Abstract
One unit of bleomycin was administered intratracheally to hamsters and an equivalent volume of saline to controls. Morphological changes within lungs of bleomycin-treated hamsters consisted of a diffuse hemorrhagic interstitial pneumonia at 7 days post-treatment. Lungs contained less hemorrhage and edema but increased numbers of mononuclear inflammatory cells and thickened interalveolar walls at 14 days post-treatment. A diffuse mononuclear cell infiltrate with multifocal areas of fibrosis later predominated. The protein, RNA, and DNA levels in bleomycin-treated hamsters were consistently and significantly elevated at 4 (except DNA), 7, 14, 21, and 28 days after treatment. The Ca 2+ levels in lungs of these animals at the corresponding times were increased by 158, 194, 36, 22, and 8% without any change in plasma Ca 2+. Lung soluble collagen was increased by 124, 207, 121, and 30% at 7, 14, 21, and 28 days, respectively, after bleomycin treatment. The increases in insoluble collagen were 65, 108, 132, and 91% at the corresponding times. The lung cAMP levels at 4, 7, 14, 21, and 28 days were 176, 164, 132, 158, and 96% of control, respectively, and cGMP at the corresponding times were 50, 81, 222, 198, and 137% of control. These data suggest that shifts in the intracellular levels of cAMP, cGMP, and Ca 2+ are associated with early lung changes induced by bleomycin insult and may serve as indicators to gauge the severity and progression of lung damage.
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