An appraisal of lung computer tomography in very early anti-inflammatory treatment of two different ovine ARDS phenotypes.


Journal

Scientific reports
ISSN: 2045-2322
Titre abrégé: Sci Rep
Pays: England
ID NLM: 101563288

Informations de publication

Date de publication:
25 Jan 2024
Historique:
received: 29 10 2023
accepted: 22 01 2024
medline: 26 1 2024
pubmed: 26 1 2024
entrez: 25 1 2024
Statut: epublish

Résumé

Mortality and morbidity of Acute Respiratory Distress Syndrome (ARDS) are largely unaltered. A possible new approach to treatment of ARDS is offered by the discovery of inflammatory subphenotypes. In an ovine model of ARDS phenotypes, matching key features of the human subphenotypes, we provide an imaging characterization using computer tomography (CT). Nine animals were randomized into (a) OA (oleic acid, hypoinflammatory; n = 5) and (b) OA-LPS (oleic acid and lipopolysaccharides, hyperinflammatory; n = 4). 48 h after ARDS induction and anti-inflammatory treatment, CT scans were performed at high (H) and then low (L) airway pressure. After CT, the animals were euthanized and lung tissue was collected. OA-LPS showed a higher air fraction and OA a higher tissue fraction, resulting in more normally aerated lungs in OA-LPS in contrast to more non-aerated lung in OA. The change in lung and air volume between H and L was more accentuated in OA-LPS, indicating a higher recruitment potential. Strain was higher in OA, indicating a higher level of lung damage, while the amount of lung edema and histological lung injury were largely comparable. Anti-inflammatory treatment might be beneficial in terms of overall ventilated lung portion and recruitment potential, especially in the OA-LPS group.

Identifiants

pubmed: 38272980
doi: 10.1038/s41598-024-52698-w
pii: 10.1038/s41598-024-52698-w
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

2162

Informations de copyright

© 2024. The Author(s).

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Auteurs

Karin Wildi (K)

Critical Care Research Group, The Prince Charles Hospital, Rode Road, Chermside, Brisbane, QLD, 4032, Australia. wildik@hotmail.com.
The University of Queensland, Brisbane, Australia. wildik@hotmail.com.
Cardiovascular Research Institute Basel, University Hospital Basel, University of Basel, Basel, Switzerland. wildik@hotmail.com.

Sebastiano Maria Colombo (SM)

Critical Care Research Group, The Prince Charles Hospital, Rode Road, Chermside, Brisbane, QLD, 4032, Australia.
The University of Queensland, Brisbane, Australia.
Department of Anaesthesia and Intensive Care Medicine, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.

Daniel McGuire (D)

Critical Care Research Group, The Prince Charles Hospital, Rode Road, Chermside, Brisbane, QLD, 4032, Australia.
The University of Queensland, Brisbane, Australia.
The Prince Charles Hospital, Chermside, QLD, Australia.

Carmen Ainola (C)

Critical Care Research Group, The Prince Charles Hospital, Rode Road, Chermside, Brisbane, QLD, 4032, Australia.
The University of Queensland, Brisbane, Australia.

Silver Heinsar (S)

Critical Care Research Group, The Prince Charles Hospital, Rode Road, Chermside, Brisbane, QLD, 4032, Australia.
The University of Queensland, Brisbane, Australia.
Department of Intensive Care, North Estonia Medical Centre, Tallinn, Estonia.

Noriko Sato (N)

Critical Care Research Group, The Prince Charles Hospital, Rode Road, Chermside, Brisbane, QLD, 4032, Australia.

Kei Sato (K)

Critical Care Research Group, The Prince Charles Hospital, Rode Road, Chermside, Brisbane, QLD, 4032, Australia.
The University of Queensland, Brisbane, Australia.

Keibun Liu (K)

Critical Care Research Group, The Prince Charles Hospital, Rode Road, Chermside, Brisbane, QLD, 4032, Australia.

Mahé Bouquet (M)

The University of Queensland, Brisbane, Australia.

Emily Wilson (E)

The University of Queensland, Brisbane, Australia.

Margaret Passmore (M)

Critical Care Research Group, The Prince Charles Hospital, Rode Road, Chermside, Brisbane, QLD, 4032, Australia.
The University of Queensland, Brisbane, Australia.

Kieran Hyslop (K)

Critical Care Research Group, The Prince Charles Hospital, Rode Road, Chermside, Brisbane, QLD, 4032, Australia.
The University of Queensland, Brisbane, Australia.

Samantha Livingstone (S)

Critical Care Research Group, The Prince Charles Hospital, Rode Road, Chermside, Brisbane, QLD, 4032, Australia.
The University of Queensland, Brisbane, Australia.

Marianna Di Feliciantonio (M)

Department of Anaesthesia and Intensive Care Medicine, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.

Wendy Strugnell (W)

The University of Queensland, Brisbane, Australia.
The Prince Charles Hospital, Chermside, QLD, Australia.

Chiara Palmieri (C)

School of Veterinary Science, The University of Queensland, Gatton, Australia.

Jacky Suen (J)

Critical Care Research Group, The Prince Charles Hospital, Rode Road, Chermside, Brisbane, QLD, 4032, Australia.
The University of Queensland, Brisbane, Australia.

Gianluigi Li Bassi (G)

Critical Care Research Group, The Prince Charles Hospital, Rode Road, Chermside, Brisbane, QLD, 4032, Australia. gianluigilibassi@gmail.com.
The University of Queensland, Brisbane, Australia. gianluigilibassi@gmail.com.
St Andrews War Memorial Hospital, Intensive Care Unit, Spring Hill, QLD, Australia. gianluigilibassi@gmail.com.
The Wesley Hospital, Intensive Care Unit, Auchenflower, QLD, Australia. gianluigilibassi@gmail.com.

John Fraser (J)

Critical Care Research Group, The Prince Charles Hospital, Rode Road, Chermside, Brisbane, QLD, 4032, Australia.
The University of Queensland, Brisbane, Australia.
St Andrews War Memorial Hospital, Intensive Care Unit, Spring Hill, QLD, Australia.

Classifications MeSH