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http://doi.org/10.25358/openscience-7157
Autoren: | Hartmann, Erik Thomas, Rainer Liu, Tanghua Stefaniak, Joanna Ziebart, Alexander Duenges, Bastian Eckle, Daniel Markstaller, Klaus David, Matthias |
Titel: | TIP peptide inhalation in experimental acute lung injury : effect of repetitive dosage and different synthetic variants |
Online-Publikationsdatum: | 15-Jun-2022 |
Erscheinungsdatum: | 2014 |
Sprache des Dokuments: | Englisch |
Zusammenfassung/Abstract: | BACKGROUND: Inhalation of TIP peptides that mimic the lectin-like domain of TNF-alpha is a novel approach to attenuate pulmonary oedema on the threshold to clinical application. A placebo-controlled porcine model of acute respiratory distress syndrome (ARDS) demonstrated a reduced thermodilution-derived extravascular lung water index (EVLWI) and improved gas exchange through TIP peptide inhalation within three hours. Based on these findings, the present study compares a single versus a repetitive inhalation of a TIP peptide (TIP-A) and two alternate peptide versions (TIP-A, TIP-B). METHODS: Following animal care committee approval ARDS was induced by bronchoalveolar lavage followed by injurious ventilation in 21 anaesthetized pigs. A randomised-blinded three-group setting compared the single-dosed peptide variants TIP-A and TIP-B as well as single versus repetitive inhalation of TIP-A (n = 7 per group). Over two three-hour intervals parameters of gas exchange, transpulmonary thermodilution, calculated alveolar fluid clearance, and ventilation/perfusion-distribution were assessed. Post-mortem measurements included pulmonary wet/dry ratio and haemorrhage/congestion scoring. RESULTS: The repetitive TIP-A inhalation led to a significantly lower wet/dry ratio than a single dose and a small but significantly lower EVLWI. However, EVLWI changes over time and the derived alveolar fluid clearance did not differ significantly. The comparison of TIP-A and B showed no relevant differences. Gas exchange and ventilation/perfusion-distribution significantly improved in all groups without intergroup differences. No differences were found in haemorrhage/congestion scoring. CONCLUSIONS: In comparison to a single application the repetitive inhalation of a TIP peptide in three-hour intervals may lead to a small additional reduction the lung water content. Two alternate TIP peptide versions showed interchangeable characteristics. |
DDC-Sachgruppe: | 610 Medizin 610 Medical sciences |
Veröffentlichende Institution: | Johannes Gutenberg-Universität Mainz |
Organisationseinheit: | FB 04 Medizin |
Veröffentlichungsort: | Mainz |
ROR: | https://ror.org/023b0x485 |
DOI: | http://doi.org/10.25358/openscience-7157 |
Version: | Published version |
Publikationstyp: | Zeitschriftenaufsatz |
Nutzungsrechte: | CC BY |
Informationen zu den Nutzungsrechten: | http://creativecommons.org/licenses/by/2.0/ |
Zeitschrift: | BMC anesthesiology 14 |
Seitenzahl oder Artikelnummer: | Art. 42 |
Verlag: | BioMed central |
Verlagsort: | S.l. |
Erscheinungsdatum: | 2014 |
ISSN: | 1471-2253 |
URL der Originalveröffentlichung: | http://dx.doi.org/10.1186/1471-2253-14-42 |
DOI der Originalveröffentlichung: | 10.1186/1471-2253-14-42 |
Enthalten in den Sammlungen: | DFG-OA-Publizieren (2012 - 2017) |
Dateien zu dieser Ressource:
Datei | Beschreibung | Größe | Format | ||
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tip_peptide_inhalation_in_exp-20220612164311752.pdf | 373.64 kB | Adobe PDF | Öffnen/Anzeigen |