KMID : 0383820110700050390
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Tuberculosis and Respiratory Diseases 2011 Volume.70 No. 5 p.390 ~ p.396
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The Effect of Hyaluronan Treatment in Endotoxemic Rats
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Rho Byung-Hak
Kwon Kun-Young Choi Won-Il
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Abstract
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Background: Hyaluronan (HA) is an unbranched glycosaminoglycan. It has been proposed that HA acts as a vehicle for cytokines due to the strong negative charge on its surface. We hypothesized that HA would function like a cytokine scavenger and reduce the inflammatory signaling cascade and this would lead to improved survival in rats suffering with endotoxemia.
Methods: Endotoxin (Salmonella, 10 mg/kg) or an equal amount of 0.9% NaCl (NS) was injected into the jugular vein of rats. HA (1,600 kDa, 0.35%) or NS was given at 0.1 mL/kg/h for 3 hours. HA or NS infusion was started at 4 hour after endotoxin injection. The rats were divided into the control and HA groups (n=16 for each group). The mean arterial pressure (MAP) was monitored during HA or normal saline infusion. Survival was assessed every 12 hours for 3 days throughout the experiment.
Results: The survival rate (%) of the rats treated with HA was higher (60%) than that of the controls (20%) when HA was infused 4 hours after lipopolysaccharide (LPS) injection. The bronchoalveolar lavage (BAL) fluid of the animals surviving HA or NS infusion 4 hours after LPS showed that the total cell counts and number of neutrophils were significantly (p£¼0.01) reduced in the HA treated groups compared with that of the controls (total cell count, 9.2¡¿104/mL vs. 61¡¿104/mL; neutrophils, 21¡¿104/mL vs. 0.2¡¿104/mL, respectively). There was no significant MAP difference between the HA or control groups either with or without endotoxin.
Conclusion: Infusion of hyaluronan (1,600 kDa) reduced the BAL total cell count and the number of neutrophils and it improved the survival rate of the endotoxemic rats.
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KEYWORD
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Endotoxemia, Hyaluronic Acid, Survival
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