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- SUPPLEMENTAL DIGITAL CONTENT -

Multiple system organ response induced by hyperoxia in a clinically relevant animal model of sepsis

1,2,3

Raquel Rodríguez-González, PhD

[email protected]

2

José Luis Martín-Barrasa, VMD, PhD

[email protected]

1,2

Ángela Ramos-Nuez, MLT

[email protected]

4

Ana María Cañas-Pedrosa, PhD

[email protected]

5

María Teresa Martínez-Saavedra , MSc

[email protected]

6

Miguel Ángel García-Bello, MSc

[email protected]

1,7

Josefina López-Aguilar, PhD

[email protected]

3

Aurora Baluja, MD

[email protected]

3

Julián Álvarez, MD, PhD

[email protected]

8

Arthur S. Slutsky, MD

[email protected]

1,2,8

Jesús Villar, MD, PhD

[email protected]

From

(1) CIBER de Enfermedades Respiratorias, Instituto de Salud Carlos III, Madrid, Spain;

(2) Multidisciplinary Organ Dysfunction Evaluation Research Network, Research Unit, Hospital Universitario Dr. Negrín, Las Palmas de Gran Canaria, Spain;

(3) Critical Patient Translational Research Group, Department of Anesthesiology, Intensive Care and Pain Management, Hospital Clínico Universitario, Instituto de Investigación Sanitaria, University of Santiago de Compostela, Santiago de Compostela, Spain;

(4) Department of Microbiology, Hospital Universitario Dr. Negrin, Las Palmas de Gran Canaria, Spain;

(5) Department of Immunology, Hospital Universitario Dr. Negrin, Las Palmas de Gran Canaria, Spain;

(6) Research Unit, Hospital Universitario Dr. Negrín, Las Palmas de Gran Canaria, Spain.

(7) Critical Care Center, Corporació Sanitaria Parc Taulí, Sabadell, Spain;

(8) Keenan Research Center for Biomedical Science, Li Ka Shing Knowledge Institute, St. Michael’s Hospital, Toronto, Canada.

Address for correspondence: Jesús Villar

Multidisciplinary Organ Dysfunction Evaluation Research Network Hospital Universitario Dr. Negrín

Barranco de la Ballena, s/n 4th floor, South Wing

35010 Las Palmas de Gran Canaria (Spain)

Phone: +(34) 928449413 Fax: +(34) 928449813 e-mail: [email protected]

Supported in part by grants from the Instituto de Salud Carlos III, Spain (PI10/0393, CB06/06/1088). RRG is a recipient of a “Sara Borrell” postdoctoral contract (CD11/00104) and AB is a recipient of a “Río Hortega”

predoctoral contract (CM10/00112) from Instituto de Salud Carlos III, Spain.

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RESULTS

TABLE S1. Cytokine serum levels of sham-operated rats after 24 hours exposure to different oxygen concentrations. Data are presented as mean ± SD. BDL: below detection limit.

(a) IL-6 (pg/mL) (b) TNF-α (pg/mL) (b) IL-10 (pg/mL)

21% O2 49.84 ± 11.51 1.44 ± 2.88 55.23 ± 1.46

40% O2 47.59 ± 11.23 BDL 82.88 ± 53.61

60% O2 58.15 ± 8.59 BDL 75.01 ± 32.47

100% O2 63.31 ± 7.04 3.55 ± 7.11 77.20 ± 32.05

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FIGURE S1. Effects of 24 h of exposure to oxygen in sham (control) animals on changes in: (a) blood leukocyte and (b) platelet counts, compared to baseline. Leukocyte decreased with every increasing oxygen concentration (p for trend =0.009), suggesting a dose-dependent effect that led to leukocytosis in 100%O2 sham rats. No significant differences in platelet counts among groups were found.

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FIGURE S2. Reactive oxygen species (ROS) serum levels in sham (control) animals after 24h of exposure to different oxygen concentrations. No statistically significant effects were found. DCF:

2′, 7′-dichlorodihydrofluorescein.

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