Experimental lung injury induces cerebral cytokine mRNA production in pigs.

Acute respiratory distress syndrome Cerebral inflammation Cognitive impairment Critical care Cytokines Lung injury Pigs

Journal

PeerJ
ISSN: 2167-8359
Titre abrégé: PeerJ
Pays: United States
ID NLM: 101603425

Informations de publication

Date de publication:
2020
Historique:
received: 07 04 2020
accepted: 11 11 2020
entrez: 23 12 2020
pubmed: 24 12 2020
medline: 24 12 2020
Statut: epublish

Résumé

Acute respiratory distress syndrome (ARDS) is an important disease with a high incidence among patients admitted to intensive care units. Over the last decades, the survival of critically ill patients has improved; however, cognitive deficits are among the long-term sequelae. We hypothesize that acute lung injury leads to upregulation of cerebral cytokine synthesis. After approval of the institutional and animal care committee, 20 male pigs were randomized to one of three groups: (1) Lung injury by oleic acid injection (OAI), (2) ventilation only (CTR) or (3) untreated. We compared neuronal numbers, proportion of neurons with markers for apoptosis, activation state of Iba-1 stained microglia cells and cerebral mRNA levels of different cytokines between the groups 18 hours after onset of lung injury. We found an increase in hippocampal TNFalpha ( Hippocampal cytokine transcription increases within 18 hours after the induction of acute lung injury with histological evidence of neuronal damage. It remains to be elucidated if increased cytokine mRNA synthesis plays a role in the cognitive decline observed in survivors of ARDS.

Sections du résumé

BACKGROUND BACKGROUND
Acute respiratory distress syndrome (ARDS) is an important disease with a high incidence among patients admitted to intensive care units. Over the last decades, the survival of critically ill patients has improved; however, cognitive deficits are among the long-term sequelae. We hypothesize that acute lung injury leads to upregulation of cerebral cytokine synthesis.
METHODS METHODS
After approval of the institutional and animal care committee, 20 male pigs were randomized to one of three groups: (1) Lung injury by oleic acid injection (OAI), (2) ventilation only (CTR) or (3) untreated. We compared neuronal numbers, proportion of neurons with markers for apoptosis, activation state of Iba-1 stained microglia cells and cerebral mRNA levels of different cytokines between the groups 18 hours after onset of lung injury.
RESULTS RESULTS
We found an increase in hippocampal TNFalpha (
CONCLUSION CONCLUSIONS
Hippocampal cytokine transcription increases within 18 hours after the induction of acute lung injury with histological evidence of neuronal damage. It remains to be elucidated if increased cytokine mRNA synthesis plays a role in the cognitive decline observed in survivors of ARDS.

Identifiants

pubmed: 33354426
doi: 10.7717/peerj.10471
pii: 10471
pmc: PMC7733330
doi:

Types de publication

Journal Article

Langues

eng

Pagination

e10471

Informations de copyright

©2020 Kamuf et al.

Déclaration de conflit d'intérêts

The authors declare there are no competing interests.

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Auteurs

Jens Kamuf (J)

Department of Anesthesiology, Medical Centre of the Johannes Gutenberg-University, Mainz, Germany.

Andreas Garcia Bardon (A)

Department of Anesthesiology, Medical Centre of the Johannes Gutenberg-University, Mainz, Germany.

Alexander Ziebart (A)

Department of Anesthesiology, Medical Centre of the Johannes Gutenberg-University, Mainz, Germany.

Katrin Frauenknecht (K)

Institute of Neuropathology, Medical Centre of the Johannes Gutenberg-University, Mainz, Germany.

Konstantin Folkert (K)

Department of Anesthesiology, Medical Centre of the Johannes Gutenberg-University, Mainz, Germany.

Johannes Schwab (J)

Department of Anesthesiology, Medical Centre of the Johannes Gutenberg-University, Mainz, Germany.

Robert Ruemmler (R)

Department of Anesthesiology, Medical Centre of the Johannes Gutenberg-University, Mainz, Germany.

Miriam Renz (M)

Department of Anesthesiology, Medical Centre of the Johannes Gutenberg-University, Mainz, Germany.

Denis Cana (D)

Institute of Neuropathology, Medical Centre of the Johannes Gutenberg-University, Mainz, Germany.

Serge C Thal (SC)

Department of Anesthesiology, Medical Centre of the Johannes Gutenberg-University, Mainz, Germany.

Erik K Hartmann (EK)

Department of Anesthesiology, Medical Centre of the Johannes Gutenberg-University, Mainz, Germany.

Classifications MeSH