Frozen lung samples were used for measurements of interleukin (IL)–8, IL-1B, and tumor necrosis factor-α concentration using specific enzyme-linked immunosorbent assay kits (Abnova, Tapei City, Taiwan). Enzyme activities, catalase (19 (link), 21 (link)), and superoxide dismutase were tested (Cayman Chemical, Ann Arbor, MI), whereas protein concentrations were determined by the Bradford method (22 (link)).
Formalin-fixed tissue was sectioned (5-µm thick), stained, and analyzed with light microscopy. Lung injury was scored by a pathologist blinded to treatment allocation. Pathologic signs of lung injury (atelectasis, alveolar and interstitial inflammation, alveolar and interstitial hemorrhage, edema, and necrosis) were each scored on a 0- to four-point scale: 0 corresponding to no injury; 1, 2, and 3 to injury to 25%, 50%, and 75% of the field; and 4 to injury across the field (20 (link), 23 (link)). Additionally, all seven injury scores were summed to obtain a mean total lung injury score for each group, ranging from 0 to 28, values higher than 12 corresponding to quite severe lung injury (19 (link)).