Lung Re-expansion following one-lung ventilation induces neutrophil cytoskeletal rearrangements in rats

Abstract

Purpose: To investigate the morphological and functional behavior of neutrophils during and after one-lung ventilation (OLV). Methods: We utilized an OLV rat model system and performed 3 hours of OLV followed by either re-expansion (RE) and 30 minutes of two-lung ventilation (TLV) (RE group), only two-lung ventilation (TLV group), or only OLV (OLV group). Cytoskeletal rearrangements of circulating neutrophils were assessed by determining the localization of flamentous actin (F-actin). In addition, the number of sequestered neutrophils in the lung capillary and the cytokine-induced neutrophil chemoattractant 1 (CINC-1) levels in the plasma were determined. Results: The F-actin rimmed neutrophils in the RE group increased after RE, but did not increase in the other groups. In the RE group, the sequestered neutrophils in the ventilated lung were signifcantly more numerous, and the plasma CINC-1 levels were significantly higher than in the other groups. Conclusions: Lung RE following OLV induces cytoskeletal rearrangements in circulating neutrophils and would thereby promote their sequestration in the lung capillaries. The plasma CINC-1 elevation after RE can be involved in neutrophil recruitment. © 2014 The Editorial Committee of Annals of Thoracic and Cardiovascular Surgery. All rights reserved.