Abstract
Biologically active metabolites of arachidonic acid have been implicated as causative agents of the Adult Respiratory Distress Syndrome (ARDS). As seen in Figure 1, arachidonic acid, generated from membrane phospholipids, is metabolized via the cyclo-oxygenase pathway to the classic prostaglandins and thromboxane A2, and via the 5-lipoxygenase pathway to the leukotrienes. Of these substances, thromboxane A2, prostacyclin, prostaglandin E2 and leukotrienes B4, C4, D4, and E4 appear to be most significant in the pathophysiology of ARDS. The purpose of this review is to summarize the current knowledge of these eicosanoids and their involvement in ARDS.
Preview
Unable to display preview. Download preview PDF.
References
Hock CE, Lefer AM (1985) Protective effects of a new LTD antagonist (LY-171883) in traumatic shock. Circ Shock 17:263–272
Lelcuk S, Huval WV, Valeri CR, Shepro D, Hechtman HB (1984) Inhibition of ischemia-induced thromboxane synthesis in man. J Trauma 24(5):393–396
Slotman GJ, Quinn JV, Burchard KW, Gann DS (1984) Thromboxane interaction with cardiopulmonary dysfunction in graded bacterial sepsis. J Trauma 24(9):803–810
Smith ME, Holcroft JW, Demling RH (1982) Prostaglandin E1 and prostacyclin infusion decrease thromboxane production in endotoxin-induced lung injury. J Surg Res 32:283–288
Slotman GJ, Quinn JV, Burchard KW, Gann DS (1985) Thromboxane, prostacyclin, and the hemodynamic effects of graded bacteremic shock. Circ Shock 16:395–404
Slotman GJ, Burchard KW, Yellin SA, Williams JJ (1986) Prostaglandin and complement interaction in clinical acute respiratory failure. Arch Surg 121:271–274
Slotman GJ, Yellin SA, Handy JR, Hulstyn M, Husain SE, Gann DS (1986) Thromboxane A2 mediates hemodynamic and respiratory dysfunction in graded bacteremia. Surgery 100(2):214–221
Reines HD, Cook JA, Halushka PV, Wise WC, Rambo W (1982) Plasma thromboxane concentrations are raised in patients dying with septic shock. Lancet, July 24:174–175
Krausz MM, Utsunomiya T, Dunham AB, Valeri CR, Shepro D, Hechtman HB (1982) Inhibition of permeability edema with imidazole. Surgery 92(2):299–308
Hechtman HB, Huval WV, Mathieson MA, Stemp LI, Valeri R, Shepro D (1983) Prostaglandin and thromboxane mediation of cardiopulmonary failure. Surg Clin N Am 63(2):263–283
Slotman GJ, Burchard KW, Gann DS (1985) Thromboxane and prostacyclin in clinical acute respiratory failure. J Surg Res 39:1–7
Leeman M, Boeynaems J-M, Degaute J-P, Vincent J-L, Kahn RJ (1985) Administration of dazoxiben, a selective thromboxane synthetase inhibitor, in the adult respiratory distress syndrome. Chest 87(6):726–730
Reines HD, Halushka PV, Olanoff LS, et al (1985) Dazoxiben in human sepsis and adult respiratory distress syndrome. Clin Pharmacol Ther 37(4):391–395
Huval WV, Lelcuk S, Shepro D, Hechtman HB (1984) Role of serotonin in patients with acute respiratory failure. Ann Surg 200(2):166–172
Hammerschmidt DE, Weaver LJ, HudsonLD, Craddock PR, Jacob HS (1980) Complement-complement activation and elevated plasma C5a with adult respiratory distress syndrome. Lancet 947–949, May 3
Matthay MA, Eschenbacher WL, Goetzl EJ (1984) Elevated concentrations of leukotriene D4 in pulmonary edema fluid of patients with the adult respiratory distress syndrome. J Clin Immunol 4(6):479–484
Bunting S, Grylglewski R, Mancada S, Vane JR (1976) Arterial walls generate from prostaglandin endoperoxides a substance (prostaglandin X) which relaxes strips of mesenteric and coeliac arteries and inhibits platelet aggregation. Prostaglandins 12(6):897–913
Moncada S, Vane JR (1979) The role of prostacyclin in vascular tissue. Fed Proc 38:(1):66–71
Demling RH, Smith M, Gunther R (1981) Pulmonary injury and prostaglandin production during endotoxemia in conscious sheep. Am J Physiol 240:H348–353
Hales CA, Peterson M, King D (1981) Role of thromboxane and prostacyclin in pulmonary vasomotor changes after endotoxin in dogs. J Clin Invest 68:497–505
Smith ME, Gunther R, Gee M, Flynn J, Demling RH (1981) Leukocytes, platelets, and thromboxane A2 in endotoxin-induced lung injury. Surgery 90(1):102–107
Borgstrum D, Slotman GJ (unpublished). Prostacyclin is sufficient alone to cause hypotension in sepsis
Hirawawa N, Ohuchi K, Sugio K, Tsurufuji S, Watanabe M, Yoshino W & S (1986) Vascular permeability responses and the role of prostaglandin E2 in an experimental allergic inflammation of air pouch type in rats. Br J Pharmacol 87:751–756
Ninnemann JL, Stockland AE (1984) Participation of prostaglandin E in immunosuppression following thermal injury. J Trauma 24(3):202–208
Kunkel SL, Chensue SW, Phan SH (1986) Prostaglandins as endogenous mediators of in-terleukin 1 production. J Immunol 1136(1):186–192
Samuelsson B, Hammarstrom S, Murphy RC, Borgeat P (1980) Leukotrienes and slow reacting substance of anaphylaxis (SRS-A). Allergy 35:375–381
Holroyde MC, Altounyan REC, Cole M, Dison M, Elliott EV (1981) Bronchoconstriction produced in man by Leukotrienes C and D. Lancet, July 4:17–18
Woodward DF, Weichman BM, Gill CA, Wasserman MA (1983) The effect of synthetic leukotrienes on tracheal microvascular permeability. Prostaglandins 25(1):131–142
Staub NC, Schultz EL, Koike K, Albertine KH (1985) Effect of neutrophil migration induced by leukotriene B4 on protein permeability in sheep lung. Fed Proc 44(1):part 1, 32–35
Denzlinger C, Rapp S, Hagmann W, Keppler D (1985) Leukotrienes as mediators in tissue trauma. Science, 230:330–332
Lefer AM (1985) Eicosanoids as mediators of ischemia and shock. Fed Proc 44:275–280
Cutitar M, Yellin SA, Handy JR, Slotman GJ (unpublished) Leukotriene mediation of hypotension and respiratory failure during graded bacteremia
Slotman GJ, Machiedo GW, Casey KF, Lyons MJ (1982) Histologic and hemodynamic effects of prostacyclin and prostaglandin E1 following oleic acid infusion. Surgery 92(1):93–100
Steinberg SM, Dehring DJ, Gower WR, Vento JM, Lowery DB, Cloutier CT (1983) Prostacyclin in experimental septic acute respiratory failure. J Surg Res 34:298–302
Slotman GJ, D’Arezzo A, Gann DS (submitted) Ketoconazole prevents acute respiratory failure in critically ill surgical patients. J Trauma
Kazui T, Webb WR, Wax SD (1976) Effect of prostaglandin E1 on the lung in hemorrhagic shock. Surgical Forum 187–189
Rubin LJ, Groves BM, Reeves JT, Frosolono M, Handel F, Cato AE (1982) Prostacyclin-induced acute pulmonary vasodilation in primary pulmonary hypertension. Circulation 66(2):334–338
Szczeklik A, Szczeklik J, Nizankowski R, Gluszko P (1980) Prostacyclin for acute coronary insufficiency. Artery 8(1):7–11
Chelly J, Fabiani J-N, Chahine R, Tricot A-M, Carpentier A, Passelecq J, Dubost C (1982) Hemodynamic and metabolic effects of prostacyclin after coronary bypass surgery. Circulation 66(suppl 1):I 45–I 49
Holcroft JW, Vassar MJ, Weber CJ (1986) Prostaglandin E1 and survival in patients with the adult respiratory distress syndrome. Ann Surg 203(4):371–378
Lelcuk S, Huvan WV, Valeri CR, Shepro D, Hechtman HB (1984) Inhibition of ischemia-induced thromboxane synthesis in man. J Trauma 24(5):393–395
Beetens JR, Loots W, Somers Y, Coene MC, DeClerck F (1986) Ketoconazole inhibits the biosynthesis of leukotrienes in vitro and in vivo. Biochem Pharmac 35(6):883–891
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1987 Springer-Verlag Berlin Heidelberg
About this chapter
Cite this chapter
Slotman, G.J. (1987). The Role of Prostaglandins in ARDS. In: Vincent, J.L. (eds) Update 1987. Update in Intensive Care and Emergency Medicine, vol 3. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-83042-6_15
Download citation
DOI: https://doi.org/10.1007/978-3-642-83042-6_15
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-540-17576-6
Online ISBN: 978-3-642-83042-6
eBook Packages: Springer Book Archive