TY - JOUR
T1 - Role of calcitonin gene-related peptide (CGRP) in ovine burn and smoke inhalation injury
AU - Lange, Matthias
AU - Enkhbaatar, Perenlei
AU - Traber, Daniel L.
AU - Cox, Robert A.
AU - Jacob, Sam
AU - Mathew, Babu P.
AU - Hamahata, Atsumori
AU - Traber, Lillian D.
AU - Herndon, David N.
AU - Hawkins, Hal K.
PY - 2009/7
Y1 - 2009/7
N2 - Concomitant smoke inhalation trauma in burn patients is a serious medical problem. Previous investigations in our sheep model revealed that these injuries lead to significant airway hyperemia, enhanced pulmonary fluid extravasation, and severely impaired pulmonary function. However, the pathophysiological mechanisms are still not fully understood. The lung is innervated by sensory nerves containing peptides such as substance P and calcitonin gene-related peptide. Noxious stimuli in the airways can induce a neurogenic inflammatory response, which has previously been implicated in several airway diseases. Calcitonin gene-related peptide is known to be a potent vasodilator. We hypothesized that calcitonin gene-related peptide is also a mediator of the pulmonary reaction to toxic smoke and planned experiments to evaluate its role in this model. We tested the effects of pretreatment with a specific antagonist of the major receptor for calcitonin gene-related peptide (BIBN4096BS; 32 μg/kg, followed by continuous infusion of 6.4 μg·kg -1·h-1) until the animal was killed 48 h after injury in an established ovine model of burn (40% total body surface, third degree) and smoke inhalation (48 breaths, <40°C) injury. In treated animals (n = 7), the injury-related increases in tracheal blood flow and lung lymph flow were significantly attenuated compared with untreated controls (n = 5). Furthermore, the treatment significantly attenuated abnormalities in respiratory gas exchange. The data suggest that calcitonin gene-related peptide contributes to early airway hyperemia, transvascular fluid flux, and respiratory malfunction following ovine burn and smoke inhalation injury. Future studies will be needed to clarify the potential therapeutic benefit for patients with this injury.
AB - Concomitant smoke inhalation trauma in burn patients is a serious medical problem. Previous investigations in our sheep model revealed that these injuries lead to significant airway hyperemia, enhanced pulmonary fluid extravasation, and severely impaired pulmonary function. However, the pathophysiological mechanisms are still not fully understood. The lung is innervated by sensory nerves containing peptides such as substance P and calcitonin gene-related peptide. Noxious stimuli in the airways can induce a neurogenic inflammatory response, which has previously been implicated in several airway diseases. Calcitonin gene-related peptide is known to be a potent vasodilator. We hypothesized that calcitonin gene-related peptide is also a mediator of the pulmonary reaction to toxic smoke and planned experiments to evaluate its role in this model. We tested the effects of pretreatment with a specific antagonist of the major receptor for calcitonin gene-related peptide (BIBN4096BS; 32 μg/kg, followed by continuous infusion of 6.4 μg·kg -1·h-1) until the animal was killed 48 h after injury in an established ovine model of burn (40% total body surface, third degree) and smoke inhalation (48 breaths, <40°C) injury. In treated animals (n = 7), the injury-related increases in tracheal blood flow and lung lymph flow were significantly attenuated compared with untreated controls (n = 5). Furthermore, the treatment significantly attenuated abnormalities in respiratory gas exchange. The data suggest that calcitonin gene-related peptide contributes to early airway hyperemia, transvascular fluid flux, and respiratory malfunction following ovine burn and smoke inhalation injury. Future studies will be needed to clarify the potential therapeutic benefit for patients with this injury.
KW - Airway blood flow
KW - Bronchial circulation
KW - Neurogenic inflammation
KW - Neuropeptides
KW - Pulmonary microcirculation
KW - Sheep
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U2 - 10.1152/japplphysiol.00094.2009
DO - 10.1152/japplphysiol.00094.2009
M3 - Article
C2 - 19407258
AN - SCOPUS:67650034274
SN - 8750-7587
VL - 107
SP - 176
EP - 184
JO - Journal of Applied Physiology
JF - Journal of Applied Physiology
IS - 1
ER -