R. Hayward et Am. Lefer, Acute mesenteric ischemia and reperfusion: Protective effects of recombinant soluble P-selectin glycoprotein ligand-1, SHOCK, 12(3), 1999, pp. 201-207
The effects of recombinant soluble P-selectin glycoprotein ligand-1 (rsPSGL
.Ig) were studied after 120 min of splanchnic artery occlusion and 120 min
of reperfusion (SAO/R). SAO/R rats administered a low-affinity mutant form
of rsPSGL.Ig exhibited signs of severe circulatory collapse with marked hyp
otension, a survival time of only 37 +/- 16 min, and significant increases
in intestinal myeloperoxidase (MPO) activity (P <0.01). In addition, SAO/R
rats given rsPSGL.Ig low-affinity mutant showed severe endothelial dysfunct
ion characterized by a blunted vasorelaxation to the endothelium-dependent
vasodilator acetylcholine in comparison to sham-operated controls (30 +/- 9
% vs. 97 +/- 3%). Administration of rsPSGL.Ig (0.5 mg/kg) significantly imp
roved mean arterial blood pressure and increased survival time to 107 +/- 1
3 min (P < 0.01). rsPSGL.Ig treatment also resulted in a significant attenu
ation in both intestinal MPO activity as well as the SAO/R-induced decline
in endothelium-dependent vasorelaxation of superior mesenteric artery rings
(P < 0.01). In addition, rsPSGL.Ig attenuated in vitro neutrophil adherenc
e to thrombin-stimulated superior mesenteric artery endothelium to a compar
able degree as a P-selectin monoclonal antibody. These data suggest that rs
PSGL.Ig provides beneficial effects by preserving endothelial function and
attenuating neutrophil-endothelial cell interactions in the splanchnic circ
ulation following ischemia-reperfusion.