Cellular uptake of albumin from the lungs of anesthetized rabbits. Hastings, Randolph H., Hans G. Folkesson, Vibeke Petersen, Ricardo Ciriales, and Michael A. Matthay. Department of Anesthesia, San Francisco General Hospital; the Cardiovascular Research Institute and Departments of Medicine, Anesthesia, and Stomatology, University of California, San Franciso; Anesthesiology Service, San Diego Department of Veterans Affairs Medical Center; Department of Anesthesiology, University of California, San Diego
APStracts 2:0089L, 1995.
Resolution of alveolar edema depends on clearance of serum protein, as well as liquid from the alveolar space. Protein clearance is slower than liquid clearance and may take days to weeks. Our earlier studies presented evidence for the importance of paracellular removal of soluble protein from the air spaces. However, long term protein clearance may also depend on uptake by alveolar epithelial cells or macrophages. This study examined cellular uptake of soluble human albumin and insoluble colloidal gold-albumin from the lungs of anesthetized rabbits. Native albumin was endocytosed by both alveolar type I and type II cells and appeared in vesicles and endosomes. Neither cell type took up colloidal gold-albumin over periods as long as eight hours. Alveolar macrophages took up native albumin and colloidal gold-albumin to a greater extent and more rapidly than alveolar epithelial cells. The tracer proteins were found in vesicles, endosomes and phagolysosomes. Similarly, cultured alveolar macrophages took up native albumin more rapidly than cultured type II cells. Thus, macrophages may be important in clearing precipitated protein from the air spaces and they may have a role in completing the clearance of soluble protein. The potential for transepithelial transport of soluble alveolar protein exists, but it appears to be a low capacity pathway based on this work and our prior studies.

Received 7 February 1995; accepted in final form 9 May 1995.
APS Manuscript Number L40-5.
Article publication pending Am. J. Physiol. (Lung Cell. Mol.
Physiology).
ISSN 1080-4757 Copyright 1995 The American Physiological Society.
Published in APStracts on 26 May 1995.