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1Section of Internal Medicine, Department of Clinical and Experimental Medicine, and 2Section of Anatomic Pathology, Department of Pathology, University of Verona, Verona, Italy; 3Laboratorie de Pathologie, Institut National de la Santé et de la Recherche Médicale INSERM 02 20, Hopital Saint Louis, Paris, France; 4Department of Experimental Pharmacology, Baxter Bioscience, Vienna, Austria; 5Istituto Italiano Spallanzani, Milan, Italy; 6Laboratory of Hematopoietic Gene Therapy, INSERM U733, Centre Hayem, Hopital Saint Louis, Paris, France; and 7Department of Laboratory Medicine and Department of Pathology, Children's Hospital, Harvard Medical School, Boston, Massachusetts
Submitted 3 November 2005 ; accepted in final form 23 March 2006
Nitric oxide (NO) is a potential new therapeutic agent for sickle cell disease (SCD). We investigated the effects of NO donor on hypoxia-induced acute lung injury that occurs when transgenic sickle cell SAD mice are exposed to chronic hypoxia, a model for lung vasoocclusive sickle cell events. In wild-type and SAD mice, intraperitoneal injection of S-nitrosoalbumin (NO-Alb) produced no significant hematologic changes under room air conditions, whereas it induced mild temporary hypotension and inhibition of platelet aggregation. NO-Alb administration (300 mg/kg ip twice a day, equivalent to 7.5 µM NO) in wild-type and SAD mice exposed to 46 h of hypoxia (8% oxygen) followed by 2 h of normoxia resulted in 1) reduction of the hypoxia-induced increase in blood neutrophil count, 2) prevention of hypoxia-induced increased IL-6 and IL-1
levels in bronchoalveolar lavage, 3) reduction of the lung injury induced by hypoxia-reoxygenation, 4) prevention of thrombus formation, and 5) prevention of hypoxia-induced increase of lung matrix metalloproteinase-9 gene expression. These effects provide new insights into the possible use of NO-Alb in the treatment of acute lung injury in SCD.
transgenic sickle cell SAD mice; hypoxic lung injury; nitric oxide; nitrite
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