2006
DOI: 10.1164/rccm.200505-717oc
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Pharmacologic Differentiation of Inflammation and Fibrosis in the Rat Bleomycin Model

Abstract: The response of the BLM model to antifibrotic or antiinflammatory interventions is critically dependent on timing after the initial injury.

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Cited by 301 publications
(279 citation statements)
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“…The initial response to BLM instillation is the induction of an acute inflammatory response characterized by gross perivascular infiltration and edema (1,28), observed one week following treatment, as has been shown in the present study. In experiments performed by Lazenby et al (1), mononuclear cells were present around large airways and vessels and no evidence of fibrotic development was observed 48 hours after BLMtreatment.…”
Section: Discussionsupporting
confidence: 79%
“…The initial response to BLM instillation is the induction of an acute inflammatory response characterized by gross perivascular infiltration and edema (1,28), observed one week following treatment, as has been shown in the present study. In experiments performed by Lazenby et al (1), mononuclear cells were present around large airways and vessels and no evidence of fibrotic development was observed 48 hours after BLMtreatment.…”
Section: Discussionsupporting
confidence: 79%
“…This happens by chelation of metal ions, and reaction of the formed pseudoenzyme with oxygen, which leads to production of DNA-cleaving superoxide and hydroxide free radicals (Claussen & Long, 1999). An overproduction of reactive oxygen species can lead to an inflammatory response causing pulmonary toxicity, activation of fibroblasts and subsequent fibrosis (Chaudhary, Schnapp, & Park, 2006;Grande NR, 1998). Bleomycin hydrolase, a bleomycin-inactivating enzyme, critically influences the effects of this drug on different tissues.…”
Section: Bleomycinmentioning
confidence: 99%
“…This is important in order to distinguish between anti-inflammatory and antifibrotic drug effects, as the interpretation of drug effects is crucially dependent on timing of compound administration. Compounds administered during the early phase may predominantly act as anti-inflammatory agents and should be considered as "preventive treatment", whereas "true" antifibrotic agents might be effective irrespective of timing, particularly if administered during the "fibrotic" phase of the model (Chaudhary, Schnapp, & Park, 2006). In the vast majority of the reviewed studies, the compound was given as preventive treatment, thus confounding the designation as anti-inflammatory or anti-fibrotic.…”
Section: Drug Intervention Studies In the Bleomycin Modelmentioning
confidence: 99%
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