The inflammatory responses induced by the synthetic polycation poly-L-
arginine injected either into the pleural cavity or into the trachea i
n rats have been investigated. Poly-L-arginine (4-40 nmol/rat) injecte
d intrapleurally induced exudate formation and leucocyte migration (ma
inly polymorphonuclear cells). The exudate formation (but not cell mig
ration) was dependent on the molecular weight of the poly-L-arginine u
sed (24 and 115 kD). The poly-L-arginine-induced pleurisy was mainly d
ependent on activation of mast cells since it was significantly reduce
d either in rats depleted of their stores of histamine and serotonin o
r in rats previously treated with the serotonin receptor antagonist me
thysergide. The polyanions heparin and dermatan sulphate when administ
ered intrapleurally with the polycation markedly reduced the exudate f
ormation. Poly-L-arginine (115 kD, 8.5 nmol/rat) injected intratrachea
lly caused lung oedema, increased leucocyte number and protein content
of bronchoalveolar lavage, respiratory insufficiency and 60% mortalit
y in 6 h. Depletion of histamine and serotonin stores or of circulatin
g neutrophils decreased the leucocytes in bronchoalveolar lavage but d
id not increase survival rate, whereas the polyanion dermatan sulphate
prevented the mortality completely. These results suggest that the in
flammatory changes caused by poly-L-arginine are dependent on mast cel
l activation but that the lethality after intratracheal administration
is due to electrostatic interactions of the polycation with anionic s
urfaces present in the pulmonary epithelium.