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pubmed-article:20650990pubmed:abstractTextThe aim of this study was to investigate whether intratracheal administration of a new synthetic surfactant that includes the cationic, hydrophobic 21-residue peptide KLLLLKLLLLKLLLLKLLLLK (KL?), might be effective in reducing ischaemia-reperfusion injury after lung transplantation. Single left lung transplantation was performed in Landrace pigs 22 h post-harvest. KL? surfactant at a dose of 25 mg total phospholipid·kg body weight?¹ (2.5 mL·kg body weight?¹) was instilled at 37°C to the donor left lung (n = 8) prior to explantation. Saline (2.5 mL·kg body weight?¹; 37°C) was instilled into the donor left lung of the untreated group (n = 6). Lung function in recipients was measured during 2 h of reperfusion. Recipient left lung bronchoalveolar lavage (BAL) provided native cytometric, inflammatory marker and surfactant data. KL(4) surfactant treatment recovered oxygen levels in the recipient blood (mean ± sd arterial oxygen tension/inspiratory oxygen fraction 424 ± 60 versus 263 ± 101 mmHg in untreated group; p=0.01) and normalised alveolar-arterial oxygen tension difference. Surfactant biophysical function was also recovered in KL? surfactant-treated lungs. This was associated with decreased C-reactive protein levels in BAL, and recovery of surfactant protein A content, normalised protein/phospholipid ratios, and lower levels of both lipid peroxides and protein carbonyls in large surfactant aggregates. These findings suggest an important protective role for KL? surfactant treatment in lung transplantation.lld:pubmed
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pubmed-article:20650990pubmed:articleTitleBeneficial effects of synthetic KL? surfactant in experimental lung transplantation.lld:pubmed
pubmed-article:20650990pubmed:affiliationDept of Biochemistry and Molecular Biology I, Complutense University and CIBERES (Respiratory Research Center), Madrid, Spain.lld:pubmed
pubmed-article:20650990pubmed:publicationTypeJournal Articlelld:pubmed
pubmed-article:20650990pubmed:publicationTypeResearch Support, Non-U.S. Gov'tlld:pubmed