PMID- 19032551 OWN - NLM STAT- MEDLINE DCOM- 20090220 LR - 20211020 IS - 1365-2249 (Electronic) IS - 0009-9104 (Print) IS - 0009-9104 (Linking) VI - 155 IP - 2 DP - 2009 Feb TI - The volatile anaesthetic sevoflurane attenuates lipopolysaccharide-induced injury in alveolar macrophages. PG - 224-30 LID - 10.1111/j.1365-2249.2008.03807.x [doi] AB - Acute lung injury (ALI) is a well-defined inflammation whereby alveolar macrophages play a crucial role as effector cells. As shown previously in numerous experimental approaches, volatile anaesthetics might reduce the degree of injury in pre- or post-conditioning set-ups. Therefore, we were interested to evaluate the effect of the application of the volatile anaesthetic sevoflurane on alveolar macrophages regarding the expression of inflammatory mediators upon lipopolysaccharide (LPS) stimulation in vitro. Alveolar macrophages were stimulated with LPS. Two hours later, cells were exposed additionally to air (control) or to sevoflurane-containing air for 4, 6, 8, 12 or 24 h. Tumour necrosis factor (TNF)-alpha, cytokine-induced neutrophil chemoattractant-1 (CINC-1), macrophage-inflammatory protein-2 (MIP-2) and monocyte chemoattractant protein-1 (MCP-1) proteins were determined and chemotaxis assays were performed. To evaluate possible cellular signalling pathways phosphorylation of the kinases extracellular-regulated kinase (ERK) and Akt was assessed. In the early phase of sevoflurane post-conditioning expression of TNF-alpha, CINC-1, MIP-2 and MCP-1 was attenuated, leading to a diminished chemotaxis reaction for neutrophils. Phosphorylation of ERK seems to be a possible cellular mechanism in the sevoflurane-induced protection in vitro. Pharmacological post-conditioning of alveolar macrophages with sevoflurane immunmodulates the inflammatory response upon stimulation with endotoxin. This might be a possible option for a therapeutical approach in ALI. FAU - Steurer, M AU - Steurer M AD - Institute of Physiology, Zurich Center of Integrative Human Physiology, Zurich, Switzerland. FAU - Schlapfer, M AU - Schlapfer M FAU - Steurer, M AU - Steurer M FAU - Z'graggen, B Roth AU - Z'graggen BR FAU - Booy, C AU - Booy C FAU - Reyes, L AU - Reyes L FAU - Spahn, D R AU - Spahn DR FAU - Beck-Schimmer, B AU - Beck-Schimmer B LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20081120 PL - England TA - Clin Exp Immunol JT - Clinical and experimental immunology JID - 0057202 RN - 0 (Anesthetics, Inhalation) RN - 0 (Ccl2 protein, rat) RN - 0 (Chemokine CCL2) RN - 0 (Chemokine CXCL1) RN - 0 (Chemokine CXCL2) RN - 0 (Cxcl1 protein, rat) RN - 0 (Cxcl2 protein, rat) RN - 0 (Lipopolysaccharides) RN - 0 (Macrophage Inflammatory Proteins) RN - 0 (Methyl Ethers) RN - 0 (Tumor Necrosis Factor-alpha) RN - 38LVP0K73A (Sevoflurane) SB - IM MH - Acute Lung Injury/metabolism/pathology MH - Anesthetics, Inhalation/*pharmacology MH - Animals MH - Cell Line MH - Chemokine CCL2/biosynthesis MH - Chemokine CXCL1/biosynthesis MH - Chemokine CXCL2/biosynthesis MH - Chemotaxis, Leukocyte/drug effects MH - Dose-Response Relationship, Drug MH - Lipopolysaccharides/*antagonists & inhibitors/pharmacology MH - Macrophage Inflammatory Proteins/*biosynthesis MH - Macrophages, Alveolar/*drug effects/metabolism MH - Methyl Ethers/*pharmacology MH - Rats MH - Sevoflurane MH - Signal Transduction/drug effects MH - Tumor Necrosis Factor-alpha/metabolism PMC - PMC2675253 EDAT- 2008/11/27 09:00 MHDA- 2009/02/21 09:00 PMCR- 2010/02/01 CRDT- 2008/11/27 09:00 PHST- 2008/11/27 09:00 [pubmed] PHST- 2009/02/21 09:00 [medline] PHST- 2008/11/27 09:00 [entrez] PHST- 2010/02/01 00:00 [pmc-release] AID - CEI3807 [pii] AID - 10.1111/j.1365-2249.2008.03807.x [doi] PST - ppublish SO - Clin Exp Immunol. 2009 Feb;155(2):224-30. doi: 10.1111/j.1365-2249.2008.03807.x. Epub 2008 Nov 20.