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Elisabetta Ferrari-Baliviera, MD; Kenneth Mealy, FRCSI; Robert J. Smith, MD; Douglas W. Wilmore, MD

Arch Surg. 1989;124(12):1400-1405.

Abstract
• To evaluate the effect of tumor necrosis factor (TNF), a major mediator of sepsis, on lung structure and function, we infused 200-g male Wistar rats with TNF (0, 2x10⁵, or 4x10⁵ U/kg of TNF) for 24 hours. Volume-pressure measurements were determined in the excised lungs using both air and saline, which eliminated surface tension forces. Total lung wet and dry weight, nitrogen level, and DNA and protein content were measured. Lungs of the rats that received TNF accepted significantly smaller volumes of air and saline at all pressures compared with the control group. Both the lung wet and dry weights increased with TNF. Lung DNA and protein content also increased, suggesting increased cellularity in the TNF-infused lungs. Thus, the lungs of the TNF-treated rats were stiffer, with reduced compliance values, and heavier due to increased water content and increased cellularity. These data indicate that sublethal administration of TNF in this rat model induces the adult respiratory distress syndrome and increases the work potential of respiration.

(Arch Surg. 1989;124:1400-1405)

Author Affiliations
From the Departments of Surgery (Drs Ferrari-Baliviera, Mealy, and Wilmore) and Medicine (Dr Smith), Brigham and Women's Hospital, and the Joslin Diabetes Center, Harvard Medical School (Dr Smith), Boston, Mass.

Footnotes
Accepted for publication August 4, 1989.

Read before the Ninth Annual Meeting of the Surgical Infection Society, Denver, Colo, April 14, 1989.

Reprint requests to Department of Surgery, Brigham and Women's Hospital, 75 Francis St, Boston, MA 02115 (Dr Wilmore).

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