PMID- 18055842 OWN - NLM STAT- MEDLINE DCOM- 20080319 LR - 20200930 IS - 1040-0605 (Print) IS - 1040-0605 (Linking) VI - 294 IP - 2 DP - 2008 Feb TI - Activation of Toll-like receptor 2 impairs hypoxic pulmonary vasoconstriction in mice. PG - L300-8 AB - Toll-like receptors (TLRs) mediate inflammation in sepsis, but their role in sepsis-induced respiratory failure is unknown. Hypoxic pulmonary vasoconstriction (HPV) is a unique vasoconstrictor response that diverts blood flow away from poorly ventilated lung regions. HPV is impaired in sepsis and after challenge with the TLR4 agonist lipopolysaccharide (LPS). Unlike TLR4 agonists, which are present only in Gram-negative bacteria, TLR2 agonists are ubiquitously expressed in all of the major classes of microorganisms that cause sepsis, including both Gram-positive and Gram-negative bacteria and fungi. We tested the hypothesis that (S)-[2,3-bis(palmitoyloxy)-(2RS)-propyl]-N-palmitoyl-(R)-Cys-(S)-Ser(S)-Lys(4)-OH, trihydrochloride (Pam3Cys), a TLR2 agonist, impairs HPV and compared selected pulmonary and systemic effects of Pam3Cys vs. LPS. HPV was assessed 22 h after challenge with saline, Pam3Cys, or LPS by measuring the increase in the pulmonary vascular resistance of the left lung before and during left lung alveolar hypoxia produced by left mainstem bronchus occlusion (LMBO). Additional endpoints included arterial blood gases during LMBO, hemodynamic parameters, weight loss, temperature, physical appearance, and several markers of lung inflammation. Compared with saline, challenge with Pam3Cys caused profound impairment of HPV, reduced systemic arterial oxygenation during LMBO, weight loss, leukopenia, and lung inflammation. In addition to these effects, LPS-challenged mice had lower rectal temperatures, metabolic acidosis, and were more ill appearing than Pam3Cys-challenged mice. These data indicate that TLR2 activation impairs HPV and induces deleterious systemic effects in mice and suggest that TLR2 pathways may be important in sepsis-induced respiratory failure. FAU - Petersen, Bodil AU - Petersen B AD - Department of Anesthesia and Critical Care, Massachusetts General Hospital, 55 Fruit Street, Boston, MA 02114, USA. FAU - Bloch, Kenneth D AU - Bloch KD FAU - Ichinose, Fumito AU - Ichinose F FAU - Shin, Hae-Sook AU - Shin HS FAU - Shigematsu, Misako AU - Shigematsu M FAU - Bagchi, Aranya AU - Bagchi A FAU - Zapol, Warren M AU - Zapol WM FAU - Hellman, Judith AU - Hellman J LA - eng GR - AI 058106/AI/NIAID NIH HHS/United States GR - HL 42397/HL/NHLBI NIH HHS/United States GR - HL 71987/HL/NHLBI NIH HHS/United States GR - HL 74352/HL/NHLBI NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural DEP - 20071130 PL - United States TA - Am J Physiol Lung Cell Mol Physiol JT - American journal of physiology. Lung cellular and molecular physiology JID - 100901229 RN - 0 (Dipeptides) RN - 0 (Lipopolysaccharides) RN - 0 (Lipoproteins) RN - 0 (RNA, Messenger) RN - 0 (Reactive Oxygen Species) RN - 0 (Toll-Like Receptor 2) RN - 0 (Tumor Necrosis Factor-alpha) RN - 98598-79-9 (2,3-bis-(palmitoyloxy)-2-propyl-N-palmitoyl-cysteinylserine) RN - EC 1.11.1.7 (Peroxidase) RN - EC 1.14.13.39 (Nitric Oxide Synthase Type II) RN - S88TT14065 (Oxygen) SB - IM MH - Animals MH - Blood Gas Analysis MH - Dipeptides/pharmacology MH - Hemodynamics/drug effects MH - Hypoxia/*physiopathology MH - Leukocytes/cytology MH - Lipopolysaccharides/pharmacology MH - Lipoproteins/pharmacology MH - Lung/drug effects/enzymology/metabolism/physiopathology MH - Mice MH - Mice, Inbred C57BL MH - Neutrophil Infiltration/drug effects MH - Nitric Oxide Synthase Type II/genetics/metabolism MH - Organ Size/drug effects MH - Oxygen/metabolism MH - Peroxidase/metabolism MH - Pulmonary Artery/drug effects/metabolism MH - Pulmonary Circulation/*physiology MH - RNA, Messenger/genetics/metabolism MH - Reactive Oxygen Species/metabolism MH - Toll-Like Receptor 2/*metabolism MH - Tumor Necrosis Factor-alpha/genetics/metabolism MH - Up-Regulation/drug effects MH - Vasoconstriction/*physiology MH - Weight Loss/drug effects EDAT- 2007/12/07 09:00 MHDA- 2008/03/20 09:00 CRDT- 2007/12/07 09:00 PHST- 2007/12/07 09:00 [pubmed] PHST- 2008/03/20 09:00 [medline] PHST- 2007/12/07 09:00 [entrez] AID - 00243.2007 [pii] AID - 10.1152/ajplung.00243.2007 [doi] PST - ppublish SO - Am J Physiol Lung Cell Mol Physiol. 2008 Feb;294(2):L300-8. doi: 10.1152/ajplung.00243.2007. Epub 2007 Nov 30.