“…Throughout the last five decades, investigation into the pathogenesis of the increased endothelial permeability associated with RDS has indicated a role for many mediators, such as cytokines (e.g., IL-1, TNF-␣) (52,93,146), growth factors [e.g., vascular endothelial growth factor (VEGF)] (93), peptides (substance P, bradykinin) (7,150,183), proteases (e.g., elastase) (19), complement activation (e.g., C5a) (125,188), intravascular coagulation (e.g., thrombin) (59,102,103,110,170), reactive oxygen and nitrogen species (e.g., (20,80,89,164,165), and lung sequestration of neutrophils (95) (Fig. 1).…”