Blood cytokine expression correlates with early multi-organ damage in a mouse model of moderate hypothermia with circulatory arrest using cardiopulmonary bypass

PLoS One. 2018 Oct 11;13(10):e0205437. doi: 10.1371/journal.pone.0205437. eCollection 2018.

Abstract

Cardiopulmonary bypass (CPB) with moderate hypothermic cardiac arrest (MHCA) is essential for prolonged complex procedures in cardiac surgery and is associated with postoperative complications. Although cytokine release provoked through MHCA under CPB plays a pivotal role in postoperative organ damage, the pathomechanisms are unclear. Here, we investigated the cytokine release pattern and histological organ damage after MHCA using a recently described mouse CPB model. Eight BALB/c mice underwent 60 minutes of circulatory arrest under CPB, were successively rewarmed and reperfused. Blood cytokine concentrations and liver and kidney function parameters were measured and histological changes to these organs were compared to control animals. Our results showed a marked increase in proinflammatory cytokines and histological changes in the kidney, lung, and liver after CPB. Furthermore, clinical chemistry showed signs of hemolysis and acute kidney injury. These results suggest early onset of solid organ injury which correlates with increased leukocyte infiltration. A better understanding of the interplay between pro-inflammatory cytokine activation and solid organ injury in this model of CBP with MHCA will inform strategies to reduce organ damage during cardiac surgeries in the clinic.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Cardiopulmonary Bypass / adverse effects*
  • Cytokines / blood*
  • Disease Models, Animal
  • Heart Arrest, Induced / adverse effects*
  • Hemolysis
  • Hypothermia, Induced / adverse effects*
  • Kidney Function Tests
  • Liver Function Tests
  • Male
  • Mice
  • Mice, Inbred BALB C
  • Multiple Organ Failure / diagnosis*
  • Multiple Organ Failure / immunology
  • Multiple Organ Failure / physiopathology
  • Postoperative Complications / diagnosis
  • Postoperative Complications / immunology

Substances

  • Cytokines

Associated data

  • figshare/10.6084/m9.figshare.6994274
  • figshare/10.6084/m9.figshare.6995009

Grants and funding

This study was supported by the DFG, SFB738 project B3 to CSF and the IFB-Tx. This research work was also supported by KFO 311 grant to UM and CK from the Deutsche Forschungsgemeinschaft. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.