Prostanoids in bronchoalveolar lavage fluid do not predict outcome in congenital diaphragmatic hernia patients

Vasoactive prostanoids may be involved in persistent pulmonary hypertension (PPH) in infants with a congenital diaphragmatic hernia (CDH). We hypothesized that increased levels of prostanoids in bronchoalveolar lavage (BAL) fluid would predict clinical outcome. We measured the concentrations of 6-ke...

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Main Authors: H. Ijsselstijn, F. J. Zijlstra, J. C. De Jongste, D. Tibboel
Format: Article
Language:English
Published: Wiley 1997-01-01
Series:Mediators of Inflammation
Online Access:http://dx.doi.org/10.1080/09629359791712
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author H. Ijsselstijn
F. J. Zijlstra
J. C. De Jongste
D. Tibboel
author_facet H. Ijsselstijn
F. J. Zijlstra
J. C. De Jongste
D. Tibboel
author_sort H. Ijsselstijn
collection DOAJ
description Vasoactive prostanoids may be involved in persistent pulmonary hypertension (PPH) in infants with a congenital diaphragmatic hernia (CDH). We hypothesized that increased levels of prostanoids in bronchoalveolar lavage (BAL) fluid would predict clinical outcome. We measured the concentrations of 6-keto-prostaglandin F1α (6-keto-PGF1α), thromboxane B2 (TxB2), protein, albumin, total cell count, and elastase-α1-proteinase-inhibitor complex in BAL fluid of 18 CDH patients and of 13 control subjects without PPH. We found different concentrations of prostanoids in BAL fluid of CDH patients with PPH: infants with a poor prognosis had either high levels of both 6-keto-PGF1α and TxB2 compared to controls, or high levels of 6-keto-PGF1α only. TxB2 levels showed a large variability in all CDH patients irrespective of outcome. We conclude that prostanoid levels in BAL fluid do not predict clinical outcome in CDH patients.
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spelling doaj-art-e685ab9116d544bfa9cdb34e651cebc52025-02-03T01:24:31ZengWileyMediators of Inflammation0962-93511466-18611997-01-016321722410.1080/09629359791712Prostanoids in bronchoalveolar lavage fluid do not predict outcome in congenital diaphragmatic hernia patientsH. Ijsselstijn0F. J. Zijlstra1J. C. De Jongste2D. Tibboel3Department of Paediatric Surgery, Erasmus University Rotterdam and University Hospital/Sophia Children's Hospital, Rotterdam, The NetherlandsDepartment of Pharmacology, Erasmus University Rotterdam and University Hospital/Sophia Children's Hospital, Rotterdam, The NetherlandsDepartment of Paediatrics, Division of Respiratory Medicine, Erasmus University Rotterdam and University Hospital/Sophia Children's Hospital, Rotterdam, The NetherlandsDepartment of Paediatric Surgery, Erasmus University Rotterdam and University Hospital/Sophia Children's Hospital, Rotterdam, The NetherlandsVasoactive prostanoids may be involved in persistent pulmonary hypertension (PPH) in infants with a congenital diaphragmatic hernia (CDH). We hypothesized that increased levels of prostanoids in bronchoalveolar lavage (BAL) fluid would predict clinical outcome. We measured the concentrations of 6-keto-prostaglandin F1α (6-keto-PGF1α), thromboxane B2 (TxB2), protein, albumin, total cell count, and elastase-α1-proteinase-inhibitor complex in BAL fluid of 18 CDH patients and of 13 control subjects without PPH. We found different concentrations of prostanoids in BAL fluid of CDH patients with PPH: infants with a poor prognosis had either high levels of both 6-keto-PGF1α and TxB2 compared to controls, or high levels of 6-keto-PGF1α only. TxB2 levels showed a large variability in all CDH patients irrespective of outcome. We conclude that prostanoid levels in BAL fluid do not predict clinical outcome in CDH patients.http://dx.doi.org/10.1080/09629359791712
spellingShingle H. Ijsselstijn
F. J. Zijlstra
J. C. De Jongste
D. Tibboel
Prostanoids in bronchoalveolar lavage fluid do not predict outcome in congenital diaphragmatic hernia patients
Mediators of Inflammation
title Prostanoids in bronchoalveolar lavage fluid do not predict outcome in congenital diaphragmatic hernia patients
title_full Prostanoids in bronchoalveolar lavage fluid do not predict outcome in congenital diaphragmatic hernia patients
title_fullStr Prostanoids in bronchoalveolar lavage fluid do not predict outcome in congenital diaphragmatic hernia patients
title_full_unstemmed Prostanoids in bronchoalveolar lavage fluid do not predict outcome in congenital diaphragmatic hernia patients
title_short Prostanoids in bronchoalveolar lavage fluid do not predict outcome in congenital diaphragmatic hernia patients
title_sort prostanoids in bronchoalveolar lavage fluid do not predict outcome in congenital diaphragmatic hernia patients
url http://dx.doi.org/10.1080/09629359791712
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AT jcdejongste prostanoidsinbronchoalveolarlavagefluiddonotpredictoutcomeincongenitaldiaphragmaticherniapatients
AT dtibboel prostanoidsinbronchoalveolarlavagefluiddonotpredictoutcomeincongenitaldiaphragmaticherniapatients