Respiratory Physiology & Neurobiology 139 (2004) 167–177
Pulmonary mechanics and lung histology in acute lung injury
induced by Bothrops jararaca venom
Keyla S.O. Silveira
a
, Nicolau T. Boechem
b
, Suliane M. do Nascimento
b
,
Yugo L.B. Murakami
c
, Ana P.B. Barboza
a
, Paulo A. Melo
c
, Paulo Castro
d
,
Vera L.G. de Moraes
d
, Patricia R.M. Rocco
b
, Walter A. Zin
a,∗
a
Laboratory of Respiration Physiology, Carlos Chagas Filho Biophysics Institute, Ilha do Fundão, 21949-900 Rio de Janeiro, RJ, Brazil
b
Laboratory of Pulmonary Investigation, Carlos Chagas Filho Biophysics Institute, Ilha do Fundão, 21949-900 Rio de Janeiro, RJ, Brazil
c
Department of Basic and Clinical Pharmacology, Federal University of Rio de Janeiro, Ilha do Fundão,
21949-900 Rio de Janeiro, RJ, Brazil
d
Department of Medical Biochemistry, Federal University of Rio de Janeiro, Ilha do Fundão, 21949-900 Rio de Janeiro, RJ, Brazil
Accepted 8 October 2003
Abstract
Pulmonary mechanics [static (Est) and dynamic (Edyn) elastances, resistive (P1) and viscoelastic pressures (P2)], histology,
and bronchoalveolar lavage fluid (BALF) from BALB/c mice were analysed 1, 24, 48 and 72 h after intravenous injection of saline
or Bothrops jararaca crude venom [0.3 (V0.3) or 1 (V1) g·g
-1
]. Est, Edyn, and P2 increased at 1 h in both V groups, being
significantly higher in V1 than in V0.3, decreasing progressively, reaching control values at 48 h in V0.3, but remaining altered
in V1 at 72 h. P1 augmented in V1 at 1 h, returning to normal at 72 h. Histological changes in V0.3 group included interstitial
oedema, alveolar collapse, and increased cellularity, which returned to normal at 48 h. These changes were more intense in V1
group, with alveolar oedema and haemorrhage. BALF showed time-dependent neutrophil influx in V0.3. In conclusion, venom
led to time- and dose-dependent pulmonary mechanical changes, together with moderate inflammation in V0.3 and acute lung
injury in V1.
© 2003 Elsevier B.V. All rights reserved.
Keywords: Bronchi, broncho-alveolar lavage; Disease, acute lung injury, inflammation; Mammals, mouse; Mechanics of breathing, elastance,
pressure; Pressure, resistive, viscoelastic; Venom, Bothrops jararaca
1. Introduction
Snakes of the genus Bothrops (Lanceheads, family
Viperidae) are responsible for higher human mor-
bidity in the new world than any other group of
∗
Corresponding author. Tel.: +55-21-2564-1578;
fax: +55-21-2280-8193.
venomous snakes. The most important species are
B. asper in Central America and B. jararaca and
B. atrox in South America (Camey et al., 2002). In
Brazil, Bothrops species are responsible for 90% of
all recorded snakebites (20,000/year), with lethality
around 0.31%. Envenoming by B. jararaca is char-
acterised by systemic (renal and pulmonary failure,
shock, generalised bleeding and coagulopathy) and
1569-9048/$ – see front matter © 2003 Elsevier B.V. All rights reserved.
doi:10.1016/j.resp.2003.10.002