Sevoflurane posttreatment prevents oxidative and inflammatory injury in ventilator-induced lung injury

PLoS One. 2018 Feb 22;13(2):e0192896. doi: 10.1371/journal.pone.0192896. eCollection 2018.

Abstract

Mechanical ventilation is a life-saving clinical treatment but it can induce or aggravate lung injury. New therapeutic strategies, aimed at reducing the negative effects of mechanical ventilation such as excessive production of reactive oxygen species, release of pro-inflammatory cytokines, and transmigration as well as activation of neutrophil cells, are needed to improve the clinical outcome of ventilated patients. Though the inhaled anesthetic sevoflurane is known to exert organ-protective effects, little is known about the potential of sevoflurane therapy in ventilator-induced lung injury. This study focused on the effects of delayed sevoflurane application in mechanically ventilated C57BL/6N mice. Lung function, lung injury, oxidative stress, and inflammatory parameters were analyzed and compared between non-ventilated and ventilated groups with or without sevoflurane anesthesia. Mechanical ventilation led to a substantial induction of lung injury, reactive oxygen species production, pro-inflammatory cytokine release, and neutrophil influx. In contrast, sevoflurane posttreatment time dependently reduced histological signs of lung injury. Most interestingly, increased production of reactive oxygen species was clearly inhibited in all sevoflurane posttreatment groups. Likewise, the release of the pro-inflammatory cytokines interleukin-1β and MIP-1β and neutrophil transmigration were completely prevented by sevoflurane independent of the onset of sevoflurane administration. In conclusion, sevoflurane posttreatment time dependently limits lung injury, and oxidative and pro-inflammatory responses are clearly prevented by sevoflurane irrespective of the onset of posttreatment. These findings underline the therapeutic potential of sevoflurane treatment in ventilator-induced lung injury.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Anti-Inflammatory Agents, Non-Steroidal / administration & dosage*
  • Antioxidants / administration & dosage*
  • Chemokine CCL4 / metabolism
  • Disease Models, Animal
  • Inflammation / drug therapy
  • Inflammation / metabolism
  • Inflammation / pathology
  • Interleukin-1beta / metabolism
  • Lung / drug effects
  • Lung / metabolism
  • Lung / pathology
  • Male
  • Methyl Ethers / administration & dosage*
  • Mice, Inbred C57BL
  • Neutrophils / drug effects
  • Neutrophils / metabolism
  • Neutrophils / pathology
  • Oxidative Stress / drug effects
  • Oxidative Stress / physiology
  • Random Allocation
  • Reactive Oxygen Species / metabolism
  • Respiration, Artificial*
  • Sevoflurane
  • Time Factors
  • Ventilator-Induced Lung Injury / drug therapy*
  • Ventilator-Induced Lung Injury / metabolism*
  • Ventilator-Induced Lung Injury / pathology

Substances

  • Anti-Inflammatory Agents, Non-Steroidal
  • Antioxidants
  • Ccl4 protein, mouse
  • Chemokine CCL4
  • IL1B protein, mouse
  • Interleukin-1beta
  • Methyl Ethers
  • Reactive Oxygen Species
  • Sevoflurane

Grants and funding

This work was supported by a grant from the German Research Foundation, dedicated to AH (DFG HO 2464/3-1, Bonn, Germany) and by the Department of Anesthesiology and Critical Care Medicine, University Medical Center Freiburg, Freiburg, Germany. The article processing charge was funded by the German Research Foundation (DFG) and the University of Freiburg in the funding programme Open Access Publishing to SF. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.