To assess lung injury, total protein and albumin concentrations and lactate dehydrogenase (LDH) activity were measured in BAL samples. Proteins were quantified by the bicinchoninic protein assay kit (Pierce Biotechnology Inc., Rockford, IL, USA) as described previously [12 (link)]. Albumin levels were quantified using a colorimetric assay based on bromocresol green binding, employing an Albumin Diagnostic Kit (Wiener Lab, Buenos Aires, Argentina). LDH activity was measured as the production of NADH, following the procedures and reagents provided by Wiener Lab. Briefly, 20 µL of BAL samples were incubated at 30 °C with 1 mL of reactive A: Tris HCl (80 mM, pH 7.2), pyruvate (1.6 mmol/L), NADH (0.2 mmol/L), and NaCl (200 mmol/L). The initial absorbance (340 nm) and the absorbance at 1, 2, and 3 min were read. The average absorbance difference/min (∆A/min) was determined, and the results are shown in units per liter of BAL fluid, following the table correction provided by the kit.
Neutrophils counts in BAL samples were also assessed as a measure of inflammation. The total leukocyte counts in BAL samples were measured using a hemocytometer, while differential counts were performed with May Grünwald–Giemsa stain [12 (link)]. Total leukocyte counts and neutrophil percentages in smears were used to calculate the absolute number of BAL neutrophils.