To determine theinitial signaling event in the vascular permeability increase afterhigh airway pressure injury, we compared groups of lungs ventilated atdifferent peak inflation pressures (PIPs) with (gadolinium group) andwithout (control group) infusion of 20 µM gadolinium chloride, aninhibitor of endothelial stretch-activated cationchannels. Microvascular permeability was assessed by using the capillary filtration coefficient(
Kfc), ameasure of capillary hydraulic conductivity.
Kfc was measuredafter ventilation for 30-min periods with 7, 20, and 30 cmH
2O PIP with 3 cmH
2O positive end-expiratorypressure and with 35 cmH
2O PIPwith 8 cmH
2O positive end-expiratory pressure. In control lungs,
Kfc increasedsignificantly to 1.8 and 3.7 times baseline after 30 and 35 cmH
2O PIP, respectively. In thegadolinium group,
Kfc was unchangedfrom baseline (0.060 ± 0.010 ml · min
1 · cmH
2O
1 · 100 g
1) after any PIPventilation period. Pulmonary vascular resistance increasedsignificantly from baseline in both groups before the last
Kfc measurementbut was not different between groups. These results suggest thatmicrovascular permeability is actively modulated by a cellular responseto mechanical injury and that stretch-activated cation channels mayinitiate this response through increases in intracellular calciumconcentration.
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