PMID- 14502367 OWN - NLM STAT- MEDLINE DCOM- 20040122 LR - 20201208 IS - 0100-879X (Print) IS - 0100-879X (Linking) VI - 36 IP - 10 DP - 2003 Oct TI - Pentoxifylline decreases tumor necrosis factor and interleukin-1 during high tidal volume. PG - 1349-57 AB - Tumor necrosis factor-alpha (TNF-alpha) is one of the most important proinflammatory cytokines which plays a central role in host defense and in the acute inflammatory response related to tissue injury. The major source of TNF-alpha are immune cells such as neutrophils and macrophages. We tested the hypothesis that pentoxifylline, a methylxanthine derivative, down-regulates proinflammatory cytokine expression during acute lung injury in rats. Male Wistar rats weighing 250 to 450 g were anesthetized ip with 50 mg/kg sodium thiopental and randomly divided into three groups: group 1 (N = 7): tidal volume (V T) = 7 ml/kg, respiratory rate (RR) = 50 breaths/min and normal saline infusion; group 2 (N = 7): V T = 42 ml/kg, RR = 9 breaths/min and normal saline infusion; group 3 (N = 7): V T = 42 ml/kg, RR = 9 breaths/min and pentoxifylline infusion. The animals were ventilated with an inspired oxygen fraction of 1.0, a positive end-expiratory pressure of 3 cmH2O, and normal saline or pentoxifylline injected into the left femoral vein. The mRNA of TNF-alpha rapidly increased in the lung tissue within 180 min of ventilation with a higher V T with normal saline infusion. The concentrations of inflammatory mediators were decreased in plasma and bronchoalveolar lavage (BAL) in the presence of higher V T with pentoxifylline infusion (TNF-alpha: plasma, 102.2+/-90.9 and BAL, 118.2+/-82.1; IL-1 : plasma, 45.2+/-42.7 and BAL, 50.2+/-34.9, P < 0.05). We conclude that TNF-alpha produced by neutrophil influx may function as an alert signal in host defense to induce production of other inflammatory mediators. FAU - Oliveira-Junior, I S AU - Oliveira-Junior IS AD - Disciplina de Pneumologia, Departamento de Doencas Infecciosas e Parasitarias, Universidade Federal de Sao Paulo, Sao Paulo, SP, Brasil. FAU - Pinheiro, B V AU - Pinheiro BV FAU - Silva, I D C G AU - Silva ID FAU - Salomao, R AU - Salomao R FAU - Zollner, R L AU - Zollner RL FAU - Beppu, O S AU - Beppu OS LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20030916 PL - Brazil TA - Braz J Med Biol Res JT - Brazilian journal of medical and biological research = Revista brasileira de pesquisas medicas e biologicas JID - 8112917 RN - 0 (Interleukin-1) RN - 0 (Phosphodiesterase Inhibitors) RN - 0 (Tumor Necrosis Factor-alpha) RN - SD6QCT3TSU (Pentoxifylline) SB - IM MH - Animals MH - Blood Gas Analysis MH - Bronchoalveolar Lavage MH - Interleukin-1/*blood MH - Lung Volume Measurements MH - Male MH - Pentoxifylline/*pharmacology MH - Phosphodiesterase Inhibitors/*pharmacology MH - Rats MH - Rats, Wistar MH - Respiration, Artificial MH - Respiratory Distress Syndrome/*drug therapy MH - Tidal Volume MH - Tumor Necrosis Factor-alpha/*analysis/drug effects EDAT- 2003/09/23 05:00 MHDA- 2004/01/24 05:00 CRDT- 2003/09/23 05:00 PHST- 2003/09/23 05:00 [pubmed] PHST- 2004/01/24 05:00 [medline] PHST- 2003/09/23 05:00 [entrez] AID - S0100-879X2003001000011 [pii] AID - 10.1590/s0100-879x2003001000011 [doi] PST - ppublish SO - Braz J Med Biol Res. 2003 Oct;36(10):1349-57. doi: 10.1590/s0100-879x2003001000011. Epub 2003 Sep 16.