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神经元型一氧化氮合酶在调节绵羊胎儿血管和动脉导管张力中的作用。

Role of neuronal nitric oxide synthase in regulation of vascular and ductus arteriosus tone in the ovine fetus.

作者信息

Rairigh R L, Storme L, Parker T A, Le Cras T D, Markham N, Jakkula M, Abman S H

机构信息

Pediatric Heart Lung Center, Department of Pediatrics, University of Colorado School of Medicine, Denver, Colorado 80218-1088, USA.

出版信息

Am J Physiol Lung Cell Mol Physiol. 2000 Jan;278(1):L105-10. doi: 10.1152/ajplung.2000.278.1.L105.

Abstract

Nitric oxide (NO) is produced by NO synthase (NOS) and contributes to the regulation of vascular tone in the perinatal lung. Although the neuronal or type I NOS (NOS I) isoform has been identified in the fetal lung, it is not known whether NO produced by the NOS I isoform plays a role in fetal pulmonary vasoregulation. To study the potential contribution of NOS I in the regulation of basal fetal pulmonary vascular resistance (PVR), we studied the hemodynamic effects of a selective NOS I antagonist, 7-nitroindazole (7-NINA), and a nonselective NOS antagonist, N-nitro-L-arginine (L-NNA), in chronically prepared fetal lambs (mean age 128 +/- 3 days, term 147 days). Brief intrapulmonary infusions of 7-NINA (1 mg) increased basal PVR by 37% (P < 0.05). The maximum increase in PVR occurred within 20 min after infusion, and PVR remained elevated for up to 60 min. Treatment with 7-NINA also increased the pressure gradient between the pulmonary artery and aorta, suggesting constriction of the ductus arteriosus (DA). To test whether 7-NINA treatment selectively inhibits the NOS I isoform, we studied the effects of 7-NINA and L-NNA on acetylcholine-induced pulmonary vasodilation. The vasodilator response to acetylcholine remained intact after treatment with 7-NINA but was completely inhibited after L-NNA, suggesting minimal effects on endothelial or type III NOS after 7-NINA infusion. Western blot analysis detected NOS I protein in the fetal lung and great vessels including the DA. NOS I protein was detected in intact and endothelium-denuded vessels, suggesting that NOS I is present in the medial or adventitial layer. We conclude that 7-NINA, a selective NOS I antagonist, increases basal PVR, systemic arterial pressure, and DA tone in the late-gestation fetus and that NOS I protein is present in the fetal lung and great vessels. We speculate that NOS I may contribute to NO production in the regulation of basal vascular tone in the pulmonary and systemic circulations and the DA.

摘要

一氧化氮(NO)由一氧化氮合酶(NOS)产生,并参与围产期肺血管张力的调节。虽然在胎儿肺中已鉴定出神经元型或I型NOS(NOS I)同工型,但尚不清楚NOS I同工型产生的NO是否在胎儿肺血管调节中起作用。为了研究NOS I在调节基础胎儿肺血管阻力(PVR)中的潜在作用,我们在长期制备的胎儿羔羊(平均年龄128±3天,足月147天)中研究了选择性NOS I拮抗剂7-硝基吲唑(7-NINA)和非选择性NOS拮抗剂N-硝基-L-精氨酸(L-NNA)的血流动力学效应。短暂肺内输注7-NINA(1mg)使基础PVR增加37%(P<0.05)。PVR的最大增加发生在输注后20分钟内,并且PVR持续升高长达60分钟。用7-NINA治疗还增加了肺动脉和主动脉之间的压力梯度,提示动脉导管(DA)收缩。为了测试7-NINA治疗是否选择性抑制NOS I同工型,我们研究了7-NINA和L-NNA对乙酰胆碱诱导的肺血管舒张的影响。用7-NINA治疗后,对乙酰胆碱的血管舒张反应保持完整,但在L-NNA治疗后完全被抑制,提示7-NINA输注后对内皮型或III型NOS的影响最小。蛋白质印迹分析在胎儿肺和包括DA在内的大血管中检测到NOS I蛋白。在完整和内皮剥脱的血管中均检测到NOS I蛋白,提示NOS I存在于中层或外膜层。我们得出结论,选择性NOS I拮抗剂7-NINA增加妊娠晚期胎儿的基础PVR、体动脉压和DA张力,并且NOS I蛋白存在于胎儿肺和大血管中。我们推测NOS I可能在调节肺循环、体循环和DA的基础血管张力中对NO的产生有贡献。

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