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Type XVIII collagen degradation products in acute lung injury

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Perkins, Gavin D., Nathani, Nazim, Richter, Alex G., Park, Daniel, Shyamsundar, Murali, Heljasvaara, Ritva, Pihlajaniemi, Taina, Manji, Mav, Tunnicliffe, W., McAuley, Danny, Smith, F. Gao (Fang Gao) and Thickett, David R. (2009) Type XVIII collagen degradation products in acute lung injury. Critical Care, 13 (2). R52. doi:10.1186/cc7779 ISSN 1466-609X.

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Official URL: http://dx.doi.org/10.1186/cc7779

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Abstract

Introduction:
In acute lung injury, repair of the damaged alveolar-capillary barrier is an essential part of recovery. Endostatin is a 20 to 28 kDa proteolytic fragment of the basement membrane collagen XVIII, which has been shown to inhibit angiogenesis via action on endothelial cells. We hypothesised that endostatin may have a role in inhibiting lung repair in patients with lung injury. The aims of the study were to determine if endostatin is elevated in the plasma/bronchoalveolar lavage fluid of patients with acute lung injury and ascertain whether the levels reflect the severity of injury and alveolar inflammation, and to assess if endostatin changes occur early after the injurious lung stimuli of one lung ventilation and lipopolysaccharide (LPS) challenge.

Methods:
Endostatin was measured by ELISA and western blotting.

Results:
Endostatin is elevated within the plasma and bronchoalveolar lavage fluid of patients with acute lung injury. Lavage endostatin reflected the degree of alveolar neutrophilia and the extent of the loss of protein selectivity of the alveolar-capillary barrier. Plasma levels of endostatin correlated with the severity of physiological derangement. Western blotting confirmed elevated type XVIII collagen precursor levels in the plasma and lavage and multiple endostatin-like fragments in the lavage of patients. One lung ventilation and LPS challenge rapidly induce increases in lung endostatin levels.

Conclusions:
Endostatin may adversely affect both alveolar barrier endothelial and epithelial cells, so its presence within both the circulation and the lung may have a pathophysiological role in acute lung injury that warrants further evaluation.

Item Type: Journal Article
Divisions: Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Clinical Trials Unit
Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences
Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School
Journal or Publication Title: Critical Care
Publisher: BioMed Central Ltd.
ISSN: 1466-609X
Official Date: 2009
Dates:
DateEvent
2009Published
Volume: 13
Number: 2
Article Number: R52
DOI: 10.1186/cc7779
Status: Peer Reviewed
Publication Status: Published
Access rights to Published version: Open Access (Creative Commons)

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