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Laboratory and Animal Investigations |

Time Course of Hemosiderin Production by Alveolar Macrophages in a Murine Model*

Cynthia E. Epstein, MD; Okan Elidemir, MD; Giuseppe N. Colasurdo, MD; Leland L. Fan, MD
Author and Funding Information

*From the Department of Pediatrics (Drs. Epstein and Fan), Division of Pulmonary Medicine, Baylor College of Medicine, Houston, TX; and Department of Pediatrics (Drs. Elidemir and Colasurdo), Division of Pulmonary Medicine, University of Texas-Houston Medical School, Houston, TX.

Correspondence to: Leland L. Fan, MD, Department of Pediatrics, Pulmonology Section, Texas Children’s Hospital, Feigin Center, Suite 410, 6621 Fannin, MC 3–2571, Houston, TX 77030-2399; e-mail: llfan@texaschildrenshospital.org



Chest. 2001;120(6):2013-2020. doi:10.1378/chest.120.6.2013
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Study objectives: The diagnosis of alveolar hemorrhage is assisted by the presence of hemosiderin-laden macrophages (HLMs) in the BAL fluid or lung tissue. Despite the importance of this diagnostic method in clinical settings, limited information is available on the formation and clearance of HLMs as a function of time. The objectives of this study are to determine the time course of HLMs within the BAL and lung tissue, and to evaluate the effect of a single blood aspiration on the recruitment of inflammatory cells within the BAL.

Design: Under light anesthesia, Balb/c mice received a single intranasal instillation of species-specific blood (50 μL). Control animals received heparinized sterile saline solution in a similar manner. At several time points after blood aspiration, BAL was recovered for cell differentials and determination of HLMs. The time course for HLMs was also established in the lung tissue.

Results: Hemosiderin staining within alveolar macrophages was first detected in the BAL and lung tissue at day 3, peaked at day 7, and persisted through 2 months. The analysis of the BAL revealed an increased number of total cells, with an acute inflammatory reaction that resolved within 2 weeks.

Conclusions: Our findings demonstrate the validity of this model for the study of HLM production after blood aspiration. Additional work using animal models of lung hemorrhage is needed to further characterize the cellular events leading to clearance of erythrocytes within the lung.

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