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Table 1 Effects of mechanical ventilation on the kidney

From: Bench-to-bedside review: Ventilation-induced renal injury through systemic mediator release - just theory or a causal relationship?

Reference

Model/injury

Ventilation strategy

Plasma mediators

Renal endpoints

Ranieri et al. 2000 [9]

ARDS patients

11 ml/kg, PEEP 6 versus 8 ml/kg, PEEP 15

IL-6, TNF-α, IL-1β, IL-8

Renal failure according to Knaus [198]

Choi et al. 2003 [18]

Healthy rats

20 ml/kg versus 7 ml/kg

VEGF

Proteinuria, albuminuria, eNOS expression, microvascular leak

Gurkan et al. 2003 [200]

Acid aspiration in mice

17 ml/kg, PEEP 3 versus 6 ml/kg, PEEP 3

 

IL-6, VEGFR-2 expression

Imai et al. 2003 [10]

Acid aspiration in rabbits

15 to 17 ml/kg, PEEP 0 to 3 versus 5 to 7 ml/kg, PEEP 9 to 12

MCP-1, IL-8, GRO, sFasL

Creatinine, apoptosis, histological changes with EM

Crimi et al. 2006 [11]

Hemorrhagic shock and resuscitation in rats

12 ml/kg, PEEP 0 versus 6 ml/kg, PEEP 5

IL-6, MIP-2

Creatinine, apoptosis

Dhanireddy et al. 2006 [12]

Bacterial aspiration (S. aureus) in mice

Spontaneous breathing versus 10 ml/kg

IL-6, KC, MIP-2

Creatinine

O'Mahony et al. 2006 [13]

LPS i.p. in mice

Spontaneous breathing versus 10 ml/kg

IL-6, KC, MIP-2, TNF-α

Creatinine

Kuiper et al. 2008 [15]

Healthy rats

20 cmH2O, PEEP 2 versus 14 cmH2O PEEP 5

 

Decreased renal blood flow, increased renal ET-1

Vaschetto et al. 2008 [14]

LPS aspiration in rats

15 ml/kg, PEEP 0 versus 6 ml/kg, PEEP 5

IL-6, TNF-α

Kidney apoptosis. Decreased creatinine clearance

Hegeman et al. 2009 [201]

Healthy mice

20 cmH2O, PEEP 0 for 1, 2, 4 hours versus spontaneous breathing

 

Increased E-selectin, VCAM-1, ICAM-1, PECAM-1, IL-1β, KC mRNA expression. Increased MPO activity

Kobr et al. 2009 [26]

Healthy piglets

10 ml/kg versus 6 ml/kg versus spontaneous breathing

VCAM-1, ICAM-1

Decreased creatinine clearance and free water clearance

  1. ARDS, acute respiratory distress syndrome; EM, electron microscopy; eNOS, endothelial nitric oxide synthase; ET, endothelin; ICAM, intercellular adhesion molecule; i.p., intraperitoneal; LPS, lipopolysaccharide; GRO, growth-regulated oncogene; KC, keratinocyte-derived chemokine; MCP, monocyte chemoattractant protein; MIP, macrophage inflammatory protein; MPO, myeloperoxidase; PECAM, platelet endothelial cell adhesion molecule; PEEP, positive end-expiratory pressure (in cmH2O); sFasL, soluble Fas ligand; VCAM, vascular cell adhesion molecule; VEGF, vascular endothelial growth factor; VEGFR2, vascular endothelial growth factor receptor 2.