Endotoxin (lipopolysaccharide, LPS), is a constituent of the outer membrane of Gram-negative bacteria, activates macrophages to release cytokines that can cause local or systemic inflammatory responses. Plasma leakage and polymorphonuclear leukocyte infiltration are characteristic features of inflammation. This study examined the effect of LPS to induce subcutaneous inflammatory lesions, including time course of changes in plasma extravasation and level of leukocyte influx into the tissue interstitium. To investigate LPS-induced plasma leakage in the skin, LPS (500 £gg/site) was administered by subcutaneous injection in the hindpaw skin. India ink (1 ml/kg) was used as tracer dye to measure the area density of ink-labeled leaky blood vessels. Our results showed that the postcapillary venules were leaking immediately at five minutes after LPS. The area density of India ink-labeled leaky vessels was 33.9 %¡Ó5.6 % (n=5) after the administration of LPS. The magnitude of plasma leakage was 2 times as the value of saline control (16.6 %¡Ó1.8 %, n=5). Plasma leakage peaked at 30 min (42.5 %¡Ó2.5 %, n=11) after LPS. Staining of the microvasculature by silver nitrate showed endothelial gap formation in venules and indicated the positive relevance to plasma leakage. Leukocytes (neutrophils and eosinophils) in hindpaw skin whole mounts were stained by a histochemical reaction for myeloperoxidase and the numbers of leukocytes quantified. LPS caused a severe response in leukocyte adhesion and accumulation. The number of leukocytes after LPS was 5 times as the number after saline. It is concluded that local injection of LPS in the skin caused formation of endothelial gaps and leukocyte infiltration that resulted in an increase in local vascular permeability.

Endotoxin (lipopolysaccharide, LPS) a chemical component of cell wall of gram-negative bacteria, is an important mediator in pathogenesis of sepsis and acute respiratory distress syndrome. It causes production and release of a wide array of mediators including cytokines, chemokines, oxygen free radicals and nitric oxide from neutrophils, macrophages, endothelial cells and epithelial cells through the NF-£eB pathway. LPS increases the permeability of microcirculation, and causes the acute formation of numerous endothelial gaps among venular endothelial cells, resulting in extensive plasma leakage in the inflammatory tissue. Urethan is commonly used as an animal anesthetic for nonrecovery laboratory surgery. It is aslo an £\2-adrenoreceptor antagonist, which can suppress the activation of the cardiovascular system and reduce the angiotensin which increases the blood pressure. Urethan or its metabolites protect animals against LPS, in part, by reducing TNF-£\ release. The aims of the present study to investigate the time-course of vascular permeability in microcirculation of rat trachea, bronchus and esophagus after intravenous application of a high dose of LPS (15 mg/kg), and to reveal the role of urethan (1 g/¢V) and dimethylthiourea (DMTU, 0.375 g/¢V) in inhibition of LPS-induced plasma leakage and edema. India ink was used as a tracer dye to mark leaky microvessels after LPS application. Endothelial gaps were made visible for light microscopy by staining the borders of endothelial cells with silver nitrate. Tracheal sections were stained with toluidine blue to show the subendothelial edema formation. A high dose of LPS was administered intravenously to induce serious plasma leakage and edema and a large number of endothelial gaps formed in postcapillary and collecting venules in the rat trachea and esophagus. The peak values of plasma leakage and edema occurred 5 min after LPS (P<0.01). Urethan anesthesia significantly inhibited LPS-induced plasma leakage by 95 ¡Ó 1.7% in various parts of the respiratory tracts and inhibited edema ratio in the trachea by 57%. Urethan was also found to reduce leukocyte infiltration and the number of endothelial gaps by 46.8 ¡Ó 4.6%. DMTU pretreatment significantly inhibited plasma leakage by 88.5 ¡Ó 2.5% in the respiratory tract and inhibited edema ratio in the trachea by 89% at 5 min after LPS. It is concluded that LPS-induced increase in plasma leakage and edema correlated with the formation of endothelial gaps, and association with activation of alpha 2-adrenergic receptors and hydroxyl free radical production.

Stimulation of C-fiber sensory neurons innervating the respiratory tract with electricity or capsaicin leads to the liberation of substance P, CGRP and other neuropeptides from the nerve terminals. Substance P (SP) binds to the NK-receptors on the membrane of vascular endothelial cells and elicits neurogenic inflammatory responses. These inflammatory responses include plasma leakage and the subsequent edema formation (Lundberg and Saria, 1983¡FMcDonald et al., 1988). Evans blue is a hydrophilic dye and is often used as a tracer of plasma leakage due to its¡¦ high affinity to the plasma proteins. Plasma leakage causes Evans blue extravasates from the blood vessels and remains in the tissues. The more plasma leaks from the blood vessels, the more Evans blue will extravasate into the tissues. Measuring extravasated Evans blue dye that is extracted from tissues, is useful for evaluation of the amount of plasma leakage. Potassium channel openers can inhibit neurogenic plasma leakage in the airways and urinary bladder (Hollywood et al., 1998). Evans blue directly stimulates large-conductance Ca2+-activated K+ channels in cultured endothelial cells of human umbilical vein (Wu et al., 1999). This suggests that it may influence the permeability of the microvessels in vivo. A previous study shows that Evans blue dye blocks capsaicin-induced cough and bronchospasm in the guinea pig (Bolaer et al., 1995). We postulated that pretreatment with Evans blue may influence the extent of neurogenic inflammation in the rat airways induced by the application of either SP or capsaicin. India ink was used as a colloidal tracer dye to label the leaky vessels. The present study investigated whether different concentration of Evans blue (0, 3, 15 and 30 mg/ml/kg) pretreatment could affect the plasma leakage and edema formation in rat lower airways in response to intravenous injection of either SP or capsaicin. The amount of plasma leakage was expressed by the area density of India ink-labeled leaky blood vessels. We also investigated whether Evans blue influenced the ultra-structural change in tracheal serous cells induced by intravenous injection of SP. Our results showed that pretreatment with high concentration of Evans blue reduced more than seven tenths of the area density of plasma leakage in the trachea caused by SP application (P<0.01); reduced more than seven tenths in the left main bronchus (P<0.01) and reduced about seven tenths in the right main bronchus (P<0.01), compared to the control group that received saline prior to SP. However, no statistical significance was observed in edema ratio between any two groups (P>0.05). In the neurogenic inflammation of the airways caused by injection of capsaicin, pretreatment with high concentration of Evans blue reduced more than seven tenths of the area density of plasma leakage in the trachea (P<0.01); reduced more than seven tenths in the left main bronchus (P<0.01) and reduced about seven tenths in the right main bronchus (P<0.01), respectively, compared to the control group that received saline prior to capsaicin. Pretreatment with high concentration of Evans blue prior to capsaicin also reduced more than eight-tenth in edema ratio (P<0.01). In the ultra-structure change of serous cells and the stastical analysis of the number of active serous per 1000£gm2 of tracheal epithelium, Evans blue pretreatment prior to SP significantly reduced the number of active serous cells by seven tenths (P<0.01) as compared to control group that received saline prior to SP. Therefore, we concluded that pretreatment with high concentration of Evans blue exerted its¡¦ effect by opening large-conductance Ca2+-activated K+ channels and inhibited the plasma leakage induced by SP or capsaicin. But no significant inhibition was observed in edema formation induced by SP application. Low concentration of Evans blue might enhance the neurogenic inflammation of the airway. Under the observation with SEM, we found that SP activated serous cells in airway epithelium, and high concentration of Evans blue pretreatment lowered the secretory activity of serous cells. Therefore Evans blue might inhibit the activation of serous cells.

The mechanisms underlying the 6-hydroxydopamine (6-OHDA)-induced inflammatory response in the urinary bladder and prostate in anaesthetized male rats of Long- Evan strain were investigated. The magnitude of inflammatory responses were evaluated by morphometric analysis of the area density of India ink-labeled blood vessels in urinary bladder whole mounts and spectrophotometric analysis of Evans blue dye contents in urinary bladder and prostate. Moreover, scanning electron microscopy was employed to observe the venular endothelium in the urinary bladder wall and glandular epithelium in the prostate gland. Fifteen minutes after local application of 6-OHDA to the urinary bladder, 6-OHDA induced an increase of plasma leakage in a dose-dependent manner. It was revealed that area densities of India ink-labeled blood vessels in the rat urinary bladder whole mount were 5.65¡Ó1.72 % (N=6), 22.63¡Ó3.12 % (N=6), and 35.02¡Ó2.25 % (N=6) respectively, following a local injection of vehicle, 5 mg/kg 6-OHDA, and 10 mg/kg 6-OHDA. Using Evans blue dye as a tracer for spectrophotometric analysis, the results were similar. The Evans blue dye content was 80.53¡Ó60.74 ng/mg in the urinary bladder and 48.81¡Ó2.83 ng/mg in the prostate following injection of 5 mg/kg 6-OHDA (N=6). The Evans blue dye content was 157.73¡Ó4.45 ng/mg in the bladder and 65.52¡Ó4.25 ng/mg in the prostate following injection of 10 mg/kg 6-OHDA (N=6). Evans blue dye contents in the vehicle group (N=6) were much lower, 18.82¡Ó3.74 ng/mg in the urinary bladder and 18.50¡Ó2.47 ng/mg in the prostate, which were significantly smaller than the 6-OHDA treated group. Interestingly, the inflammatory responses were completely abolished by pretreating alone with dimethylthiourea (DMTU), a hydroxyl radical scavenger, and were moderately attenuated by pretreatment with L-732,138, a NK1 receptor antagonist. Under scanning electron microscope observation, 6-OHDA caused endothelial gaps formation in the venules of urinary bladder wall and triggered the release of secretory granules in the prostate gland cells. We concluded that 6-OHDA could induce inflammation in the urinary bladder and prostate gland involving free radical and tachykinin mechanisms.

¡iAbstract¡j Lipopolysaccharide (LPS) is the toxic chemical component of the cell wall in all gram-negative bacteria which can stimulate immune cells, including macrophages and white blood cell, to release cytokines such as interleukin-1£], interleukin-6 and tumor necrosis factor-£\. These pro-inflammatory mediators induce systemic acute inflammation and multiple organs dysfuction syndrome in sepsis. Plasma leakage from microvasculature is a hallmark of inflammation. Previous studies have demonstrated that other inflammatory agents, such as capsaicin, substance P and histamine could cause the acute formation of numerous endothelial gaps in the venules that result in extensive plasma leakage in the inflammatory tissues of the whole respiratory tract and a part of digestive tract in a few minutes. Mammalian intestines have many goblet cells that synthesize mucus and discharge it into the intestinal lumen. The mucus film that covers the surface epithelium facing the lumen of digestive system, is an immune defense that can prevent gastrointestinal epithelium from chemical and physical damage and act as a lubricant. Changes in goblet cell function and number are involved in microbial infection, inflammatory syndromes and immune factors. This study was aimed to investigate: (1) The degree of Plasma leakage and goblet cell hypersecretion in the small intestine of rats after an intravenous injection of a high dose of LPS (15 mg/kg), and (2) The involvement of vagus nerve and cholinergic receptors in plasma leakage and goblet cell secretion. For the study of plasma extravasation in small intestine during endotoxema, India ink was used as the tracer to mark the inflamed leaky microvessels. Rats were perfusion-fixed through the aorta, and endothelial gaps between endothelial cells of blood vessels were made visible with silver staining. The methacrylate sections of the ileum 3 £gm in thickness were stained with Alcian blue and periodic acid-schiff reagent to detect glycoproteins of goblet cells. Our results showed that LPS not only caused an increase in plasma leakage but also triggered degranulation of many goblet cells in villi and crypts. Numerous gaps were found in postcapillary venules and collecting venules, and plasma extravasation was observed in the serosa and tunica muscularis rat small intestine after LPS. Extensive plasma extravasation occurred in earier phases (5-30 min). However, numerous goblet cells started to discharge mucus granules 30 min after LPS treatment. A large amount of extracellular mucus was accumulated between intestinal villi 1 hour after LPS stimulation. Pretreatment with atropine, the muscarinic receptor antagonist, significantly inhibited goblet cell secretion. The inhibitory effect of pretreatment with atropine or bilateral cervical vagotomy on LPS-induced plasma leakage was not consistent. It is concluded that the plasma leakage and goblet cell hypersecretion induced by endotoxin shock was time-dependent and was associated with activation of muscarinic cholinergic receptors.

Intravenous application of a high dose of endotoxin, such as lipopolysaccharide (LPS), results in endotoxemia and sepsis in experimental animals. LPS induces production of cytokines and free radicals, plasma leakage and systemic inflammation. But the relationship between LPS-induced plasma leakage and endothelial gap formation is still unknown. Under normal physiological and pathological conditions, the mucus of intestine plays an important role in host defense mechanism as a barrier to prevent invasion of bacteria and endotoxin. The integrity of the intestinal epithelium is an important determinant of clinical outcome in septic patients. It is reported that, after LPS application, ileal mucosa is injured consequently. Necrosis of epithelial cells is also prominent feature in the villus epithelium. However, the response of mucin-secreting goblet cells is often ignored. The present study was designed to prove (1) whether LPS application increased plasma leakage by endothelial gap formation in rat intestinal tract, (2) whether LPS application increased goblet cell secretion by compound exocytotic activity in mucosal villi of small intestine; and (3) whether hydroxyl radicals were involved in LPS-induced compound exocytosis in goblet cells and plasma leakage. First, the microcirculation of large intestine in rats was shown by using silver nitrate staining method, and India ink was used to label the leaky microvessels to express the magnitude of plasma leakage. Endothelial gaps formed between endothelial cells in the venules after LPS-induced inflammation were investigated by light and scanning electron microscopy. In saline control, the number of endothelial gaps per 1000 £gm2 endothelium of postcapillary and collecting venules was 0.2 ¡Ó 0.1 ~ 0.4 ¡Ó 0.1 / 1000 £gm2 (n = 5). At 5 minutes after LPS application, the endothelial gap density drastically increased to 12.1 ¡Ó 1.6 ~ 27.5 ¡Ó 2.2 / 1000 £gm2 (n = 5 or 6), about 43-69 times (P < 0.01) as much as control. At the same time, the magnitude of plasma leakage, expressed by area density of India ink-labeled blood vessels, in the cecum and colon of LPS-treated rats increased to 7.8-8.2 times (P < 0.01) as much as control. Unusually high degree of plasma leakage and high number of endothelial gaps persisted for at least 30 minutes after treatment. Then, a significant reduction to the baseline level occurred at 60 minutes after LPS application (P > 0.05). The results evidently indicated that LPS-induced intestinal plasma leakage and the endothelial gap formation of venules were closely related. In the following experiment, in order to obtain an actual number of goblet cells in the mucosal epithelium, an innovative and effective experimental method was developed and adopted to prepare small intestine specimens in this study. Tissue pieces with two rows of mucosal villi were taken under a dissecting microscope. Then, scanning electron microscope was used to observe goblet cells and histochemistry staining was applied to further identify mucosubstance. The degree of goblet cell secretion in the villus epithelium of the duodenum and ileum was expressed by the number of cavitated goblet cells undergoing compound exocytosis. Digital morphometric software SimplePCI was employed to measure the epithelial surface area of sampled villi and to count the number of goblet cells. In addition, hydroxyl radical scavenger ¡V dimethylthiourea (DMTU) was also applied to explore the role of hydroxyl radicals involving in LPS-induced goblet cells secretion and plasma leakage. From scanning electron microscopy study, the numbers of cavitated goblet cells per mm2 of ileal villus epithelium in rats at 5 and 30 minutes after LPS injection were 693 ¡Ó 196 (n = 6) and 547 ¡Ó 213 (n = 6), respectively, which were 5.1 and 8.4 times (P < 0.05) compared with the number of saline control. The percentage of villus cavitated goblet cell numbers, in both duodenum and ileum 5 minutes after LPS and in the ileum 30 minutes after LPS, increased significantly (P < 0.05). When DMTU was given prior to LPS, the number of cavitated goblet cells and the amount of plasma leakage was inhibited and remained at the level as control (P > 0.05). It is concluded that the mechanism of the LPS-induced increase in compound exocytotic activity of goblet cells and increase in plasma leakage during acute phases of inflammatory response in rat small intestine was associated with hydroxyl radicals.