PMID- 22563471 OWN - NLM STAT- MEDLINE DCOM- 20120921 LR - 20220409 IS - 1932-6203 (Electronic) IS - 1932-6203 (Linking) VI - 7 IP - 5 DP - 2012 TI - Intermedin stabilized endothelial barrier function and attenuated ventilator-induced lung injury in mice. PG - e35832 LID - 10.1371/journal.pone.0035832 [doi] LID - e35832 AB - BACKGROUND: Even protective ventilation may aggravate or induce lung failure, particularly in preinjured lungs. Thus, new adjuvant pharmacologic strategies are needed to minimize ventilator-induced lung injury (VILI). Intermedin/Adrenomedullin-2 (IMD) stabilized pulmonary endothelial barrier function in vitro. We hypothesized that IMD may attenuate VILI-associated lung permeability in vivo. METHODOLOGY/PRINCIPAL FINDINGS: Human pulmonary microvascular endothelial cell (HPMVEC) monolayers were incubated with IMD, and transcellular electrical resistance was measured to quantify endothelial barrier function. Expression and localization of endogenous pulmonary IMD, and its receptor complexes composed of calcitonin receptor-like receptor (CRLR) and receptor activity-modifying proteins (RAMPs) 1-3 were analyzed by qRT-PCR and immunofluorescence in non ventilated mouse lungs and in lungs ventilated for 6 h. In untreated and IMD treated mice, lung permeability, pulmonary leukocyte recruitment and cytokine levels were assessed after mechanical ventilation. Further, the impact of IMD on pulmonary vasoconstriction was investigated in precision cut lung slices (PCLS) and in isolated perfused and ventilated mouse lungs. IMD stabilized endothelial barrier function in HPMVECs. Mechanical ventilation reduced the expression of RAMP3, but not of IMD, CRLR, and RAMP1 and 2. Mechanical ventilation induced lung hyperpermeability, which was ameliorated by IMD treatment. Oxygenation was not improved by IMD, which may be attributed to impaired hypoxic vasoconstriction due to IMD treatment. IMD had minor impact on pulmonary leukocyte recruitment and did not reduce cytokine levels in VILI. CONCLUSIONS/SIGNIFICANCE: IMD may possibly provide a new approach to attenuate VILI. FAU - Muller-Redetzky, Holger Christian AU - Muller-Redetzky HC AD - Department of Infectious Diseases and Pulmonary Medicine, Charite-Universitatsmedizin Berlin, Germany. FAU - Kummer, Wolfgang AU - Kummer W FAU - Pfeil, Uwe AU - Pfeil U FAU - Hellwig, Katharina AU - Hellwig K FAU - Will, Daniel AU - Will D FAU - Paddenberg, Renate AU - Paddenberg R FAU - Tabeling, Christoph AU - Tabeling C FAU - Hippenstiel, Stefan AU - Hippenstiel S FAU - Suttorp, Norbert AU - Suttorp N FAU - Witzenrath, Martin AU - Witzenrath M LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20120501 PL - United States TA - PLoS One JT - PloS one JID - 101285081 RN - 0 (Calcitonin Receptor-Like Protein) RN - 0 (Peptide Hormones) RN - 0 (RAMP1 protein, human) RN - 0 (RAMP2 protein, human) RN - 0 (RAMP3 protein, human) RN - 0 (Receptor Activity-Modifying Protein 1) RN - 0 (Receptor Activity-Modifying Protein 2) RN - 0 (Receptor Activity-Modifying Protein 3) RN - 0 (intermedin (17-47)) SB - IM MH - Animals MH - Calcitonin Receptor-Like Protein/genetics/metabolism MH - Cells, Cultured MH - Endothelial Cells/*drug effects/metabolism MH - Female MH - Fluorescent Antibody Technique MH - Gene Expression/drug effects MH - Humans MH - Hypoxia MH - In Vitro Techniques MH - Lung/blood supply/*drug effects/metabolism MH - Lung Injury/etiology/genetics/*prevention & control MH - Mice MH - Mice, Inbred C57BL MH - Microvessels/cytology/drug effects/physiopathology MH - Peptide Hormones/genetics/metabolism/*pharmacology MH - Receptor Activity-Modifying Protein 1/genetics/metabolism MH - Receptor Activity-Modifying Protein 2/genetics/metabolism MH - Receptor Activity-Modifying Protein 3/genetics/metabolism MH - Respiration, Artificial/adverse effects MH - Reverse Transcriptase Polymerase Chain Reaction MH - Vasoconstriction/drug effects PMC - PMC3341380 COIS- Competing Interests: The authors have declared that no competing interests exist. EDAT- 2012/05/09 06:00 MHDA- 2012/09/22 06:00 PMCR- 2012/05/01 CRDT- 2012/05/08 06:00 PHST- 2011/09/14 00:00 [received] PHST- 2012/03/22 00:00 [accepted] PHST- 2012/05/08 06:00 [entrez] PHST- 2012/05/09 06:00 [pubmed] PHST- 2012/09/22 06:00 [medline] PHST- 2012/05/01 00:00 [pmc-release] AID - PONE-D-11-17951 [pii] AID - 10.1371/journal.pone.0035832 [doi] PST - ppublish SO - PLoS One. 2012;7(5):e35832. doi: 10.1371/journal.pone.0035832. Epub 2012 May 1.