Protective effect of ethyl pyruvate against LPS-induced acute lung injury in dogs with septic shock

AIM:To investigate the effect of ethyl pyruvate (EP) on acute lung injury in dogs with septic shock.METHODS:Twenty dogs with septic shock induced by lipopolysaccharide (LPS) were randomly divided into two groups:dog received placebo (Ringers solution; control group, n=8) or ethyl pyruvate in lactated Ringers solution (0.05 g/kg loading dose over 10 min, thereafter 0.05 g· kg-1·h-1 for 12 h; EP treatment group, n=12).The parameters of respiratory mechanics, including lung dynamic compliance (Cdyn), lung total compliance (Ctot), inspiratory airway resistance (Rawi), peak inspiratory pressure (PIP), work of breathing (WOB), and arterial blood gases were monitored every 4 h after basic measurements (pre-LPS).The contents of TNF-α, IL-6 and IL-10 in serum were also detected by ELISA and compared between two groups.RESULTS:The changes of respiratory mechanics and arterial blood gases were in line with acute lung injury after septic shock induced by LPS.Oxygen index (OI), HCO-3and pH dropped 4 h after septic shock.On the contrary, PCO2 elevated significantly compared with that of septic shock before (P<0.05).Cdyn, Ctot decreased and Rawi, PIP, WOB increased significantly 8 h after septic shock (P<0.05).The changes in parameters of respiratory mechanics and arterial blood gases in control group were more distinguished than those in EP treatment group.There were significantly differences between two groups 8 h after septic shock (P<0.05).Although the significant improvement of respiratory mechanics was not observed, EP did prevent the parameters from worsening further more.Significantly differences between the two groups 12 h after septic shock (P<0.05) were found.Ethyl pyruvate also regulated the network of cytokines:increased the level of TNF-α, IL-6 and reduced the content of IL-10 in serum significantly compared with control group (P<0.05).CONCLUSION:Ethyl pyruvate has protective effects on acute lung injury in dogs with septic shock.