Heparin rescues sepsis-associated acute lung injury and lethality through the suppression of inflammatory responses

Inflammation. 2012 Dec;35(6):1825-32. doi: 10.1007/s10753-012-9503-0.

Abstract

Heparin, a potent blood anticoagulant, is known to possess anti-inflammatory activity. In this work, we investigated whether heparin can ameliorate acute lung injury and lethal response in lipopolysaccharide (LPS)-induced mouse model of sepsis. We found that heparin effectively rescued lethality, improved lung pathological changes, inhibited myeloperoxidase (MPO) activity, and reduced malondialdehyde (MDA) level, lung wet/dry weight ratio and Evans blue values in LPS-induced septic mice. In addition, heparin also inhibited the release of tumor necrosis factor (TNF)-α, interleukin-6 (IL-6) and IL-1β in serum and decreased the expression of p-p38, nuclear factor κB (NF-κB) and p-c-SRC kinase in lungs of septic mice. Our findings suggest that heparin is capable of suppressing the lethal response and acute lung injury associated with sepsis, and support the notion that heparin may be a potential therapeutic agent for the conditions associated with septic shock.

MeSH terms

  • Acute Lung Injury / drug therapy*
  • Acute Lung Injury / mortality
  • Animals
  • Anti-Inflammatory Agents / pharmacology
  • Anti-Inflammatory Agents / therapeutic use
  • Disease Models, Animal
  • Heparin / pharmacology
  • Heparin / therapeutic use*
  • Inflammation / drug therapy*
  • Interleukin-1beta / blood
  • Interleukin-6 / blood
  • Lipopolysaccharides
  • Lung / drug effects
  • Lung / metabolism
  • Lung / pathology
  • Male
  • Malondialdehyde / metabolism
  • Mice
  • Mice, Inbred C57BL
  • NF-kappa B / metabolism
  • Peroxidase / antagonists & inhibitors
  • Sepsis / drug therapy*
  • Sepsis / mortality
  • Shock, Septic / drug therapy*
  • Shock, Septic / metabolism
  • Shock, Septic / pathology
  • Tumor Necrosis Factor-alpha / blood
  • p38 Mitogen-Activated Protein Kinases / metabolism
  • src-Family Kinases / metabolism

Substances

  • Anti-Inflammatory Agents
  • Interleukin-1beta
  • Interleukin-6
  • Lipopolysaccharides
  • NF-kappa B
  • Tumor Necrosis Factor-alpha
  • Malondialdehyde
  • Heparin
  • Peroxidase
  • src-Family Kinases
  • p38 Mitogen-Activated Protein Kinases