Abstract

Objective To investigate the protective effect of rosiglitazone on the rats with high altitude pulmonary edema. Methods Thirty-six SD rats were randomly(random number) divided into 6 groups(n=6 each): control group(Control), hypobaric hypoxia model group(HH), rosiglitazone groups(RSG)which were administered with 3 different doses[RSG-L: 5 mg/(kg·d), RSG-M: 10 mg/(kg·d), RSG-H: 20 mg/(kg·d) ], dexamethasone group[Dex, 4 mg/(kg·d)]. Rats were injected intraperitoneally with different doses of rosiglitazone (RSG), dexamethasone(Dex)or vehicle (Control and HH) for 3 days before placed in simulated altitude of 6 000 m hypobaric hypoxia animal chamber where the temperature and pressure were constant. After 72 h in the chamber, each rat was anesthetized.The water content of lung was determined with wet/dry weight ratio. Bronchoalveolar lavage fluid was measured by bradford method. The contents of GSH was measured by micro-ezymed labeled method. The contents of MDA was measured by TBA method. The enzymatic activities of SOD was measured by WST-1 method.The changes of the TNF-α, IL-6 and IL-10 in serum were determined by ELISA.Light microscope was used to observe the pathological changes of lung tissue. Results Compared with Control group, the wet/dry weight ratio of lung(5.08±0.24) and total protein content of BALF(351.06±44.55)μg/mL increased significantly (P<0.01) in HH group. There were red blood cells in the alveolar and interstitium, pink fluid exudation in the alveolar, the alveolar septum enhancement, and a large number of inflammatory cell infiltration; the SOD activity(10.65±0.94)U/mgprot and the content of GSH(1.63±0.20)μmol/gprot in lung tissue were significantly decreased (P<0.01), the contents of MDA(2.15±0.18)nmol/mgprot increased significantly (P<0.01), TNF-α(56.92±2.87)pg/mL and IL-6(217.80±48.01)pg/mL levels in serum were significantly increased (P<0.01), and IL-10(76.85±16.72)pg/mL level decreased (P<0.05). Compared with the HH group, the wet/dry ratio of lung and total protein content of BALF in different doses of rosiglitazone group significantly decreased (P<0.01), the pathological changes of the lung tissue was significantly improved, SOD activity and the content of GSH in lung tissue was significantly increased (P<0.01), the content of MDA decreased (P<0.01), The levels of TNF-α and IL-6 in serum were significantly decreased (P<0.01), while the IL-10 level was significantly increased (P<0.01). Conclusion Rosiglitazone could protect the high altitude pulmonary edema by alleviating the oxidative stress and inflammatory response. Key words: Rosiglitazone; High altitude pulmonary edema; Oxidative stress; Inflammation; Rat

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