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October 4, 2012Critical CareOpen Access

Angiopoietin-1 variant reduces LPS-induced microvascular dysfunction in a murine model of sepsis

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Key result

Administration of MAT.Ang-1 after the onset of sepsis significantly reduced LPS-induced macromolecular leak (31.6 vs 80.7, p<0.001) and improved microvascular blood flow.

Why the study?

Does the angiopoietin-1 variant MAT.Ang-1 reduce microvascular dysfunction in a murine model of sepsis?

Population

Male C3H/HeN mice with endotoxemia induced by intraperitoneal injection of lipopolysaccharide.

Comparison

MAT.Ang-1 33 μg administered intravenously 20… vs LPS alone, saline control, and MAT.Ang-1 alone.

Design

Preclinical

Follow-up

24 hours

Authors

AAAlessio AlfieriRoslin InstituteJWJay J WatsonRKRichard A. KammererPaul Scherrer Institute

Discussion

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Implication

May protect microcirculation in murine sepsis; leaves open clinical translation to human septic shock.

Structured PICO

Does the angiopoietin-1 variant MAT.Ang-1 reduce microvascular dysfunction in a murine model of sepsis?

P
Population
24 male C3H/HeN mice (7-10 weeks old) subjected to LPS-induced endotoxemia to evaluate microvascular function.
I
Intervention
MAT.Ang-1 (matrilin-1-angiopoietin-1) 33 μg administered intravenously 20 hours after the onset of sepsis.
C
Comparator
LPS alone (1 mg/ml i.p. at 0 and 19 hours), saline control, and MAT.Ang-1 alone.
O
Outcome
Microcirculatory function (macromolecular leak and tissue perfusion) evaluated by intravital microscopy and Doppler fluximetry at 24 hours.surrogate

Main Result

Absolute Event Rate: 31.6% vs 80.7%

p-value: p=<0.001

Administration of the stable angiopoietin-1 variant MAT.Ang-1 after the onset of sepsis protects the microcirculation from endotoxemia-induced vascular dysfunction by reducing inflammation.

Limitations

  • Further studies are required to examine the ability of MAT.Ang-1 to reduce mortality in more severe models of sepsis.

Cite This Study

Alfieri et al. (2012) studied Sepsis (LPS-induced endotoxemia) (n=24). MAT.Ang-1 vs. LPS alone was evaluated on Macromolecular leak (normalised grey level) at 24 hours (p=<0.001). Administration of MAT.Ang-1 after the onset of sepsis significantly reduced LPS-induced macromolecular leak (31.6 vs 80.7, p<0.001) and improved microvascular blood flow.

synapsesocial.com/papers/6a97363d760e81f9be85fa96https://doi.org/10.1186/cc11666
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