N -Acetylcysteine in Mechanically Ventilated Rats with Lipopolysaccharide-Induced Acute Respiratory Distress Syndrome: The Effect of Intravenous Dose on Oxidative Damage and Inflammation

• Published in: Biomedicines Vol. 9; no. 12; p. 1885
• Main Authors: Kolomaznik, Maros, Mikolka, Pavol, Hanusrichterova, Juliana, Kosutova, Petra, Matasova, Jr, Katarina, Mokra, Daniela, Calkovska, Andrea
• Format: Journal Article
• Language: English
• Published: Switzerland MDPI AG 12-12-2021; MDPI
• Subjects: Acetylcysteine; Animal models; Animals; Antioxidants; ARDS; bacterial lipopolysaccharide; Blood; Bronchus; Cytokines; Edema; Inflammation; Intravenous administration; Leukocyte migration; Leukocytes (neutrophilic); Lipids; Lipopolysaccharides; lung functions parameters; Lungs; Mechanical ventilation; N-acetylcysteine; Neutrophils; oxidative damage; Oxidative stress; Oxygenation; Permeability; Respiratory distress syndrome; Statistical analysis; Tumor necrosis factor-TNF; Variance analysis; Ventilators; United Kingdom > UK; United States > US; Germany; oxidative damage; bacterial lipopolysaccharide; lung functions parameters; inflammation; ARDS; N-acetylcysteine
• ISSN: 2227-9059; 2227-9059
• DOI: 10.3390/biomedicines9121885

Treatment of acute respiratory distress syndrome (ARDS) is challenging due to its multifactorial aetiology. The benefit of antioxidant therapy was not consistently demonstrated by previous studies. We evaluated the effect of two different doses of intravenous (i.v.)
-acetylcysteine (NAC) on oxidative stress, inflammation and lung functions in the animal model of severe LPS-induced lung injury requiring mechanical ventilation. Adult Wistar rats with LPS (500 μg/kg; 2.2 mL/kg) were treated with i.v. NAC 10 mg/kg (NAC10) or 20 mg/kg (NAC20). Controls received saline. Lung functions, lung oedema, total white blood cell (WBC) count and neutrophils count in blood and bronchoalveolar lavage fluid, and tissue damage in homogenized lung were evaluated. NAC significantly improved ventilatory parameters and oxygenation, reduced lung oedema, WBC migration and alleviated oxidative stress and inflammation. NAC20 in comparison to NAC10 was more effective in reduction of oxidative damage of lipids and proteins, and inflammation almost to the baseline. In conclusion, LPS-instilled and mechanically ventilated rats may be a suitable model of ARDS to test the treatment effects at organ, systemic, cellular and molecular levels. The results together with literary data support the potential of NAC in ARDS.