The normal physiology of the lung may be compromised by conditions which result in lung injury. Normal functions include adequate gas exchange and metabolism of circulating vasoactive substances. Alterations in these activities can have serious consequences in regard to systemic physiology. Hypoxemia and chronic or acute changes in blood pressure may result from damage to lung tissue. Altered and/or interrupted ventilation and perfusion, hypoxia, reduced temperature, and exposure to high oxygen tensions and gaseous anesthetics are known to reduce the metabolism of circulating vasoactive substances by the lung. Little is known regarding the time course of onset or extent of damage, or of factors which may accelerate or inhibit its reversal. This research program will investigate the development and reversal of damage to the lung, especially to the pulmonary endothelium, resulting from these and similar interventions. The activity of angiotensin converting enzyme in the cleavage of angiotensin I to angiotensin II and the uptake and inactivation of 5-hydroxytryptamine and prostaglandin E1 will be monitored as indices of pulmonary endothelial cell function in perfused lungs, cultured endothelial cells and subcellular fractions. Metabolic parameters of the lung in general will also be monitored during lung injury. In addition, these studies will include investigation of the mechanism of the observed effects in order to localize the alterations to specific steps in the membrane associated processes and more clearly define conditions required for prevention and/or rapid reversal of damage.

Agency
National Institute of Health (NIH)
Institute
National Heart, Lung, and Blood Institute (NHLBI)
Type
Research Project (R01)
Project #
5R01HL030187-04
Application #
3341231
Study Section
Surgery, Anesthesiology and Trauma Study Section (SAT)
Project Start
1982-08-01
Project End
1987-07-31
Budget Start
1985-08-01
Budget End
1986-07-31
Support Year
4
Fiscal Year
1985
Total Cost
Indirect Cost
Name
Medical College of Georgia (MCG)
Department
Type
Schools of Medicine
DUNS #
City
Augusta
State
GA
Country
United States
Zip Code
30912
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Martin, D C; Carr, A M; Livingston, R R et al. (1989) Effects of ketamine and fentanyl on lung metabolism in perfused rat lungs. Am J Physiol 257:E379-84
Watkins, C A; Rannels, D E (1987) Effects of reduced pulmonary flow and hypoxia on metabolism of serotonin by rat lungs perfused in situ. Anesthesiology 67:916-24
Catravas, J D; Watkins, C A (1985) Plasmalemmal metabolic activities in cultured calf pulmonary arterial endothelial cells. Res Commun Chem Pathol Pharmacol 50:163-79