Liposomal Antioxidants Provide Prolonged Protection against Acute Respiratory Distress syndrome


  1. Fan, J.
  2. Shek, P.N.
  3. Suntres, Z.E.
  4. Li, Y.H.
  5. Oreopoulos, G.D.
  6. Rotstein, O.D.
Corporate Authors
Defence R&D Canada - Toronto, Toronto ONT (CAN)
We have previously shown that N-acetylcysteine (NAC), an antioxidant, in the resuscitation fluid after shock prevents lung injury in response to lipopolysaccharide (LPS) by inhibiting chemokine generation by alveolar macrophages in the lung. However, the protection was short-lived. We hypothesized that liposomal (Lip) NAC delivered intratracheally might be delivered directly to the target cells and exert prolonged effect. Sprague-Dawley rats were bled to a blood pressure of 40 mm Hg for 1 hour and resuscitated with shed blood and equal volume of Ringer's lactate. In some studies 500 mg/kg NAC was included in the resuscitation fluid. Thirty minutes later, 150 µl LipNAC (9.4 mg/kg NAC) was given intratracheally. One hour and 18 hours after resuscitation, LPS (30 µg/kg) or saline was given intratracheally. Lung injury was assessed by permeability to 125I-albumin, bronchoalveolar lavage neutrophils and lung myeloperoxidase. The cytokine-induced neutrophil chemoattractant (CINC) expression in the lung was assessed by Northern blot. At the early time point, both NAC and LipNAC protected the lung with the effects in significantly reducing the increases in transpulmonary albumin flux, neutrophil influx and myeloperoxidase in the lungs of shock/LPS rats. However, by the late time point, only LipNAC retained its salutary effect. This correlated well with persistent ability to prevent CINC increase. In addition, Lipá-tocopherol (á-T) and LipNAC/á-T were tested and determined to be
Report Number
DRDC-TORONTO-SL-2002-210 — Scientific Literature
Date of publication
01 Aug 2000
Number of Pages
Reprinted from
Surgery, vol 128, no 2, p 332-338

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