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1Cincinnati Children's Hospital Medical Center, University of Cincinnati, Division of Pulmonary Biology, Cincinnati, Ohio; 2Department of Physiology, Monash University, Clayton, Victoria, Australia; 3Department of Pediatrics, Duke University School of Medicine, Durham, North Carolina; 4School of Women's and Infants' Health, University of Western Australia, Perth, Australia; 5Department of Pediatrics, Maastricht University Medical Center, Maastricht, The Netherlands; and 6Syntrix Biosystems, Auburn, Washington
Submitted 31 March 2009 ; accepted in final form 1 July 2009
Preterm infants exposed to chorioamnionitis and preterm sheep fetuses exposed to intra-amniotic (IA) LPS have lung inflammation, increased IL-8 levels, and lung maturation. We tested the hypothesis that IL-8 signaling mediates IA LPS-induced lung inflammation and lung maturation. Two strategies were used: 1) we tested if IA injection of recombinant sheep IL-8 (rsIL-8) induced fetal inflammation and 2) if IL-8 signaling was blocked by a novel CXCR2 receptor blocker, nicotinanilide thioglycolate methyl ester (NTME). To test effects of IL-8 in the fetus, rsIL-8 was given intravascularly (50 µg) at 124 ± 1 day of gestation (term = 150 days). A separate group of sheep was given IA rsIL-8 (100 µg) and delivered 5 h to 7 days later at 124 ± 1 day of gestation. After confirming efficacy of the CXCR2 inhibitor, effects of IL-8 blockade were tested by injecting fetal sheep intramuscularly with NTME (10 mg) before IA injection of Escherichia coli LPS (10 mg). Sheep fetuses were delivered 1 or 7 days after injections at 124 ± 1 day of gestation. IA rsIL-8 induced a modest fivefold increase in bronchoalveolar lavage (BAL) monocytes and neutrophils and increased lung monocyte hydrogen peroxide generation. However, rsIL-8 did not induce lung maturation. Intravascular rsIL-8 did not change fetal cardiovascular variables, blood pH, or blood leukocyte counts. Inhibition of CXCR2 decreased IA LPS-induced increases in BAL proteins at 1 day but not at 7 days. NTME did not significantly decrease IA LPS-induced BAL leukocyte influx and lung cytokine mRNA expression. Inhibition of CXCR2 did not change IA LPS-induced lung maturation. IL-8 signaling does not mediate LPS-induced lung inflammation and lung maturation.
prematurity; respiratory distress syndrome; bronchopulmonary dysplasia; fetal inflammatory response syndrome; CXCR2
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