Abstract
Trace element (TE) supplementation can reduce the incidence of multiple organ failure after severe trauma. The lung plays a main role in post-injury multiple organ failure. In the present study, the relationship between TEs and acute lung injury (ALI) post-injury was investigated in a rabbit model of severe trauma with an injury severity score of 27. New Zealand white rabbits were randomly assigned to trauma-control, trauma-TE groups, and a control group. During days 1–5 post-trauma, each rabbit in the trauma-TE group received 0.1 ml multi-TE compound intraperitoneally to give a daily dose of 32.50 mg/kg of Zn, 6.35 mg/kg of Cu, 1.38 mg/kg of Mn, and 0.16 mg/kg of Se. Concentrations of blood and lung selenium (Se), copper (Cu), zinc (Zn), and manganese (Mn) were measured at 6 and 24 h, as well as 3, 6, 9, and 14 days after trauma. Levels of glutathione peroxidase (GPx), total superoxide dismutase (SOD), Cu/Zn superoxide dismutase (Cu/Zn-SOD), and malondialdehyde (MDA) in serum and lung tissue and the level of intercellular adhesion molecular-1 (ICAM-1) in serum were detected simultaneously. In addition, the lung coefficient (LC) and the lung permeation index (LPI) were measured. Serum and lung Zn, Se, and Mn levels decreased dramatically by 6 h after trauma in both experimental groups. Cu showed no significant changes after trauma. The serum and lung GPx and SOD levels in the experimental group decreased significantly on days 1 and 3, respectively. Serum and lung MDA began to increase on day 3 in the trauma group but increased less after TE supplementation. Serum ICAM-1 peaked on day 6 in the experimental group. LC and LPI increased gradually post-trauma, peaking on days 6 and 9, respectively. In conclusion, an acute lung injury causes declines of the levels of TEs in serum and lung which can be significantly prevented by TE supplementation and which can also mitigate some of the morphological and biomechanical changes in ALI.
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References
Uzzan B, Cohen R, Nicolas P et al (2006) Procalcitonin as a diagnostic test for sepsis in critically ill adults and after surgery or trauma: a systematic review and meta-analysis. Crit Care Med 34:1996–2003
Fabiano G, Pezzolla A, Filograna MA et al (2008) Traumatic shock—physiopathologic aspects. G Chir 29:51–57
Estenssoro E, Dubin A, Laffaire E et al (2002) Incidence, clinical course, and outcome in 217 patients with acute respiratory distress syndrome. Crit-Care-Med 30:2450–2056
Kimura F, Shimizu H, Yoshidome H et al (2010) Immunosuppression following surgical and traumatic injury. Surg Today 40:793–808
Ciesla DJ, Moore EE, Johnson JL et al (2005) The role of the lung in postinjury multiple organ failure. Surgery 138:749–757
Gullo A, Berlot G, Viviani M (1996) The role of adult respiratory distress syndrome in the multiple organ dysfunction syndrome. Acta-Anaesthesiol-Scand-Suppl 109:70–73
Song GY, Chung CS, Jarrar D (2002) Mechanism of immune dysfunction in sepsis: inducible nitric oxide-meditated alterations in p38 MAPK activation. J Trauma 53:276–282
Schroeder JE, Weiss YG, Mosheiff R (2009) The current state in the evaluation and treatment of ARdS and SIRS. Injury 40(Suppl 4):S82–S89
Shi C, Andersson R, Zhao X et al (2005) Potential role of reactive oxygen species in pancreatitis-associated multiple organ dysfunction. Pancreatology 5:492–500
Malbohan IM, Fialová L (1997) Trace elements, human nutrition and health. Cas Lek Cesk 136:356–359
Fraker PJ, King LE (2001) A distinct role for apoptosis in the changes in lymphopoiesis and myelopoiesis created by deficiencies in zinc. FASEB-J 15:2572–2878
Kondoh M, Kamada K, Kuronaga M et al (2003) Antioxidant property of metallothionein in fasted mice. Toxicol-Lett 143:301–306
King LE, Osati-Ashtiani F, Fraker PJ et al (2002) Apoptosis plays a distinct role in the loss of precursor lymphocytes during zinc deficiency in mice. J-Nutr 132:974–979
Klotz LO, Kroncke KD, Buchczyk DP et al (2003) Role of copper, zinc, selenium and tellurium in the cellular defense against oxidative and nitrosative stress. J Nutr 133:1448S–1451S
Rayman MP (2000) The importance of selenium to human health. Lancet 356:233–241
Kyriakopoulos A, Bukalis K, Roethlein D et al (2004) Prevention against oxidative stress of eukaryotic cell membranes by selenium compounds of the rat. Ann-N-Y-Acad-Sci 1030:458–461
Forest KT, Langford PR, Kroll JS et al (2000) Cu, Zn superoxide dismutase structure from a microbial pathogen establishes a class with a conserved dimer interface. Journal of Molecular Biology 296:145–153
Berger MM, Shenkin A (1998) Trace elements in trauma and burns. Curr Opin Clin Nutr Metab Care 1:513–517
Oteiza PI (2010) Trace elements in physiology and pathology. Biofactors 36:87
Wang BH, Yu XJ, Wang D et al (2007) Alterations of trace elements (Zn, Se, Cu, Fe) and related metalloenzymes in rabbit blood after severe trauma. J Trace Elem Med Biol 21:102–107
Association for the Advancement of Automotive Medicine (1998) Association for the Advancement of Automotive Medicine: the Abbreviated Injury Scale (AIS). American Association for Automotive Medicine, Des Plaines
Cheng WH, Zheng X, Quimby FR (2003) Low levels of glutathione peroxidase1 activity in selenium-deficient mouse liver affect c-Jun N-terminal kinase activation and p53 phosphorylation on Ser-15 in pro-oxidant-induced aponecrosis. Biochem-J 370:927–934
Gaweł S, Wardas M, Niedworok E et al (2004) Malondialdehyde (MDA) as a lipid peroxidation marker. Wiad Lek 57:453–455
Hiemstra PS (2006) Defensins and cathelicidins in inflammatory lung disease: beyond antimicrobial activity. Biochem Soc Trans 34:276–278
Massoudy P, Zahler S, Becker BF et al (2001) Evidence for inflammatory responses of the lungs during coronary artery bypass grafting with cardiopulmonary bypass. Chest 119:31–36
Sumagin R, Sarelius IH (2007) A role for ICAM-1 in maintenance of leukocyte–endothelial cell rolling interactions in inflamed arterioles. Am J Physiol Heart Circ Physiol 293:2786–2798
Norman MU, James WG, Hickey MJ (2008) Differential roles of ICAM-1 and VCAM-1 in leukocyte–endothelial cell interactions in skin and brain of MRL/faslpr mice. J Leukoc Biol 84:68–76
Alam HB, Austin B, Koustova E et al (2001) Resuscitation-induced pulmonary apoptosis and intracellular adhesion molecule-1 expression in rats are attenuated by the use of ketone Ringer’s solution. J Am Coll Surg 193:255–263
Maehira F, Miyagi I, Eguchi Y (2003) Selenium regulates transcription factor NF-kappaB activation during the acute phase reaction. Clin-Chim-Acta 334:163–171
Forceville X, Van Antwerpen P (2008) Selenocompounds and selenium: a biochemical approach to sepsis. Intensive Section XI:454–469
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We appreciate the support of the National Natural Science Foundation Council of China (30772458).
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Wang, G., Lai, X., Yu, X. et al. Altered Levels of Trace Elements in Acute Lung Injury After Severe Trauma. Biol Trace Elem Res 147, 28–35 (2012). https://doi.org/10.1007/s12011-011-9281-9
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DOI: https://doi.org/10.1007/s12011-011-9281-9