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Korean Journal of Anesthesiology 2000;38(6):1047-1053.
DOI: https://doi.org/10.4097/kjae.2000.38.6.1047   
The Effects of Isoflurane on the Expression of iNOS mRNA in Endotoxemic Rats.
Seong Wan Baik, Sul Ki Song, Hae Kyu Kim, Jae Young Kwon, Sang Wook Shin, Kyung Hoon Kim
Department of Anesthesiology, College of Medicine, Pusan National University, Pusan, Korea.
Abstract
BACKGROUND
It has been known that alveolar macrophage exposed to bacterial lipopolysaccharide (LPS) induces a lots of nitric oxide (NO) and inducible nitric oxide synthase (iNOS) mRNA expression. The Authors elucidated the effects of iNOS mRNA expression by inhalational anesthetics (isoflurane) on endotoxemic rats and positive pressure ventilation with and without LPS.
METHODS
Fifty Sprague-Dawley rats (250 - 270 g) were anesthesized with urethane injected in the peritoneal cavity. Then the expression of iNOS mRNA in the alveolar macrophages of the rats were measured after injection of LPS, 2 hours of isoflurane (0.5 - 2.5%) anesthesia, and 2 hours of positive pressure ventilation. The activities of iNOS in macrophages were measured by analysing iNOS mRNA expression by Northern blot analysis with autoradiography using the polymerase chain reaction (PCR) method.
RESULTS
The size and patterns of the iNOS mRNA band in the 0.5 - 2% isoflurane group were almost same as with the control group. The size of the iNOS mRNA band in the 2.5% isoflurane group increased more than in the control group. In the continous positive-pressure ventilation with LPS group, the iNOS mRNA band was slightly increased compared to the normal lung and the continous positive-pressure ventilation without LPS group.
CONCLUSIONS
Higher concentrations of isoflurane anesthesia may evoke the expression of iNOS mRNA in a septic model. Positive pressure ventilation in sepsis may induce iNOS mRNA production.
Key Words: Anesthetics, volatile: isoflurane; Animal: rats; Immune response: endotoxin; Metabolism: NO; Ventilation: continuous positive-pressure


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