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Am J Physiol Lung Cell Mol Physiol 291: L457-L465, 2006. First published April 7, 2006; doi:10.1152/ajplung.00462.2005
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Protective effects of S-nitrosoalbumin on lung injury induced by hypoxia-reoxygenation in mouse model of sickle cell disease

Lucia de Franceschi,1,* Giorgio Malpeli,2,* Aldo Scarpa,2 Anne Janin,3 Eva Maria Muchitsch,4 Paola Roncada,5 Christhope Leboeuf,3 Roberto Corrocher,1 Yves Beuzard,6 and Carlo Brugnara7

1Section of Internal Medicine, Department of Clinical and Experimental Medicine, and 2Section of Anatomic Pathology, Department of Pathology, University of Verona, Verona, Italy; 3Laboratorie de Pathologie, Institut National de la Santé et de la Recherche Médicale INSERM 02 20, Hopital Saint Louis, Paris, France; 4Department of Experimental Pharmacology, Baxter Bioscience, Vienna, Austria; 5Istituto Italiano Spallanzani, Milan, Italy; 6Laboratory of Hematopoietic Gene Therapy, INSERM U733, Centre Hayem, Hopital Saint Louis, Paris, France; and 7Department of Laboratory Medicine and Department of Pathology, Children's Hospital, Harvard Medical School, Boston, Massachusetts

Submitted 3 November 2005 ; accepted in final form 23 March 2006

Nitric oxide (NO) is a potential new therapeutic agent for sickle cell disease (SCD). We investigated the effects of NO donor on hypoxia-induced acute lung injury that occurs when transgenic sickle cell SAD mice are exposed to chronic hypoxia, a model for lung vasoocclusive sickle cell events. In wild-type and SAD mice, intraperitoneal injection of S-nitrosoalbumin (NO-Alb) produced no significant hematologic changes under room air conditions, whereas it induced mild temporary hypotension and inhibition of platelet aggregation. NO-Alb administration (300 mg/kg ip twice a day, equivalent to 7.5 µM NO) in wild-type and SAD mice exposed to 46 h of hypoxia (8% oxygen) followed by 2 h of normoxia resulted in 1) reduction of the hypoxia-induced increase in blood neutrophil count, 2) prevention of hypoxia-induced increased IL-6 and IL-1beta levels in bronchoalveolar lavage, 3) reduction of the lung injury induced by hypoxia-reoxygenation, 4) prevention of thrombus formation, and 5) prevention of hypoxia-induced increase of lung matrix metalloproteinase-9 gene expression. These effects provide new insights into the possible use of NO-Alb in the treatment of acute lung injury in SCD.

transgenic sickle cell SAD mice; hypoxic lung injury; nitric oxide; nitrite



Address for reprint requests and other correspondence: L. de Franceschi, Dept. of Clinical and Experimental Medicine, Section of Internal Medicine, Univ. of Verona, Policlinico GB Rossi, Piazzale L. Scuro, 10, 37134 Verona, Italy (e-mail: lucia.defranceschi{at}univr.it)







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