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pubmed-article:2246164pubmed:abstractTextTo determine whether acute fatty acid lung injury impairs pulmonary surfactant function, we studied anesthetized ventilated rabbits given oleic acid (55 mg/kg iv, n = 11) or an equivalent volume of saline (n = 8). Measurements of pulmonary mechanics indicated a decrease in dynamic compliance within 5 min of injury and a decrease in lung volume that was disproportionately large at low pressures, consistent with diminished surfactant activity in vivo. Bronchoalveolar lavage fluid obtained 1 h after injury had significantly increased erythrocytes and total leukocytes, largely polymorphonuclear cells. The phospholipid content and composition of the cell-free fraction had only minor changes from those of controls, but the protein content was increased 35-fold. Measurements of lavage surface activity in vitro showed an increase in average minimum surface tension from 1.3 +/- 0.4 (SE) dyn/cm in controls to 20.2 +/- 3.9 dyn/cm in injured animals. The alterations in static pressure-volume curves and decrease in lavage surface activity suggest a severe alteration of surfactant function in this form of lung injury that occurs despite the presence of normal amounts of surfactant phospholipids.lld:pubmed
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pubmed-article:2246164pubmed:dateRevised2007-11-14lld:pubmed
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pubmed-article:2246164pubmed:articleTitleAltered function of pulmonary surfactant in fatty acid lung injury.lld:pubmed
pubmed-article:2246164pubmed:affiliationDepartment of Medicine, University of Rochester School of Medicine and Dentistry, New York 14642.lld:pubmed
pubmed-article:2246164pubmed:publicationTypeJournal Articlelld:pubmed
pubmed-article:2246164pubmed:publicationTypeResearch Support, U.S. Gov't, P.H.S.lld:pubmed
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