Mitigation of chlorine gas lung injury in rats by postexposure administration of sodium nitrite

Am J Physiol Lung Cell Mol Physiol. 2011 Mar;300(3):L362-9. doi: 10.1152/ajplung.00278.2010. Epub 2010 Dec 10.

Abstract

Nitrite (NO(2)(-)) has been shown to limit injury to the heart, liver, and kidneys in various models of ischemia-reperfusion injury. Potential protective effects of systemic NO(2)(-) in limiting lung injury or enhancing repair have not been documented. We assessed the efficacy and mechanisms by which postexposure intraperitoneal injections of NO(2)(-) mitigate chlorine (Cl(2))-induced lung injury in rats. Rats were exposed to Cl(2) (400 ppm) for 30 min and returned to room air. NO(2)(-) (1 mg/kg) or saline was administered intraperitoneally at 10 min and 2, 4, and 6 h after exposure. Rats were killed at 6 or 24 h. Injury to airway and alveolar epithelia was assessed by quantitative morphology, protein concentrations, number of cells in bronchoalveolar lavage (BAL), and wet-to-dry lung weight ratio. Lipid peroxidation was assessed by measurement of lung F(2)-isoprostanes. Rats developed severe, but transient, hypoxemia. A significant increase of protein concentration, neutrophil numbers, airway epithelia in the BAL, and lung wet-to-dry weight ratio was evident at 6 h after Cl(2) exposure. Quantitative morphology revealed extensive lung injury in the upper airways. Airway epithelial cells stained positive for terminal deoxynucleotidyl-mediated dUTP nick end labeling (TUNEL), but not caspase-3. Administration of NO(2)(-) resulted in lower BAL protein levels, significant reduction in the intensity of the TUNEL-positive cells, and normal lung wet-to-dry weight ratios. F(2)-isoprostane levels increased at 6 and 24 h after Cl(2) exposure in NO(2)(-)- and saline-injected rats. This is the first demonstration that systemic NO(2)(-) administration mitigates airway and epithelial injury.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Animals
  • Bronchoalveolar Lavage Fluid / cytology
  • Cell Count
  • Chlorine
  • F2-Isoprostanes / metabolism
  • In Situ Nick-End Labeling
  • Inhalation Exposure*
  • Lung / drug effects
  • Lung / metabolism
  • Lung / pathology
  • Lung / physiopathology
  • Lung Injury / chemically induced
  • Lung Injury / pathology*
  • Lung Injury / physiopathology
  • Lung Injury / prevention & control*
  • Male
  • Nitrogen Dioxide / metabolism
  • Oxygen / metabolism
  • Rats
  • Rats, Sprague-Dawley
  • Respiration / drug effects
  • Sodium Nitrite / administration & dosage*
  • Sodium Nitrite / pharmacology*

Substances

  • F2-Isoprostanes
  • Chlorine
  • Sodium Nitrite
  • Nitrogen Dioxide
  • Oxygen