Abstract

Objective To evaluate the effect of oxycodone on acute lung injury (ALI) induced by lipopolysaecharide (LPS) in rats. Methods Thirty-six pathogen-free healthy male Sprague-Dawley rats, weighing 250-300 g, were divided into 3 groups (n=12 each) using a random number table: sham operation group (group S), LPS-induced ALI group (group A) and oxycodone group (group O). ALI was induced by injecting LPS 8 mg/kg intravenously in A and O groups, while the equal volume of normal saline was given instead in group S. Oxycodone 2 mg/kg was injected intravenously at 10 min before LPS injection in group O, while the equal volume of normal saline was given instead in S and A groups.Rats were sacrificed at 6 h after LPS injection, and the broncho-alveolar lavage fluid (BALF) was collected for detection of tumor necrosis factor-alpha (TNF-α) and interleukin-1beta (IL-1β) concentrations by enzyme-linked immunosorbent assay.Pulmonary specimens were obtained for microscopic examination of the pathological changes and for determination of wet/dry weight ratio (W/D ratio) and expression of Toll-like receptor 4 (TLR4) in lung tissues (using real-time polymerase chain reaction and Western blot). Results Compared with group S, the TNF-α and IL-1β concentrations in BALF, W/D ratio, pathological scores and expression of TLR4 were significantly increased at 6 h after LPS injection in A and O groups (P<0.05). Compared with group A, the TNF-α and IL-1β concentrations in BALF, W/D ratio, pathological scores and expression of TLR4 were significantly decreased at 6 h after LPS injection in group O (P<0.05). Conclusion Oxycodone can attenuate LPS-induced ALI in lung tissues, and the mechanism is related to down-regulating the expression of TLR4 and inhibiting inflammatory responses of rats. Key words: Oxycodone; Endotoxemia; Respiratory distress syndrome, adult

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