目的:观察一氧化氮(NO)吸入对急性高浓度氧肺损伤新生大鼠肺上皮水转运体系的影响。方法:32只新生SD大鼠,随机分为:(1)空气组(C):予空气48h;(2)高浓度氧组(O):予高浓度氧持续吸入48h,维持FiO2〉0.95;(3)高浓度氧+NO组(ONO):予高浓度氧持续吸入48h,维持FiO2〉0.95,前24h同时予1×10^-5 NO吸入;(4)空气+NO组(CN):予空气48h,前24h同时予1×10^-5NO吸入。各组分别测肺组织湿重/干重比值(Q。/Q。),行肺组织病理学检查,用RT-PCR方法测定肺组织AQP1、AQP5、α1-NKA和α—ENaC mRNA含量。结果:高浓度氧组肺湿重/干重比值明显高于正常对照组(5.81±1.01 vs 4.33±0.94,P〈0.01);而肺组织AQP1mRNA含量明显低于正常对照组(0.68±0.38 vs 1.81±0.76,P〈0.01),AQP5 mRNA含量无明显变化。1×10^-5NO+高浓度氧组肺组织湿重/干重比值明显高于高浓度氧组(4.89±0.68 vs 5.81±1.01,P〈0.05);而肺组织AQP1mRNA含量明显高于高浓度氧组(1.27±0.54 vs 0.68±0.38,P〈0.05),AQP5mRNA含量无明显变化。结论:1×10^-5NO吸入24h能减轻急性高浓度氧肺损伤新生大鼠的肺水肿,提高肺内水通道蛋白1mRNA含量,水通道蛋白5的mRNA含量无明显改变,提示1×10^-5NO的吸入可能对急性高浓度氧肺损伤新生大鼠肺内水通道蛋白1有一定的保护作用。
AIM : To investigate the effect of inhaled nitric oxide on aquaporin expression and alveolar epithelial fluid transport in newborn rats with acute hyperoxic lung injury. METHODS: 32 newborn SD rats were randomized to breathe for 48 h room air ( C), 〉95% O2 ( O), 〉95% O2 + 10^-5 NO ( NO only in the first 24 h, ONO), room air + NO (CN). Then, the rats were killed, the lung wet - to - dry weight ratio ( QW/QD ), the histology, and AQP1, AQP5, α1 - NKA, α- ENaC mRNA expressions in the lungs were measured. RESULTS: Compared with C group, the Qw/QD in O group significantly increased ( P 〈 0. 01 ), and AQP1 mRNA expression decreased significantly ( P 〈 0. 01 ). Compared with O group, ONO group had a lower level of Qw/QD( P 〈 0. 05) , and AQP1 mRNA expression increased (P 〈0. 05 ). AQP5 mRNA expression in all groups remained unchanged. CONCLUSION: In newborn rats with acute hyperoxie lung injury, inhaled 10 ^-5 nitric oxide for 24 h may attenuate lung edema and increase AQP1 mRNA expression, suggesting that inhaled 10^-5 nitric oxide for 24 h may promote the AQP1 expression in lung in this model of acute lung injury.