Alveolar neutrophil functions and cytokine levels in patients with the adult respiratory distress syndrome during nitric oxide inhalation

Autor: M A Gougerot-Pocidalo, Didier Payen, C Gatecel, Nathalie Kermarrec, Sylvie Chollet-Martin
Rok vydání: 1996
Předmět:
Zdroj: American Journal of Respiratory and Critical Care Medicine. 153:985-990
ISSN: 1535-4970
1073-449X
DOI: 10.1164/ajrccm.153.3.8630584
Popis: It was recently demonstrated that nitric oxide (NO) inhalation improves arterial oxygenation in patients with the adult respiratory distress syndrome (ARDS). However, the potential adverse reaction of NO on inflammatory cells and mediators in the lung has not yet been investigated. In this study, we evaluated the impact of NO inhalation on lung polymorphonuclear neutrophil (PMN) activation and proinflammatory cytokine release, both of which are involved in the pathophysiology of ARDS. Two groups of patients with ARDS of similar etiologies were compared; one received NO (n=9) and the other did not (n=5). After 4 d of NO inhalation (18 ppm), PMN form bronchoalveolar lavage (BAL) showed a reduction in both spontaneous H2O2 production (p
Databáze: OpenAIRE