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Effect of valproic acid on acute lung injury in a rodent model of intestinal ischemia reperfusion

DOI: 10.1016/j.resuscitation.2011.07.029
  • Valproic Acid
  • Acute Lung Injury
  • Ischemia Reperfusion
  • Inflammation
  • Oxidative Damage
  • Intestine
  • Biology
  • Chemistry
  • Medicine


Abstract Objectives Acute lung injury (ALI) can develop during the course of many clinical conditions, and is associated with significant morbidity and mortality. Valproic acid (VPA), a well-known anti-epileptic drug, has been shown to have anti-oxidant and anti-inflammatory effects in various ischemia/reperfusion (I/R) models. The purpose of this study was to investigate whether VPA could affect survival and development of ALI in a rat model of intestinal I/R. Methods Two experiments were performed. Experiment I: Male Sprague-Dawley rats (250–300g) were subjected to intestinal ischemia (1h) and reperfusion (3h). They were randomized into 2 groups (n=7 per group) 30min after ischemia: Vehicle (Veh) and VPA (300mg/kg, IV). Primary end-point for this study was survival over 4h from the start of ischemia. Experiment II: The histological and biochemical effects of VPA treatment on lungs were examined 3h (1h ischemia+2h reperfusion) after intestinal I/R injury (Veh vs. VPA, n=9 per group). An objective histological score was used to grade the degree of ALI. Enzyme linked immunosorbent assay (ELISA) was performed to measure serum levels of interleukins (IL-6 and 10), and lung tissue of cytokine-induced neutrophil chemoattractant (CINC) and myeloperoxidase (MPO). In addition, the activity of 8-isoprostane was analyzed for pulmonary oxidative damage. Results In Experiment I, 4-h survival rate was significantly higher in VPA treated animals compared to Veh animals (71.4% vs. 14.3%, p=0.006). In Experiment II, ALI was apparent in all of the Veh group animals. Treatment with VPA prevented the development of ALI, with a reduction in the histological score (3.4±0.3 vs. 5.3±0.6, p=0.025). Moreover, compared to the Veh control group the animals from the VPA group displayed decreased serum levels of IL-6 (952±213pg/ml vs. 7709±1990pg/ml, p=0.011), and lung tissue concentrations of CINC (1188±28pg/ml vs. 1298±27pg/ml, p<0.05), MPO activity (368±23ng/ml vs. 490±29ng/ml, p<0.05) and 8-isoprostane levels (1495±221pg/ml vs. 2191±177pg/ml, p<0.05). Conclusion VPA treatment improves survival and attenuates ALI in a rat model of intestinal I/R injury, at least in part, through its anti-oxidant and anti-inflammatory effects.

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