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1 Surgery, University of Alabama at Birmingham, Birmingham, Alabama, United States
* To whom correspondence should be addressed. E-mail: irshad.chaudry{at}ccc.uab.edu.
Previous studies have shown that females in the proestrus stage of their reproductive cycle maintain organ functions following trauma-hemorrhage. However, it remains unknown whether the female reproductive cycle is an important variable in the regulation of lung injury following trauma-hemorrhage and if so, whether the effect is mediated via up regulation of hemeoxygenase (HO)-1. To examine this, female Sprague-Dawley rats during the diestrus, proestrus, estrus, and metestrus phase of the reproductive cycle or 14 days after ovariectomy, underwent soft tissue trauma and then hemorrhage (mean blood pressure 40 mmHg for 90 min followed by fluid resuscitation). At 2 hrs after trauma-hemorrhage or sham operation, lung myeloperoxidase (MPO) activity, intercellular adhesion molecule (ICAM)-1, cytokine-induced neutrophil chemoattractant (CINC)-1, CINC-3 and HO-1 protein levels were measured. Plasma 17
-estradiol concentration was also determined. The results indicated that trauma-hemorrhage increased lung MPO activity, ICAM-1, CINC-1, and CINC-3 levels in ovariectomized-females. These parameters were found to be similar to shams in the proestrus female rats subjected to trauma-hemorrhage. Lung HO-1 protein level in proestrus females was increased significantly compared to female rats subjected to trauma-hemorrhage during diestrus, estrus, metestrus phases of reproductive cycle and ovariectomized rats. Furthermore, plasma 17
-estradiol level was highest in proestrus females. Administration of the HO inhibitor, chromium-mesoporphyrin (CrMP), prevented the proestrus female-induced attenuation of shock-induced lung damage. Thus, these finding suggest that female reproductive cycle is an important variable in the regulation of lung injury following trauma-hemorrhage and that the protective effect in proestrus females are likely mediated via upregulation of HO-1.
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