1. In vivo evidence for the role of GM-CSF as a mediator in acute pancreatitis-associated lung injury
- Author
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Frossard, Jean Louis, Saluja, Ashok K., Mach, Nicolas, Lee, Hong Sik, Bhagat, Lakshmi, Hadenque, Antoine, Rubbia-Brandt, Laura, Dranoff, Glenn, and Steer, Michael L.
- Subjects
Molecular biology -- Research ,Granulocyte-macrophage colony stimulating factor -- Physiological aspects ,Pancreatitis -- Physiological aspects ,Lungs -- Physiological aspects ,Respiratory distress syndrome -- Physiological aspects ,Inflammation -- Physiological aspects ,Cell adhesion molecules -- Physiological aspects ,Neutrophils -- Physiological aspects ,Mice, mutant strains -- Physiological aspects ,Biological sciences - Abstract
Severe pancreatitis is frequently associated with acute lung injury (ALI) and the respiratory distress syndrome. The role of granulocyte-macrophage colony-stimulating factor (GM-CSF) in mediating the ALI associated with secretagogue-induced experimental pancreatitis was evaluated with GM-CSF knockout mice (GM-CSF -/-). Pancreatitis was induced by hourly (12x) intraperitoneal injection of a supramaximally stimulating dose of the cholecystokinin analog caerulein. The resulting pancreatitis was similar in GM-CSF-sufficient (GM-CSF +/+) control animals and GM-CSF -/- mice. Lung injury, quantitated by measuring lung myeloperoxidase activity (an indicator of neutrophil sequestration), alveolar-capillary permeability, and alveolar membrane thickness was less severe in GM-CSF -/- than in GM-CSF +/+ mice. In GM-CSF +/+ mice, pancreas, lung and serum GM-CSF levels increase during pancreatitis. Lung levels of macrophage inflammatory protein (MIP)-2 are also increased during pancreatitis, but, in this case, the rise is less profound in GM-CSF -/- mice than in GM-CSF +/+ controls. Administration of anti-MIP-2 antibodies was found to reduce the severity of pancreatitis-associated ALI. Our findings indicate that GM-CSF plays a critical role in coupling pancreatitis to ALI and suggest that GM-CSF may act indirectly by regulating the release of other proinflammatory factors including MIP-2. granulocyte-macrophage colony-stimulating factor; caerulein; inflammation; adult respiratory distress syndrome; adhesion molecules; neutrophils
- Published
- 2002