Delayed elevation of ED1-cellular fibronectin in plasma following postsurgical bacteremia

Am J Physiol. 1994 Jun;266(6 Pt 1):L689-97. doi: 10.1152/ajplung.1994.266.6.L689.

Abstract

Fibronectin (Fn) exists in both a soluble form in plasma and lymph as well as an insoluble form in the extracellular matrix. Matrix-localized cellular fibronectin (cFn) contains extra domains (ED1 and/or ED2) not found in plasma Fn (pFn). Very little (< 1-2%) ED1-containing cFn exists in normal blood, and its rapid release into plasma and/or lymph is believed to reflect acute vascular injury. We used a polyclonal antibody to sheep pFn and a monoclonal antibody to ED1 domain of cFn to measure both pFn and ED1-cFn in relationship to lung lymph flow (QL), lung lymph-to-plasma (L/P) total protein concentration ratio, and lung protein clearance (LPC). Unanesthetized sheep (n = 7) were injected intravenously with Pseudomonas aeruginosa (5 x 10(8)) at both 2 and 7 days following surgical preparation of a lung lymph fistula. After both bacterial challenges, we observed an early increase in QL and a small decline in the L/P ratio (0-2 h), reflecting increased fluid filtration in the presence of an intact vascular barrier. This was followed by a further increase (P < 0.05) in QL; an elevation in the L/P ratio; and a marked (P < 0.05) increase in LPC over 3-6 h, indicative of an increase in lung endothelial protein permeability. Before the first bacterial infusion, ED1-cFn in plasma was 9.97 micrograms/ml or approximately 2% of the total Fn antigen in plasma; whereas ED1-cFn in lung lymph was 6-8% of total lymph Fn.(ABSTRACT TRUNCATED AT 250 WORDS)

Publication types

  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Animals
  • Bacteremia / blood*
  • Capillary Permeability
  • Endothelium, Vascular / metabolism
  • Extracellular Matrix / metabolism*
  • Fibronectins / blood*
  • Fibronectins / chemistry*
  • Fibronectins / metabolism
  • Lung / metabolism
  • Lymph / metabolism
  • Postoperative Complications*
  • Proteins / metabolism
  • Pulmonary Circulation
  • Sheep

Substances

  • Fibronectins
  • Proteins