“…Additionally, cytCa 2+ increases occurred not only in alveoli containing MAs, but also in alveoli free of bacteria ( Figure 4H We considered that this spread of cytCa 2+ could have injurious cellular effects as reflected by mitochondrial function (41), surfactant secretion (42), and alveolar barrier integrity (43). Within 15 minutes of MA formation, there was widespread loss of epithelial mitochondrial potential (Figure 5, A-G) and inhibition of alveolar surfactant secretion ( Figure 5, H-M), which we quantified in terms of lamellar body exocytosis (44). After 6 hours, alveolar permeability to intravenously infused high-molecular weight dextran increased markedly ( WT -containing alveoli that were pretreated with BAPTA-AM (Figure 5, E-G, P, and Q), or intranasally instilled with inoculums containing low bacterial counts (Supplemental Figure 5).…”