We developed a method that used Alcian blue bound to hyaluronan to measure
pleural hyaluronan in rabbits postmortem. Rabbits were killed, then ventila
ted with 21% O-2-5% CO2-74% N-2 for 3 h. The pleural liquid was removed by
suction and 5 mi Alcian blue stock solution (0.33 mg/ml, 3.3 pH) was inject
ed into each chest cavity. After 10 min, the Alcian blue solution was remov
ed and the unbound Alcian blue solution (supernatant) separated by centrifu
gation and filtration. The supernatant transmissibility (T) was measured sp
ectrophotometrically at 613 nm. Supernatant Alcian blue concentration (Cab)
was obtained from a calibration curve of T versus dilutions of stock solut
ion Cab. Alcian blue bound to pleural tissue hyaluronan was obtained by sub
tracting supernatant Cab from stock solution Cab. Pleural tissue hyaluronan
was obtained from a calibration curve of hyaluronan versus Alcian blue bou
nd to hyaluronan. Compared with control rabbits, pleural tissue hyaluronan
(0.21 +/- 0.04 mg/kg) increased twofold, whereas pleural liquid volume decr
eased by 30% after 3 h of ventilation. Pleural effusions present 3 h postmo
rtem without ventilation did not change pleural tissue hyaluronan from cont
rol values. Thus ventilation-induced pleural liquid shear stress, not incre
ased filtration, was the stimulus for the increased hyaluronan produced fro
m pleural mesothelial cells.