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Lipopolysaccharide induces acute lung injury and alveolar haemorrhage in association with the cytokine storm, coagulopathy and AT1R/JAK/STAT augmentation in a rat model that mimics moderate and severe Covid-19 pathology.
Al-Ani, Bahjat; ShamsEldeen, Asmaa M; Kamar, Samaa S; Haidara, Mohamed A; Al-Hashem, Fahaid; Alshahrani, Mohammad Y; Al-Hakami, Ahmed M; Kader, Dina H Abdel; Maarouf, Amro.
  • Al-Ani B; Department of Physiology, College of Medicine, King Khalid University, Abha, Saudi Arabia.
  • ShamsEldeen AM; Department of Physiology, Kasr Al-Aini Faculty of Medicine, Cairo University, Cairo, Egypt.
  • Kamar SS; Department of Medical Histology, Kasr Al-Aini Faculty of Medicine, Cairo University, Cairo, Egypt.
  • Haidara MA; Department of Physiology, Kasr Al-Aini Faculty of Medicine, Cairo University, Cairo, Egypt.
  • Al-Hashem F; Department of Physiology, College of Medicine, King Khalid University, Abha, Saudi Arabia.
  • Alshahrani MY; Research Center for Advanced Materials Science (RCAMS), King Khalid University, Abha, Saudi Arabia.
  • Al-Hakami AM; Department of Clinical Laboratory Sciences, College of Applied Medical Sciences, King Khalid University, Abha, Saudi Arabia.
  • Kader DHA; Department of Microbiology and Clinical Parasitology, College of Medicine, King Khalid University, Abha, Saudi Arabia.
  • Maarouf A; Department of Medical Histology, Kasr Al-Aini Faculty of Medicine, Cairo University, Cairo, Egypt.
Clin Exp Pharmacol Physiol ; 49(4): 483-491, 2022 04.
Article in English | MEDLINE | ID: covidwho-1691664
ABSTRACT
Progress in the study of Covid-19 disease in rodents has been hampered by the lack of angiotensin-converting enzyme 2 (ACE2; virus entry route to the target cell) affinities for the virus spike proteins across species. Therefore, we sought to determine whether a modified protocol of lipopolysaccharide (LPS)-induced acute respiratory distress syndrome in rats can mimic both cell signalling pathways as well as severe disease phenotypes of Covid-19 disease. Rats were injected via intratracheal (IT) instillation with either 15 mg/kg of LPS (model group) or saline (control group) before being killed after 3 days. A severe acute respiratory syndrome (SARS)-like effect was observed in the model group as demonstrated by the development of a "cytokine storm" (>2.7 fold increase in blood levels of IL-6, IL-17A, GM-CSF, and TNF-α), high blood ferritin, demonstrable coagulopathy, including elevated D-dimer (approximately 10-fold increase), PAI-1, PT, and APTT (p < 0.0001). In addition, LPS increased the expression of lung angiotensin II type I receptor (AT1R)-JAK-STAT axis (>4 fold increase). Chest imaging revealed bilateral small patchy opacities of the lungs. Severe lung injury was noted by the presence of both, alveolar collapse and haemorrhage, desquamation of epithelial cells in the airway lumen, infiltration of inflammatory cells (CD45+ leukocytes), widespread thickening of the interalveolar septa, and ultrastructural alterations similar to Covid-19. Thus, these findings demonstrate that IT injection of 15 mg/kg LPS into rats, induced an AT1R/JAK/STAT-mediated cytokine storm with resultant pneumonia and coagulopathy that was commensurate with moderate and severe Covid-19 disease noted in humans.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Blood Coagulation Disorders / Signal Transduction / Lipopolysaccharides / Receptor, Angiotensin, Type 1 / STAT Transcription Factors / Acute Lung Injury / Cytokine Release Syndrome / COVID-19 / Hemorrhage / Lung Diseases Type of study: Experimental Studies Limits: Animals Language: English Journal: Clin Exp Pharmacol Physiol Year: 2022 Document Type: Article Affiliation country: 1440-1681.13620

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Blood Coagulation Disorders / Signal Transduction / Lipopolysaccharides / Receptor, Angiotensin, Type 1 / STAT Transcription Factors / Acute Lung Injury / Cytokine Release Syndrome / COVID-19 / Hemorrhage / Lung Diseases Type of study: Experimental Studies Limits: Animals Language: English Journal: Clin Exp Pharmacol Physiol Year: 2022 Document Type: Article Affiliation country: 1440-1681.13620