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Are Pulmonary Capillaries Susceptible to Mechanical ... - Journal

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11 Fu Z, Costello ML, Tsukimmio<strong>to</strong> K, et al. Highs Ismmsg voluumne<br />

increases stress failure in pulmonary caupillaries. J AppI<br />

Physiol 1992; 73:123-33<br />

12 Tsukimo<strong>to</strong> K, Mathieu-Costeilo 0, Prediiet<strong>to</strong> B, et aI. Ultrastructural<br />

appearances of pumlmnonary capillaries at hmighs<br />

transunural pressures. J AppI Physiol 1991; 71:573-82<br />

13 Costello ML, Mathieu-Costetho 0, Vest JB. Stress failure of<br />

alveolar epithehial cells studied by scannimsg electron mmsicrou-<br />

copy. Am Rev Respir Dis 1992; 145:1446-55<br />

14 Elliott AR, Fu Z, Tsukimo<strong>to</strong> K, et al. Short-term reversibility<br />

of ultrastructural changes in pulmssonarv capillaries caused by<br />

stress failure. J AppI Plsysiol 1992; 73:1150-58<br />

15 Fu Z, Kurdak 5, Namba Y, et at. Effect of flxatiouu by airway<br />

instillation on the immcidence of stress failure imu putmssomsary<br />

capillaries [abstracti. Amn Rev Respir Dis 1993; 147:A40<br />

16 Rippe B, Townsley M, Thmigpen J, et al. Effects of vascuuhar<br />

pressure on the pulmnonary microvasculature iii isolated dog<br />

lungs. J AppI Physiol 1984; 57:233-39<br />

17 Nicolaysen C, Waaler BA, Aarseth P. On the existemsce of<br />

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19 Parker JC, Townsley MI, Hippe B, et aI. Iumcreased umsicrovats-<br />

cular permeability in clog lumigs cisue <strong>to</strong> high peauk air\vauv<br />

pressures. J AppI Physiol 1984; 57:1809-16<br />

20 Dreyfuss D, Basset C. Soler P. et at. Interumsittent positive-<br />

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duces pulmonary microvascuhar immjurv in ratts. Ausi Rev Hespir<br />

Dim 1985; 132:880-84<br />

21 Drevfuuss D, Saunson C. Luumg overimiflatiomm: phmysiologic aumd<br />

ana<strong>to</strong>mic alterations leading <strong>to</strong> pulmonary edemssa. Imu: Zapol<br />

WM, Leunaire F. eds. Adult respira<strong>to</strong>ry distress syndroumie.<br />

New York: Marcel Dekker Inc. 1991; 433-49<br />

22 Hultgren H. High altitude pulnuommary edema. Its: Hegumauer<br />

A, ed. Biomedicine of hugh terrestrial elevations. Nattick,<br />

Mass: US Army Research Institute of Enviroummmsental Medi-<br />

cine, 1969; 131-41<br />

23 Schoene RB, Hackett P11, Henderson WH, et ut. FligIs-<br />

attitude pulmonary edema: characteristics of lung lavage<br />

fluid. JAMA 1986; 256:63-9<br />

24 Tsukimo<strong>to</strong> K, Yoshimura N, Ichioka M, et al. Protein, cell,<br />

and Ieumkotriemse 84 concentrations of the lung edeumma fluid<br />

produced by high capillary pressures imm rabbit. J Appl<br />

Physiot 1994 (in press)<br />

25 Wieslander J, I-Iemnegrd D. Time involvement of tpe IV<br />

collagen in Coodpasture’s syndrome. Anmi NY Acad Sci 1985;<br />

460:363-74<br />

26 West JB, Mathieu-Costet<strong>to</strong> 0, Jones JH. et aI. Stress failure<br />

of pulmonary capillaries ims racehmorses with exercise-induced<br />

pulmonary hemorrhage. J Appi Physiot 1993; 75:1097-1109<br />

27 Jones J1-1, Sussith BL, Birks EK, et al. Left atrial amid pulusmonary<br />

arterial pressures in exercising horses [ambstracti. FASEB<br />

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28 Wagner PD, Gillespie JR. Landgren CL, et ah. Mechamsisun of<br />

exercise-induced hypoxemisia in horses. J AppI Physiol 1989;<br />

66:1227-33<br />

Downloaded From: http://journal.publications.chestnet.org/ on 07/30/2013<br />

Centripetal Tension and<br />

Endothelial Retraction*<br />

A/aim B. Moy, M.D.; Rebecca Site/don, BA.; Kntituj Liimd-’deuj. BA.;<br />

Sandra Sima.sbm,, BA.; amid D. ,\ufcitael S/tathy. M. I).<br />

I nflatusumsia<strong>to</strong>rv misolecumles suicim as histaumsuiuue incresuse<br />

eumclothsehial permmseabihity by imsitiatimig retrstctioum of<br />

ssdjsscemut eumdotluehial cells. We recemstly reported that ims<br />

hmsummuamu umnubilic’al vein emidothueliash (I! UVE) cells huista-<br />

mssimie imucresuseci phuosphorylatioms of thse light chmaimm tif<br />

mssyosimu (MLC) by 0.18 ± 0.02 moles phsosphmsitc’ p’ mndile<br />

MLC (ussolP/nmolMLC). This is consistemmt with time his’-<br />

pothesis timsit Imistamimme initiates retrsicti(imi by increasimsg<br />

ceistripetath temmsiomu within euidothmehial cells. However,<br />

chselatiomi of extracehlular calcitumsi whelm interrumpts cell-<br />

cell amid ceil-sul)strate hiiumding also increases endotimehial<br />

permnestl)ility simmcl causes emmdothselistl cell retrstetioms hiothu<br />

itt situ immperfumsed lummgs mudl iii vitro with cultmureei cells.<br />

TIse effects of cstlc’iuummu elmc’lattioms sire’ coumsistemit ss’ithm tlue<br />

hiy’potiuesis tlmaut retesuse of forces tetlmerimug emidothuelial<br />

cells imi plaice atllows expressiuiui of’ at e(immstitultive centrip-<br />

etal teumsioms. Ims our receumt report, we fouund commstitumtive<br />

)lmospImorylsitiomm of M LC at 0.20 ± 0.02 msmolP/ummolMLC,<br />

coumsistemit with si c’onstituutive’ atc<strong>to</strong>mmsy’osimi-mmsediatu’d teum-<br />

siomm. \Vc’ asked if reclumctioum of Ni LC phmosphorvhaitioum<br />

woumld prevemmt tile respomise <strong>to</strong> hmiststmmmimue or calciuumui<br />

chmel5ution. aimscl conversely, if iuscrestsedi comistitustive, Ni LC<br />

plmosphorylsitiomm wosmld cause cell retrsictioms.<br />

1mmcommtrot amid huistsimimse-stuimiumlateel H UVE cells amid imm<br />

comutreil porcimie puhmmiomuary arterv eutdothmelissh (PPAE)<br />

cells tryptic peptide misaps indicated that M LC was phmos-<br />

phmom’y’lamtecl by the csulcisumss calmimoduhimi -dlepemudemut myosimi<br />

light clmsuin kinase. Pretreatm#{236}ment cif H UVE cells withs<br />

cAMP pres’emmtsc! the huistamnimme-stimsiuulatech immcrease imm<br />

MLC phsosphmorylation (-0.08 ± 0.02 mmuolP/mssoIMLC) ammcl<br />

a huistsumuimme imuitiated imscreasse iii H UVE cell misonolaver<br />

periuueal)ility (-12 ± 1 percemmt). Pretreatumiemut of IIUVE<br />

cells withm tue cathciumui-csulmnodulims inhmihii<strong>to</strong>r, Ni L-9, also<br />

prevented time huistsimisimse stimsmulated imicreutse its Ni LC<br />

pluosphmorylation (-0.29 ± 0.04 muuolP/mmsolM LC) mmmc! tIme<br />

iumcrease imu HUVE cell msuonolayer permeability (14 ± 4<br />

percemmt of time coumtrol response). Simssihstrlv, pretreatmsmemmt<br />

of PPAE cells with cAMP reduced bstssih MLC phsplm-<br />

rylatiomm (-0.16 ± 0.O3molP/molM LC) amid reduced tIle<br />

increase in mmsoncilayer permssesuhility fohlowimsg calciumms<br />

chelatioum (21 ± 14 percemut of tIle c’ommtrol response). Pre-<br />

treatmuuemst of PPAE cells witls ML-9 also reduced bausath<br />

M LC phmosphmorvlation (-0.13 ± 0.02 mmsolP/miucil M LC) atnel<br />

reduced the imseresise iii msmousolaver permuueahuhitv fohlosv-<br />

imug calciumsu chielsttiomm (47 ± 5 percent of control re-<br />

5l)onse).<br />

TIse hstsai level of M LC phmosplmoryhsutiomm likely rehire-<br />

sents comustituitive kiumatse stud pImsplmsutsise activity. Okadstic’<br />

stcid iumcreaseei Ni LC )imosphmorylsstiomm ium i’PAE cells (1<br />

j.tM, 0.06 ± 0.O4mmsolP/mmuo1MLC siumel 10 1.tM, 0.17 ± 0.05<br />

uiuotP/umsolMLC ) iii su dose-depemsdemut muistumumer, simucl 10<br />

f.LM (289 ± 32 1)ercemst) but hot I i.sM (4 ± 5 perce’mmt)<br />

okssciatic atcid imscrestseci PPAE cell umueimmolsive’r permumesthil-<br />

6Frouus thue Ummivc’rsity- of Iowa College of Mediciuue, Iowa City’.<br />

CHEST / 105 / 3 / MARCH, 1994 / Supplement 107S

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