Mechanisms of Tissue Remodeling in Sepsis-Induced Acute Lung Injury

Abstract

Acute lung injury (ALl) activates tissue remodeling that is responsible for the excessive deposition and turnover of extracellular matrices. This project will explore the factors that control tissue remodeling in this setting by focusing on chronic ethanol ingestion, a factor that renders the lung susceptible to ALl. We hypothesize that chronic ethanol ingestion renders the lung susceptible to ALl by acting on a7 nicotinic acetylcholine receptors (a7 nACliRs) and stimulating the expression of tissue remodeling genes such as fibronectin (FN). Aberrant deposition of FN affects the structure of the lung and promotes a "proinfiammatory state" that drives the development of ALl after infection. The specific aims are to: 1) Determine the role of a7 nAChRs in ethanol induction of FN. 2) Delineate the intracellular pathways responsible for the induction of FN in fibroblasts in response to ethanol. 3) Elucidate the effects of ethanol-induced FN expression on lung cell function. 4) Study ethanol-induced FN expression in a rat model of sepsis-induced ALl. Service men and women are exposed to conditions considered risk factors for ALl (e.g., trauma, toxic gas, infection). Tissue remodeling is considered key to the development of the irreversible consequences of ALl.

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Document Details

Document Type
Technical Report
Publication Date
Apr 01, 2003
Accession Number
ADA421699

Entities

People

  • David M. Guidot
  • Jesse Roman

Tags

DTIC Thesaurus Topics

  • Acute Respiratory Distress Syndrome
  • Alcohols
  • Biomedical Research
  • Carrier Proteins
  • Cell Line
  • Cell Physiological Processes
  • Cells
  • Endothelial Cells
  • Epithelial Cells
  • Fibroblasts
  • Luminescence
  • Lung Diseases
  • Nervous System
  • Polymerase Chain Reaction
  • Proteins
  • Transcription Factors
  • Wounds And Injuries

Fields of Study

  • Medicine

Readers

  • Cardiovascular Physiology
  • Immunology and Pathology