Endothelin1 potentiates leukotoxin-induced edematous lung injury. Ishizaki, Takeshi, Kazuo Shigemori, Tsuguhiko Nakai, Susumu Miyabo, Mika Hayakawa, Takayuki Ozawa, Norbert F. Voelkel, Shih-Wen Chang. Dept. of Internal Medicine, Fukui Medical School, Fukui, Japan, 910-11, Dept. of Biomedical Chemistry, University of Nagoya, Nagoya, Japan 466, Pulmonary Hypertension Center, Div. of Pulmonary Sciences and Critical Care Medicine, Univ. of Colorado Health Sciences Center, Denver, Co 80262., Pulmonary Section, Dept. of Medicine, Northwestern Univ. Medical School, Chicago, IL 60611
APStracts 2:0232A, 1995.
We tested the hypothesis that Leukotoxin (Lx), a cytochrome P450 -dependent linoleate product of leukocytes, can stimulate the release of endothelin 1 (ET1) from the lung and further that exogenous ET1 synergizes with Lx, to produce edematous lung injury. In isolated rat lungs perfused with Earle's balanced salt solution Lx (10 [mu]mol) alone caused lung edema and increased the perfusate and lung tissue ET1 levels. The combination of ET1 (5 nM) and Lx (5 [mu]mol), at concentrations which by themselves did not increase wet lung weight (WLW), significantly increased WLW, wet to dry lung weight (WLW/DLW) as well as the lung effluent lactate dehydrogenase activity (LDH). Pretreatment with BQ123 (5x10-6 M), an ETA receptor antagonist, which significantly attenuated the ET1 (5 nM)-induced increase in Ppa and Pc, suppressed the edematous lung injury generated by the combination of ET1 and Lx, suggesting that the edema-enhancing effect of ET1 in Lx-treated lungs occurred through ETA-receptor-dependent elevation of Ppa and Pc. Elevation of the pulmonary venous pressure in Lx-treated lungs (13.5 cm H2O), mimicked the effect of ET1 on Ppa and Pc and produced a degree of lung edema which was comparable to that after combined ET1 + Lx treatment, but without increase in the perfusate LDH. These data support the idea that ET1 and Lx promote lung edema in a synergistic fashion.

Received 13 February 1995; accepted in final form 24 May 1995.
APS Manuscript Number A164-5.
Article publication pending Journal of Applied Physiology.
ISSN 1080-4757 Copyright 1995 The American Physiological Society.
Published in APStracts on  8 June 1995.