Sepsis stimulates an increase in the number and activity of
mononuclear phagocytes in systemic host-defence
organs. The present study was conducted to define the ultrastructural and
cytochemical characteristics of the
mononuclear phagocytes that sequester in the lung microvasculature of septic
rats.
Fourteen rats were challenged with a single intraperitoneal injection of
saline
(0.5 ml/100 g), E. coli (2×107/100 g)
or glucan
(4 mg/100 g), and euthanased 2, 4, or 7 d later. The lungs were inflation
fixed and processed for
transmission electron microscopy. Cellular morphology was used to identify
the intravascular mononuclear
phagocytes and acid phosphatase (AcPase) expression was monitored as an
index of cellular differentiation
and activation. Control rats contained a limited number of monocytes in
the
pulmonary vasculature. In
contrast, large numbers of activated mononuclear phagocytes were seen in
the microvasculature within 48 h
of treatment with either microbial product. The recruited pulmonary intravascular
mononuclear phagocytes
(PIMP) exhibited AcPase-reactive Golgi complexes, accumulation of secretory
vesicles and other features of
cell activation consistent with enhanced biosynthetic activity. Subsequent
electron microscopy, conducted 4 and 7 d posttreatment, suggested that
a progressive
decline in the number and activity of PIMPs then
occurred. In order to quantify the sepsis-induced accumulation of AcPase-positive
PIMP, the experimental
challenges were repeated in 11 rats and, 48 h later, tissue samples were
evaluated by light microscopy for
tartrate-insensitive acid phosphatase. Control rats exhibited
0.148±0.107 AcPase-positive PIMP/alveoli. E. coli and
glucan challenged animals exhibited significant (P<0.01)
increases in AcPase-positive mononuclear
phagocytes, with 0.782±0.073 and 0.636±0.170
PIMP/alveoli respectively. The results demonstrate that
focal sepsis stimulates a significant, but transient, recruitment of
activated mononuclear phagocytes into the rat pulmonary microvasculature.