Complement mediates a primed inflammatory response after traumatic lung injury.
Model: Blunt chest trauma producing pulmonary contusion, delivered with a cortical contusion impactor to the right chest along the posterior axillary line 1 cm above the costal margin; a second hit of 50 micrograms intratracheal lipopolysaccharide (O111:B4) was given 24 hours after injury
C5a deficiency or anti-C5a before injury reduced lavage neutrophils, serum CXCL1 and IL-6 and histopathology; hirudin lowered lavage thrombin, C5a, neutrophils and CXCL1 although IL-6 and IL-10 were unchanged; anti-C5a or C5a receptor antagonism before the lipopolysaccharide second hit abolished th…
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