Effect of N-acetylcysteine treatment on NO2-impaired type II pneumocyte surfactant metabolism

• Published in: European journal of clinical investigation 2001-02, Vol.31 (2), p.179-188
• Main Authors: Müller, B., Oske, M., Hochscheid, R., Seifart, C., Barth, P. J., Garn, H., Von Wichert, P.
• Format: Article
• Language: English
• Subjects: Acetylcysteine - pharmacology; Animals; Antioxidants; Biological and medical sciences; bronchoalveolar lavage; Bronchoalveolar Lavage Fluid - chemistry; Bronchoalveolar Lavage Fluid - cytology; Cell Separation; Cells, Cultured; Choline; Culture Techniques; Glutathione - analysis; Investigative techniques, diagnostic techniques (general aspects); Male; Medical sciences; N-acetylcysteine; nitrogen dioxide; Nitrogen Dioxide - pharmacology; Pathology. Cytology. Biochemistry. Spectrometry. Miscellaneous investigative techniques; Phosphatidylcholines - metabolism; Phospholipids - analysis; Pulmonary Alveoli - cytology; Pulmonary Alveoli - drug effects; Pulmonary Surfactants - metabolism; Rats; Rats, Sprague-Dawley; Respiratory system; surfactant-system; type II pneumocytes
• ISSN: 0014-2972; 1365-2362
• DOI: 10.1046/j.1365-2362.2001.00776.x

Inhalation of nitrogen dioxide (NO2) is known to alter the composition of the bronchoalveolar lavage (BAL) and to impair the surfactant metabolism of type II pneumocytes. However, information is sparse as to whether application of the widely used antioxidant N‐acetylcysteine (NAC) is capable of preventing or reducing these alterations. The aim of the study was to investigate if in vivo administration of NAC to NO2‐inhaling rats protected BAL parameters and physiology of type II pneumocytes from impairment. For this purpose, rats were exposed to 720 p.p.m. h−1 NO2, that was applied continuously, intermittently or repeatedly. During inhalation one group of rats received saline and the other group received NAC antioxidant (200 mg kg−1, intraperitoneally) once a day. The BAL protein and phospholipid content increased most in the continuously and repeatedly NO2‐exposed rats when compared to the controls, while the intermittent exposure did not change these parameters. Application of NAC led to a marked decrease of the protein elevation for the continuously and intermittently exposed groups, but exhibited no influence on the BAL phospholipid. Surprisingly, all NO2 exposure modes elevated the glutathione content (reduced and oxidized) in the BAL. Application of NAC clearly decreased the content of both forms of glutathione in the continuously and the repeatedly NO2‐exposed groups. Phospholipid synthesis, measured by choline uptake into type II cells, was increased most after continuous NO2 inhalation. The NAC reduced this increase moderately. Whereas choline uptake by type II cells was obviously stimulated by NO2, the stimulated secretion of phosphatidylcholine from these cells was decreased by this oxidant. Only continuous exposure reduced this activity markedly. The NAC clearly restored the impaired secretion activity in the cells from the continuously NO2‐exposed animals. Since the efficacy of NAC in the prevention of NO2‐induced impairments in the surfactant system is striking mainly in the continuously exposed group, we suggest that administration of NAC to NO2‐induced lung injury partially restores altered BAL components and the impaired physiology of type II pneumocytes.