Acute lung inflammation and ventilator-induced lung injury caused by ATP via the P2Y receptors: an experimental study
2008

How ATP Causes Lung Inflammation During Mechanical Ventilation

Sample size: 308 publication Evidence: moderate

Author Information

Author(s): Matsuyama Hiroki, Amaya Fumimasa, Hashimoto Soshi, Ueno Hiroshi, Beppu Satoru, Mizuta Mitsuhiko, Shime Nobuaki, Ishizaka Akitoshi, Hashimoto Satoru

Primary Institution: Kyoto Prefectural University of Medicine

Hypothesis

The study examines the role of extracellular ATP in lung inflammation and its involvement in ventilator-induced lung injury.

Conclusion

The ATP-P2Y receptor system is partially involved in the pathogenesis of ventilator-induced lung injury.

Supporting Evidence

  • ATP increased lung water content and permeability, indicating inflammation.
  • The inflammatory response was mitigated by a P2 receptor antagonist.
  • Mechanical ventilation with large tidal volumes increased ATP levels in the lungs.

Takeaway

When we put ATP in the lungs of mice, it made their lungs inflamed, especially when they were on a ventilator. Blocking a specific receptor helped reduce this inflammation.

Methodology

The study used intratracheal ATP instillation in mice and measured lung inflammation through various indices including wet-to-dry weight ratio and permeability index.

Limitations

The study was conducted in mice, which may not fully replicate human responses.

Participant Demographics

308 male, specific pathogen-free, 6- to 8-week-old mice.

Statistical Information

P-Value

p<0.05

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1186/1465-9921-9-79

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