PMID- 23040781 OWN - NLM STAT- MEDLINE DCOM- 20130801 LR - 20131121 IS - 1003-0603 (Print) IS - 1003-0603 (Linking) VI - 24 IP - 10 DP - 2012 Oct TI - [The effects of postconditioning with propofol on Toll-like receptor 4 expression in the lung tissue of rat with acute lung injury]. PG - 620-3 AB - OBJECTIVE: To investigate the effect of postconditioning with propofol on Toll-like receptor 4 (TLR4) expression in the lung tissue in lipopolysaccharide (LPS)-induced acute lung injury (ALI) rats. METHODS: Thirty Sprague-Dawley (SD) rats were randomly assigned to control group, ALI group, and propofol postcondition group (each n=10). The model of ALI was reproduced by intravenous injection of LPS (8 mg/kg for 30 minutes) into the rats, equivalent normal saline was injected into the rats of control group. The rats were postconditioned with propofol injected intravenously by 20 mg/kg bolus dose and then continuously by 40 mgxkg(-1)xh(-1) with a constant speed for 1 hour. The rats were sacrificed 6 hours after drug injection. Lung wet/dry weight (W/D) ratio and lung permeability index (LPI) was taken. Tumor necrosis factor-alpha (TNF-alpha) level in bronchoalveolar lavage fluid (BALF) was detected using enzyme linked immunosorbent assay (ELISA) method and TLR4 mRNA expression in lung tissue was assessed by reverse transcription-polymerase chain reaction (RT-PCR). RESULTS: The lung W/D ratio, LPI, TLR4 mRNA and TNF-alpha in BALF were all increased in ALI group compared with control group [lung W/D ratio: 5.30+/-0.28 vs. 4.21+/-0.14, LPI (x10(-3)): 8.7+/-2.2 vs. 3.3+/-2.0, TLR4 mRNA: 2.451+/-0.028 vs. 0.998+/-0.021, TNF-alpha: 643.46+/-62.31 ng/L vs. 120.43+/-12.65 ng/L, all P<0.05]. The above indexes were significantly reduced in the propofol group than those in the ALI group [lung W/D ratio: 4.68+/-0.19 vs. 5.30+/-0.28, LPI (x10(-3)): 5.8+/-2.0 vs. 8.7+/-2.2, TLR4 mRNA: 1.126+/-0.025 vs. 2.451+/-0.028, TNF-alpha: 290.53+/-32.01 ng/L vs. 643.46+/-62.31 ng/L, all P<0.05], but still higher than those in control group (all P<0.05). CONCLUSION: Postconditioning with propofol may alleviate ALI via reducing TLR4 mRNA expression, and inhibit the waterfall-like inflammatory reaction. FAU - Li, Guo-Fu AU - Li GF AD - Department of Critical Care Medicine, China Medical University, Shenyang, Liaoning, China. ligf@sj-hospital.org FAU - Tong, Xin AU - Tong X FAU - Luan, Ting AU - Luan T FAU - Zang, Bin AU - Zang B LA - chi PT - English Abstract PT - Journal Article PT - Research Support, U.S. Gov't, Non-P.H.S. PL - China TA - Zhongguo Wei Zhong Bing Ji Jiu Yi Xue JT - Zhongguo wei zhong bing ji jiu yi xue = Chinese critical care medicine = Zhongguo weizhongbing jijiuyixue JID - 9887521 RN - 0 (RNA, Messenger) RN - 0 (Tlr4 protein, rat) RN - 0 (Toll-Like Receptor 4) RN - YI7VU623SF (Propofol) SB - IM MH - Acute Lung Injury/*metabolism MH - Animals MH - Lung/drug effects/*metabolism MH - Male MH - Propofol/*pharmacology MH - RNA, Messenger/genetics MH - Rats MH - Rats, Sprague-Dawley MH - Toll-Like Receptor 4/*metabolism EDAT- 2012/10/09 06:00 MHDA- 2013/08/02 06:00 CRDT- 2012/10/09 06:00 PHST- 2012/10/09 06:00 [entrez] PHST- 2012/10/09 06:00 [pubmed] PHST- 2013/08/02 06:00 [medline] PST - ppublish SO - Zhongguo Wei Zhong Bing Ji Jiu Yi Xue. 2012 Oct;24(10):620-3.