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The Journal of Immunology, 2006, 176: 3813-3820.
Copyright © 2006 by The American Association of Immunologists

Preprotachykinin-A Gene Products Are Key Mediators of Lung Injury in Polymicrobial Sepsis1

Padmam Puneet*, Akhil Hegde*, Siaw Wei Ng*, Hon Yen Lau*, Jia Lu{dagger}, Shabbir M. Moochhala*,{dagger} and Madhav Bhatia2,*

* Department of Pharmacology, National University of Singapore, Singapore; and {dagger} DSO National Laboratories, Singapore

Preprotachykinin-A (PPT-A) gene products substance P and neurokinin-A have been shown to play an important role in neurogenic inflammation. To investigate the role of PPT-A gene products in lung injury in sepsis, polymicrobial sepsis was induced by cecal ligation and puncture in PPT-A gene-deficient mice (PPT-A–/–) and the wild-type control mice (PPT-A+/+). PPT-A gene deletion significantly protected against mortality, delayed the onset of lethality, and improved the long-term survival following cecal ligation and puncture-induced sepsis. PPT-A–/– mice also had significantly attenuated inflammation and damage in the lungs. The data suggest that deletion of the PPT-A gene may have contributed to the disruption in recruitment of inflammatory cells resulting in protection against tissue damage, as in these mice the sepsis-associated increase in chemokine levels is significantly attenuated.




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