Functional identification of the alveolar edema reabsorption activity of murine tumor necrosis factor-alpha

Am J Respir Crit Care Med. 2003 Nov 1;168(9):1043-50. doi: 10.1164/rccm.200206-618OC. Epub 2003 Jul 3.

Abstract

Tumor necrosis factor-alpha (TNF-alpha) activates sodium channels in Type II alveolar epithelial cells, an important mechanism for the reported fluid resorption capacity of the cytokine. Both TNF-alpha receptor-dependent and -independent effects were proposed for this activity in vitro, the latter mechanism mediated by the lectin-like domain of the molecule. In this study, the relative contribution of the receptor-dependent versus receptor-independent activities was investigated in an in situ mouse lung model and an ex vivo rat lung model. Fluid resorption due to murine TNF-alpha (mTNF-alpha) was functional in mice that were genetically deficient in both types of mTNF-alpha receptor, establishing the importance of mTNF-alpha receptor-independent effects in this species. In addition, we assessed the capacity of an mTNF-alpha-derived peptide (mLtip), which activates sodium transport by a receptor-independent mechanism, to reduce lung water content in an isolated, ventilated, autologous blood-perfused rat lung model. The results show that in this model, mLtip, in contrast to mTNF-alpha, produced a progressive recovery of dynamic lung compliance and airway resistance after alveolar flooding. There was also a significant reduction in lung water. These results indicate that the receptor-independent lectin-like domain of mTNF-alpha has a potential physiological role in the resolution of alveolar edema in rats and mice.

Publication types

  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Amiloride / pharmacology
  • Animals
  • Biological Transport / physiology
  • Diuretics / pharmacology
  • Female
  • Lung / pathology
  • Male
  • Mice
  • Mice, Inbred C57BL
  • Models, Animal
  • Organ Size
  • Peptide Fragments / metabolism
  • Pulmonary Edema / metabolism*
  • Rats
  • Rats, Sprague-Dawley
  • Receptors, Tumor Necrosis Factor / deficiency
  • Receptors, Tumor Necrosis Factor / metabolism
  • Respiratory Mechanics / drug effects
  • Sodium Channels / drug effects
  • Sodium Channels / metabolism
  • Tumor Necrosis Factor-alpha / metabolism*

Substances

  • Diuretics
  • Peptide Fragments
  • Receptors, Tumor Necrosis Factor
  • Sodium Channels
  • Tumor Necrosis Factor-alpha
  • Amiloride