Increased Sensitivity to Endotoxin Induced Disseminated Intravascular Coagulation (DIC) in Vitamin E-Deficient Rabbits
DIC in rabbits was induced by i.v, injection of E. coli endotoxin (e) (50μg/kg). The levels of fibrinogen (F) and FDP, fibrin monomer (FM), PTT, white blood cells and platelet counts were determined before and 3 hours after e injection. Fibrin (f) deposited in organs was calculated by counting the radioactivity of 125I-F introduced i.v, beforehand. Pretreatment of rabbits, maintained on laboratory chow, with dl-α-tocopheryl acetate (vit. E) (40mg/kg/day i.m. for 3 days) did not protect the animals against U1C induced with 2 doses of e 24 hours apart, and only slightly reduced amounts of f deposited in organs. On the other hand, rabbits maintained on a vit. E-deficient diet were found to be extremely sensitive to e. Single doses of e caused 100% mortality within 24 hours, as compared to 100% survival in a group fed the same diet containing vit. E. Laboratory findings (F depletion, presence of FM, increased FDP and prolonged PTT) and increased f deposition in organs (kidneys, lung, liver and spleen) indicated activation of intravascular coagulation by a single dose of c in vit. E-deficient rabbits. It is possible that normal levels of vit. E protect against cell injury by e and thus prevent a release of procoagulants into the blood stream.