2016
DOI: 10.1136/thoraxjnl-2015-208067
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Role of acid sphingomyelinase and IL-6 as mediators of endotoxin-induced pulmonary vascular dysfunction

Abstract: Our data indicate that aSMase and IL-6 are not simply biomarkers of poor outcomes but pathogenic mediators of pulmonary vascular dysfunction in ARDS secondary to Gram-negative infections.

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Cited by 56 publications
(51 citation statements)
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“…LPS, a major component of the outer membrane of Gram‐negative bacteria, plays a critical role in the pathogenesis of periodontitis (Jain & Darveau, ). Since our laboratory and others have shown that ASMase is activated by LPS and plays an important role in LPS‐induced inflammation response (Cuschieri, Bulger, Billgrin, Garcia, & Maier, ; Jin et al, ; Pandolfi et al, ), it is important to determine whether ASMase is involved in experimental periodontitis.…”
Section: Introductionmentioning
confidence: 99%
“…LPS, a major component of the outer membrane of Gram‐negative bacteria, plays a critical role in the pathogenesis of periodontitis (Jain & Darveau, ). Since our laboratory and others have shown that ASMase is activated by LPS and plays an important role in LPS‐induced inflammation response (Cuschieri, Bulger, Billgrin, Garcia, & Maier, ; Jin et al, ; Pandolfi et al, ), it is important to determine whether ASMase is involved in experimental periodontitis.…”
Section: Introductionmentioning
confidence: 99%
“…Mayers et al have demonstrated that TNF‐α decreases HPV during perfusion and ventilation of isolated canine pulmonary lobes during administration of recombinant human TNF‐α followed by hypoxia and measurement of PVR. Also, Pandolfi et al have described exogenous IL‐6 causing a blunting of rat pulmonary vascular constriction to hypoxia using isolated pulmonary arterial wire myograph experiments. Though these preclinical results are intriguing, clinical studies with human lungs are required to further validate these findings.…”
Section: Discussionmentioning
confidence: 99%
“…The change in PVR (DPVR) remains robust in healthy lungs without pulmonary vascular endothelial dysfunction. There is a blunting of the DPVR in disease, representative of pulmonary vascular dysfunction (14)(15)(16)(17)(18)(19)(20). Given the simplicity and reproducibility of HPV, we hypothesize that HPV is a more sensitive parameter over P/F ratio in assessing lung quality during EVLP.…”
mentioning
confidence: 99%
“…Further to pro-proliferative effects, the proinflammatory role of sphingolipids may be relevant in PAH, where dysregulated inflammation is recognised. The endotoxin-induced ceramide release from PASMC in this study11 is relevant to PH in ARDS and also chronic respiratory diseases, where acute exacerbations are characterised by a reversible increase in pulmonary arterial pressure, which is related to acute hypoxia (eg, in COPD). Chronic repeated inflammation is likely also to cause progressive pulmonary vascular remodelling and PH,20 as suggested in patients with frequent COPD exacerbations 21…”
mentioning
confidence: 95%
“…The article by Pandolfi and coworkers11 adds to the evidence that inflammatory mechanisms contribute to the pathogenesis of PH in ARDS. In particular, their study addresses whether IL-6 and acid sphingomyelinase (aSMase) contribute to pulmonary vascular dysfunction in a rat model of inhaled lipopolysaccharide (LPS)-induced ARDS.…”
mentioning
confidence: 99%