Pulmonary oedema 2 Flashcards
How is fluid formation reduced?
Reducing contraction of cell using Gd3+ and ML-7
What channels are blocked to reduce fluid filtration?
Rur blocks TRPV4
What does increased Pcap cause?
Opening stretch activated channels (TRPV4) in EC
What does ca2+ entry cause?
Activates MLCK and NOS
What does MLCK activation cause?
EC retraction -> opening of paracellular pathways -> fluid leaks into alveoli
What does NOS activation cause?
sGC activation -> increased cGMP -> inhibits TRPV4 -> attenuated Ca2+ entry -> reduces fluid leak
What does Ca2+ retraction cause?
H2O and albumin leak
What does the reflection coefficient reflect?
ability of endothelium to keep proteins within vascular albumin
What does shear stress reduce?
Endothelial permeability with changing CAP
What is the response of shear stress mediated by?
VEGFR2 -> reduces oedema formation
What happens in capillary distension to ENaC?
Inhibited
What does altered mechanosensing of ECs do to the glycocalyx?
Not replenished