distress syndrome; lung lymphatic; nitric oxide
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