Increased sheep lung vascular permeability caused by Escherichia coli endotoxin

Circ Res. 1979 Aug;45(2):292-7. doi: 10.1161/01.res.45.2.292.

Abstract

We infused Escherichia coli endotoxin, 0.07-1.33 microgram/kg, intravenously into chronically instrumented unanesthetized sheep and measured pulmonary arterial and left atrial pressures, lung lymph flow, lymph and blood plasma protein concentrations, and arterial blood gases. Endotoxin caused a biphasic reaction: an early phase of pulmonary hypertension and a long late phase of steady state increased pulmonary vascular permeability during which pulmonary arterial and left atrial pressures were not increased significantly and lung lymph flow was 5 times the baseline value. Lymph: plasma total protein concentration ratio during the late phase (0.76 +/- 0.04) was significantly (P less than 0.05) higher than during baseline (0.66 +/- 0.03). The lymph response was reproducible. Lung lymph clearance of endogenous proteins with molecular radii (r) 35.5 to 96 A was increased during the steady state late phase of the reaction, but, as during baseline, clearance decreased as r increased. The endotoxin reaction was similar to the reaction to infusing whole Pseudomonas bacteria, except that endotoxin had less effect on pressures during the steady state response and caused a relatively larger increase in lymph clearance of large proteins. We conclude that E. coli endotoxin in sheep causes a long period of increased lung vascular permeability and may have a greater effect on large solute pathways across microvessels than do Pseudomonas bacteria.

Publication types

  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Animals
  • Blood Pressure / drug effects
  • Blood Proteins / analysis
  • Capillary Permeability / drug effects*
  • Endotoxins / administration & dosage
  • Endotoxins / pharmacology*
  • Escherichia coli*
  • Hypertension, Pulmonary / chemically induced*
  • Infusions, Parenteral
  • Lymph / analysis
  • Lymphatic System / drug effects
  • Proteins / analysis
  • Pseudomonas Infections / physiopathology
  • Pulmonary Artery / drug effects*
  • Sepsis / physiopathology
  • Sheep

Substances

  • Blood Proteins
  • Endotoxins
  • Proteins