Effect of HA330 resin-directed hemoadsorption on a porcine acute respiratory distress syndrome model

Abstract Background Blood purification is an emerging approach to dampening the cytokine storm. This study aims to assess the efficacy of HA330 resin-directed hemoadsorption (HA) on endotoxin-induced porcine acute respiratory distress syndrome (ARDS) model. Methods Twenty-four Chinese domestic pigs...

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Main Authors: Xuefeng Xu, Chune Jia, Sa Luo, Yanming Li, Fei Xiao, Huaping Dai, Chen Wang
Format: Article
Language:English
Published: SpringerOpen 2017-08-01
Series:Annals of Intensive Care
Subjects:
Online Access:http://link.springer.com/article/10.1186/s13613-017-0287-0
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author Xuefeng Xu
Chune Jia
Sa Luo
Yanming Li
Fei Xiao
Huaping Dai
Chen Wang
author_facet Xuefeng Xu
Chune Jia
Sa Luo
Yanming Li
Fei Xiao
Huaping Dai
Chen Wang
author_sort Xuefeng Xu
collection DOAJ
description Abstract Background Blood purification is an emerging approach to dampening the cytokine storm. This study aims to assess the efficacy of HA330 resin-directed hemoadsorption (HA) on endotoxin-induced porcine acute respiratory distress syndrome (ARDS) model. Methods Twenty-four Chinese domestic pigs were allocated into saline group receiving intravenous infusion of saline (N = 6) and endotoxin group receiving intravenous infusion of LPS (N = 18). When ALI model was initially diagnosed, six pigs in the LPS and saline group were killed for BALF and histopathological analysis. The remaining 12 pigs in LPS group received 3-h HA (N = 6) or HA-sham (N = 6) treatment, respectively. Following another 5-h observation, animals were killed. Variables on hemodynamics, blood gases and lung mechanics were recorded at a series of time points. Differentially expressed cytokines and proteins were determined by ELISA and proteomics. Results HA treatment significantly improved injured oxygenation induced by LPS. HA also partially improved the barrier permeability and reduced lung edema and inflammation/injury induced by LPS infusion. Proteomic analysis showed the differentially expressed proteins between HA- and HA-sham-treated groups mostly belonged to the categories of acute inflammation/immune response, and proteolysis. Conclusions Hemoadsorption improved ARDS possibly by blunting the cytokine storm and by restoring homeostasis of the disordered proteome milieu in the exudative phase.
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spelling doaj.art-6c8d9202f75e4698a260a4914a3b348b2022-12-22T03:08:54ZengSpringerOpenAnnals of Intensive Care2110-58202017-08-017111710.1186/s13613-017-0287-0Effect of HA330 resin-directed hemoadsorption on a porcine acute respiratory distress syndrome modelXuefeng Xu0Chune Jia1Sa Luo2Yanming Li3Fei Xiao4Huaping Dai5Chen Wang6National Clinical Research Centre for Respiratory Diseases, Beijing HospitalDepartment of Pulmonary and Critical Care Medicine, China-Japan Friendship HospitalDepartment of Pulmonary and Critical Care Medicine, China-Japan Friendship HospitalNational Clinical Research Centre for Respiratory Diseases, Beijing HospitalNational Clinical Research Centre for Respiratory Diseases, Beijing HospitalDepartment of Pulmonary and Critical Care Medicine, China-Japan Friendship HospitalNational Clinical Research Centre for Respiratory Diseases, Beijing HospitalAbstract Background Blood purification is an emerging approach to dampening the cytokine storm. This study aims to assess the efficacy of HA330 resin-directed hemoadsorption (HA) on endotoxin-induced porcine acute respiratory distress syndrome (ARDS) model. Methods Twenty-four Chinese domestic pigs were allocated into saline group receiving intravenous infusion of saline (N = 6) and endotoxin group receiving intravenous infusion of LPS (N = 18). When ALI model was initially diagnosed, six pigs in the LPS and saline group were killed for BALF and histopathological analysis. The remaining 12 pigs in LPS group received 3-h HA (N = 6) or HA-sham (N = 6) treatment, respectively. Following another 5-h observation, animals were killed. Variables on hemodynamics, blood gases and lung mechanics were recorded at a series of time points. Differentially expressed cytokines and proteins were determined by ELISA and proteomics. Results HA treatment significantly improved injured oxygenation induced by LPS. HA also partially improved the barrier permeability and reduced lung edema and inflammation/injury induced by LPS infusion. Proteomic analysis showed the differentially expressed proteins between HA- and HA-sham-treated groups mostly belonged to the categories of acute inflammation/immune response, and proteolysis. Conclusions Hemoadsorption improved ARDS possibly by blunting the cytokine storm and by restoring homeostasis of the disordered proteome milieu in the exudative phase.http://link.springer.com/article/10.1186/s13613-017-0287-0ARDSCytokine stormHemoadsorptionPorcine modelProteomics
spellingShingle Xuefeng Xu
Chune Jia
Sa Luo
Yanming Li
Fei Xiao
Huaping Dai
Chen Wang
Effect of HA330 resin-directed hemoadsorption on a porcine acute respiratory distress syndrome model
Annals of Intensive Care
ARDS
Cytokine storm
Hemoadsorption
Porcine model
Proteomics
title Effect of HA330 resin-directed hemoadsorption on a porcine acute respiratory distress syndrome model
title_full Effect of HA330 resin-directed hemoadsorption on a porcine acute respiratory distress syndrome model
title_fullStr Effect of HA330 resin-directed hemoadsorption on a porcine acute respiratory distress syndrome model
title_full_unstemmed Effect of HA330 resin-directed hemoadsorption on a porcine acute respiratory distress syndrome model
title_short Effect of HA330 resin-directed hemoadsorption on a porcine acute respiratory distress syndrome model
title_sort effect of ha330 resin directed hemoadsorption on a porcine acute respiratory distress syndrome model
topic ARDS
Cytokine storm
Hemoadsorption
Porcine model
Proteomics
url http://link.springer.com/article/10.1186/s13613-017-0287-0
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