Korean J Thorac Cardiovasc Surg.
2009 Feb;42(1):1-8.
The Effects of Moxifloxacin in Endotoxin-induced Acute Lung Injury
- Affiliations
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- 1Department of Thoracic and Cardiovascular Surgery, College of Medicine, Yeungnam University, Korea. heartljh@med.yu.ac.kr
- 2Department of Anatomy, College of Medicine, Catholic University of Daegu, Korea.
- 3Department of Physiology, College of Medicine, Catholic University of Daegu, Korea.
Abstract
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BACKGROUND: The pathophysiology of acute respiratory distress syndrome with sepsis is acute lung injury (ALI) that's' caused by endotoxin (LPS). We evaluate effects of moxifloxacin on LPS-induced ALI in a rat model.
MATERIAL AND METHOD: The rats were divided into 3 groups as the control group (C), the LPS insult group (L), and the LPS+moxifloxacin treated group (L-M). ALI was induced by endotracheal instillation of E.coli LPS, then moxifloxacin was given in 30 minutes. Five hours later, we checked the lung weight/body weight ratio(the L/BW ratio), the protein & neutrophils in the bronchoalveolar lavage fluid (BALF), the myeloperoxidase (MPO) activity & the malondialdehyde (MDA) content, the expressions of cytosolic and secretory phospholipase A2 (c, sPLA2), and the morphology of the lung with using a light microscope.
RESULT: The L/BW ratio, the protein content and the neutrophil count in the BALF, and the MPO activity and the MDA content in lung were significantly increased in group L compared to group C, and these factors were markedly decreased in group L-M compare to group L. The cPLA2 expression and the sPLA2 expression were increased in group L and the cPLA2 expression was decreased in group L-M. Yet the sPLA2 expression was not changed in group L-M. Morphologically, many inflammatory findings were observed in group L, but not in group L-M.
CONCLUSION
Many of the inflammatory changes of ALI that were caused by LPS insult were ameliorated by moxifloxacin treatment.