Please use this identifier to cite or link to this item: http://doi.org/10.25358/openscience-7157
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dc.contributor.authorHartmann, Erik-
dc.contributor.authorThomas, Rainer-
dc.contributor.authorLiu, Tanghua-
dc.contributor.authorStefaniak, Joanna-
dc.contributor.authorZiebart, Alexander-
dc.contributor.authorDuenges, Bastian-
dc.contributor.authorEckle, Daniel-
dc.contributor.authorMarkstaller, Klaus-
dc.contributor.authorDavid, Matthias-
dc.date.accessioned2022-06-15T08:49:18Z-
dc.date.available2022-06-15T08:49:18Z-
dc.date.issued2014-
dc.identifier.urihttps://openscience.ub.uni-mainz.de/handle/20.500.12030/7171-
dc.description.abstractBACKGROUND: 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.en_GB
dc.description.sponsorshipDFG, Open Access-Publizieren Universität Mainz / Universitätsmedizinde
dc.language.isoengde
dc.rightsCC BY*
dc.rights.urihttp://creativecommons.org/licenses/by/2.0/*
dc.subject.ddc610 Medizinde_DE
dc.subject.ddc610 Medical sciencesen_GB
dc.titleTIP peptide inhalation in experimental acute lung injury : effect of repetitive dosage and different synthetic variantsen_GB
dc.typeZeitschriftenaufsatzde
dc.identifier.doihttp://doi.org/10.25358/openscience-7157-
jgu.type.dinitypearticleen_GB
jgu.type.versionPublished versionde
jgu.type.resourceTextde
jgu.organisation.departmentFB 04 Medizinde
jgu.organisation.number2700-
jgu.organisation.nameJohannes Gutenberg-Universität Mainz-
jgu.rights.accessrightsopenAccess-
jgu.journal.titleBMC anesthesiologyde
jgu.journal.volume14de
jgu.pages.alternativeArt. 42de
jgu.publisher.year2014-
jgu.publisher.nameBioMed centralde
jgu.publisher.placeS.l.de
jgu.publisher.urihttp://dx.doi.org/10.1186/1471-2253-14-42de
jgu.publisher.issn1471-2253de
jgu.organisation.placeMainz-
jgu.identifier.pmid24904234-
jgu.subject.ddccode610de
opus.date.modified2018-08-08T09:02:12Z-
opus.subject.dfgcode00-000-
opus.organisation.stringFB 04: Medizin: Klinik für Anästhesiologiede_DE
opus.identifier.opusid27378-
opus.importsourcepubmed-
opus.institute.number0418-
opus.metadataonlyfalse-
opus.type.contenttypeKeinede_DE
opus.type.contenttypeNoneen_EN
opus.affiliatedHartmann, Erik-
opus.affiliatedThomas, Rainer-
opus.affiliatedZiebart, Alexander-
opus.affiliatedEckle, Daniel-
jgu.publisher.doi10.1186/1471-2253-14-42de
jgu.organisation.rorhttps://ror.org/023b0x485
Appears in collections:DFG-OA-Publizieren (2012 - 2017)

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