Effect of nitric oxide on apoptosis in lung injury following ischemia-reperfusion of hind limbs

AIM: To investigate the injury of lung and the role of cell apoptosis in the pathogenesis of acute lung injury following ischemia-reperfusion of hind limbs and the influence of nitric oxide (NO) to apoptosis.METHODS: Referring to our laboratory normal method,the model rats,which underwent 4 hours ischemia and 4 hours reperfusion of hind limbs were made.L-arginine (L-Arg) and N-nitro-L-arginine methyl ester (L-NAME) was administrated respectively to these rats before the experiment.Apoptosis was detected by TdT-mediated dUTP nick end labeling (TUNEL),respectively.The radioimmunoassay (RIA) was used to detect level in the expression of TNF-α.The immunohistochemistry (IHC) method was used to detect the level in the expression of Bcl-2,Bax,caspase-3 and TNF-α.The morphologic changes were observed under microscope,respectively.The results of the RIA and the IHC were analyzed quantitatively by relative computer analytical system.RESULTS: After rats’s hind limbs suffered from ischemia-reperfusion,the apoptosis in alveolar epithelial cells and pulmonary vascular endothelial cells was found.The expression of TNF-α,caspase-3 and Bax increased.Compared with IR rats,the expressions of TNF-α,caspase-3 and Bax were not obvious in the L-Arg administrated group,but the expression of Bcl-2 was obvious in that group.Compared with IR rats,the expressions of TNF-α,caspase-3 and Bax were obvious in the L-NAME administrated group,but the expression of Bcl-2 was not obvious in that group even weaker than normal ones.CONCLUSION: Apoptosis participated in acute lung injury following ischemia-reperfusion of hind limbs.The excess expression of TNF-α related with apoptosis of alveolar epithelial cells and pulmonary vascular endothelial cells.NO may reduce the occurrence of apoptosis and other lung injury through down-regulating the level in the expression of TNF-α.