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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Format: | Article |
Language: | English |
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SpringerOpen
2017-08-01
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Series: | Annals of Intensive Care |
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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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id | doaj.art-6c8d9202f75e4698a260a4914a3b348b |
institution | Directory Open Access Journal |
issn | 2110-5820 |
language | English |
last_indexed | 2024-04-13T01:16:36Z |
publishDate | 2017-08-01 |
publisher | SpringerOpen |
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series | Annals of Intensive Care |
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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