Nebulized nitrite protects rat lung grafts from ischemia reperfusion injury
Open accessAbstract
Objectives Nebulization is a potential method for delivering therapeutic agents to lung grafts. Recent evidence suggests that nitrite may mitigate ischemia-reperfusion injury via a nitric oxide-dependent pathway.Methods Syngeneic orthotopic left lung transplantation was performed in rats after 7 hours of cold ischemia. Sodium nitrite (3 mg) or phosphate-buffered saline (controls) was delivered before procurement via nebulization.Results Nitrite treatment was associated with better oxygenation, lower peak airway pressure, lower wet/dry ratio, reduced myeloperoxidase level and macrophage infiltration, increased cyclic guanosine monophosphate (cGMP) levels, and decreased levels of interleukin 6, interleukin 1-β, inducible nitric oxide synthase, and intercellular adhesion molecule-1 at 2 hours after reperfusion. Treatment with 2-(4-carboxypheny)-4,4,5,5-tetramethylimidazoline-1-oxyl-3-oxide, a nitric oxide scavenger, reversed the beneficial effects of nitrite and decreased cGMP concentration in grafts. A dose-response curve of nitrite was performed at the following doses: 0.3 mg (N0.1), 3.0 mg (N1.0), 5.25 mg (N1.75), 7.5 mg (N2.5), and 15.0 mg (N5.0). All treatments, excluding N1.0, resulted in poorer oxygenation, higher peak airway pressures, and higher wet/dry ratio. Higher dosage groups (N1.75, N2.5, and N5.0) exhibited positive immunostaining of nitrotyrosine and increased the intensity of nitrotyrosine in immunoblotting.Conclusions These data suggest that nebulized nitrite limits lung ischemia-reperfusion injury and may prove a clinically useful strategy but requires appropriate dosing to limit oxidative injury at high doses.
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Nitrite lessens inflammation caused by ischemia in various organs.
“Nitrite also lessens inflammation caused by ischemia in various organs (89, 125, 140, 146, 147, 176, 197)”
From Inorganic nitrite supplementation for healthy arterial aging (2014) · cites this paper as [140]
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- Authors
- Okamoto, T., Tang, X., Janocha, A., Farver, C. F., Gladwin, M. T., & McCurry, K. R.
- Affiliations
- Cleveland Clinic (US)
- University of Pittsburgh (US)
- Corresponding author
- McCurry, Kenneth R.
- Venue
- The Journal of Thoracic and Cardiovascular Surgery
- Publisher
- Elsevier BV
- Published
- 2013-04
- Volume
- 145
- Issue
- 4
- Pages
- 1108-1116.e1
- ISSN
- 0022-5223 (ISSN-L)
- OpenAlex
- W2168494714
- Cited by
- 22
- References
- 25
- Citations by year
- 2025: 1 · 2024: 1 · 2022: 1 · 2020: 3 · 2018: 1 · 2017: 5 · 2016: 2 · 2015: 4 · 2014: 3 · 2013: 1
- FWCI
- 2.61
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Journal of Thoracic and Cardiovascular Surgery (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health (UL1TR000439)
- National Center for Advancing Translational Sciences
- Topics
- Health Sciences › Medicine › Surgery › Transplantation: Methods and Outcomes
- Health Sciences › Medicine › Surgery › Organ Transplantation Techniques and Outcomes
- Health Sciences › Medicine › Physiology › Nitric Oxide and Endothelin Effects
- Keywords
- sodium nitrite, lung transplantation, ischemia-reperfusion injury, nitric oxide, nebulization, cold ischemia, cyclic GMP, nitrotyrosine, oxidative stress, macrophage infiltration, interleukin-6, inducible nitric oxide synthase, dose-response relationship
- MeSH terms
- Animals, Lung, Male, Nebulizers and Vaporizers, Sodium Nitrite, Reperfusion Injury, Lung Transplantation, Rats, Sprague-Dawley, Rats
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