Ultrastructural changes of the intracellular surfactant pool in a rat model of lung transplantation-related events
2011

Changes in Surfactant in Lung Transplantation in Rats

Sample size: 10 publication Evidence: moderate

Author Information

Author(s): Knudsen Lars, Waizy Hazibullah, Fehrenbach Heinz, Richter Joachim, Wahlers Thorsten, Wittwer Thorsten, Ochs Matthias

Primary Institution: Hannover Medical School

Hypothesis

In a rat model of lung transplantation, increased exocytosis of lamellar bodies occurs due to ischemia/reperfusion injury.

Conclusion

The study suggests that increased exocytosis of lamellar bodies in AE2 cells helps maintain surfactant levels despite injury.

Supporting Evidence

  • The number of lamellar bodies per AE2 cell significantly decreased after ischemia/reperfusion injury.
  • The luminal surface area per AE2 cell increased significantly in the I/R group.
  • The total volume of lamellar bodies per AE2 cell remained stable despite the decrease in number.

Takeaway

When rats undergo lung transplantation, their cells release more surfactant to help protect the lungs, even when they are injured.

Methodology

The study used design-based stereology to analyze AE2 cells and lamellar bodies in rats subjected to ischemia/reperfusion injury.

Limitations

The study did not distinguish the effects of ischemia/reperfusion injury from those of mechanical ventilation.

Participant Demographics

Male adult Sprague-Dawley rats

Statistical Information

P-Value

0.02

Confidence Interval

95% CI 148-259 μm²

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1186/1465-9921-12-79

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