Future research directions in acute lung injury: Summary of a National Heart, Lung, and Blood Institute Working Group

Michael A. Matthay, Guy A. Zimmerman, Charles Esmon, Jahar Bhattacharya, Barry Coller, Claire M. Doerschuk, Joanna Floros, Michael A. Gimbrone, Eric Hoffman, Rolf D. Hubmayr, Mark Leppert, Sadis Matalon, Robert Munford, Polly Parsons, Arthur S. Slutsky, Kevin J. Tracey, Peter Ward, Dorothy B. Gail, Andrea L. Harabin

Research output: Contribution to journalArticle

431 Scopus citations

Abstract

Acute lung injury (ALI) and its more severe form, the acute respiratory distress syndrome (ARDS), are syndromes of acute respiratory failure that result from acute pulmonary edema and inflammation. The development of ALI/ARDS is associated with several clinical disorders including direct pulmonary injury from pneumonia and aspiration as well as indirect pulmonary injury from trauma, sepsis, and other disorders such as acute pancreatitis and drug overdose. Although mortality from ALI/ARDS has decreased in the last decade, it remains high. Despite two major advances in treatment, low VT ventilation for ALI/ARDS and activated protein C for severe sepsis (the leading cause of ALI/ARDS), additional research is needed to develop specific treatments and improve understanding of the pathogenesis of these syndromes. The NHLBI convened a working group to develop specific recommendations for future ALI/ARDS research. Improved understanding of disease heterogeneity through use of evolving biologic, genomic, and genetic approaches should provide major new insights into pathogenesis of ALI. Cellular and molecular methods combined with animal and clinical studies should lead to further progress in the detection and treatment of this complex disease.

Original languageEnglish (US)
Pages (from-to)1027-1035
Number of pages9
JournalAmerican journal of respiratory and critical care medicine
Volume167
Issue number7
DOIs
StatePublished - Apr 1 2003

    Fingerprint

Keywords

  • Acute respiratory distress syndrome
  • Critical care
  • Genomics
  • Pulmonary edema
  • Pulmonary inflammation

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine
  • Critical Care and Intensive Care Medicine

Cite this

Matthay, M. A., Zimmerman, G. A., Esmon, C., Bhattacharya, J., Coller, B., Doerschuk, C. M., Floros, J., Gimbrone, M. A., Hoffman, E., Hubmayr, R. D., Leppert, M., Matalon, S., Munford, R., Parsons, P., Slutsky, A. S., Tracey, K. J., Ward, P., Gail, D. B., & Harabin, A. L. (2003). Future research directions in acute lung injury: Summary of a National Heart, Lung, and Blood Institute Working Group. American journal of respiratory and critical care medicine, 167(7), 1027-1035. https://doi.org/10.1164/rccm.200208-966WS