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Am J Physiol Lung Cell Mol Physiol 293: L651-L659, 2007. First published June 8, 2007; doi:10.1152/ajplung.00464.2006
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Effects of cardiogenic edema fluid on ion and fluid transport in the adult lung

Shephali G. Gandhi,1,2,5 Bijan Rafii,1,2 Michael S. Harris,1,2,5 Alexandra Garces,1,2 Don Mahuran,3,6 Xi-Juan Chen,7 Hui-Fang Bao,7 Lucky Jain,8 Douglas C. Eaton,7 Gail Otulakowski,1,2,4 and Hugh O'Brodovich1,2,4,5

1Canadian Institutes of Health Research Group in Lung Development and 2Physiology and Experimental Medicine, 3Genetics and Genome Biology of the Research Institute of the Hospital for Sick Children, and Departments of 4Paediatrics, 5Physiology, and 6Laboratory Medicine and Pathobiology, University of Toronto, Toronto, Ontario, Canada; and Departments of 7Physiology and 8Pediatrics, Emory University, Atlanta, Georgia

Submitted 29 November 2006 ; accepted in final form 1 June 2007

We have previously shown that cardiogenic pulmonary edema fluid (EF) increases Na+ and fluid transport by fetal distal lung epithelia (FDLE) (Rafii B, Gillie DJ, Sulowski C, Hannam V, Cheung T, Otulakowski G, Barker PM and O'Brodovich H. J Physiol 544: 537–548, 2002). We now report the effect of EF on Na+ and fluid transport by the adult lung. We first studied primary cultures of adult type II (ATII) epithelium and found that overnight exposure to EF increased Na+ transport, and this effect was mainly due to factors other than catecholamines. Plasma did not stimulate Na+ transport in ATII. Purification of EF demonstrated that at least some agent(s) responsible for the amiloride-insensitive component resided within the globulin fraction. ATII exposed to globulins demonstrated a conversion of amiloride-sensitive short-circuit current (Isc) to amiloride-insensitive Isc with no increase in total Isc. Patch-clamp studies showed that ATII exposed to EF for 18 h had increased the number of highly selective Na+ channels in their apical membrane. In situ acute exposure to EF increased the open probability of Na+-permeant ion channels in ATII within rat lung slices. EF did increase, by amiloride-sensitive pathways, the alveolar fluid clearance from the lungs of adult rats. We conclude that cardiogenic EF increases Na+ transport by adult lung epithelia in primary cell culture, in situ and in vivo.

pulmonary edema fluid; alveolar type ii epithelium; sodium channels; lung fluid clearance



Address for reprint requests and other correspondence: H. O'Brodovich, Depts. of Paediatrics and Physiology, Univ. of Toronto, Hospital for Sick Children, 555 Univ. Ave., Toronto, Ontario, Canada M5G-1X8 (e-mail: hugh.obrodovich{at}sickkids.ca)




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Am. J. Physiol. Lung Cell. Mol. Physiol.Home page
H. O'Brodovich, P. Yang, S. Gandhi, and G. Otulakowski
Amiloride-insensitive Na+ and fluid absorption in the mammalian distal lung
Am J Physiol Lung Cell Mol Physiol, March 1, 2008; 294(3): L401 - L408.
[Abstract] [Full Text] [PDF]




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