Morganroth M L, Schoeneich S O, Till G O, Ward P A, Horvath S J, Glovsky M M
Department of Internal Medicine, University of Michigan, Ann Arbor 48109-0360.
Am Rev Respir Dis. 1990 Feb;141(2):296-300. doi: 10.1164/ajrccm/141.2.296.
Pulmonary hypertension occurs after the intravascular activation of complement. However, it is unclear which activated complement fragments are responsible for the pulmonary vascular constriction. We investigated the 21-carboxy-terminal peptide of C3a (C3a57-77) to see if it would cause pulmonary vascular constriction when infused into isolated buffer-perfused rat lungs. Injection of C3a57-77 (225 to 450 micrograms) caused mean pulmonary arterial pressure (Ppa) to rapidly increase. However, the response was transient, with Ppa returning to baseline within 10 min of its administration. C3a57-77 also resulted in an increase in lung effluent thromboxane B2 (TXB2), concomitant with the peak increase in Ppa. C3a57-77 did not affect the amount of 6-keto-PGF1 alpha in the same effluent samples. Indomethacin inhibited the C3a57-77-induced pulmonary artery pressor response and the associated TXB2 production. Indomethacin also decreased lung effluent 6-keto-PGF1 alpha. The thromboxane synthetase inhibitors CGS 13080 and U63,357 inhibited the C3a57-77-induced pulmonary artery pressor response and TXB2 production without affecting 6-keto-PGF1 alpha. These inhibitors did not inhibit pulmonary artery pressor responses to angiotensin II. Tachyphylaxis to C3a57-77 occurred because a second dose of C3a57-77 administered to the same lung failed to cause a pulmonary artery pressor response or TXB2 production. The loss of the pressor response was not due to a C3a57-77-induced decrease in pulmonary vascular responsiveness because pressor responses elicited by angiotensin II were not altered by lung contact with C3a57-77. Thus, C3a57-77 caused thromboxane-dependent pulmonary vascular constriction in isolated buffer perfused rat lungs.
肺动脉高压发生于补体的血管内激活之后。然而,尚不清楚哪些活化的补体片段导致肺血管收缩。我们研究了C3a的21个羧基末端肽(C3a57 - 77),以观察将其注入离体缓冲液灌注的大鼠肺中时是否会引起肺血管收缩。注射C3a57 - 77(225至450微克)导致平均肺动脉压(Ppa)迅速升高。然而,该反应是短暂的,Ppa在给药后10分钟内恢复至基线水平。C3a57 - 77还导致肺流出液中血栓素B2(TXB2)增加,同时Ppa达到峰值升高。C3a57 - 77不影响相同流出液样本中6 - 酮 - PGF1α的量。吲哚美辛抑制C3a57 - 77诱导的肺动脉升压反应及相关的TXB2产生。吲哚美辛还降低了肺流出液中6 - 酮 - PGF1α的水平。血栓素合成酶抑制剂CGS 13080和U63,357抑制C3a57 - 77诱导的肺动脉升压反应和TXB2产生,而不影响6 - 酮 - PGF1α。这些抑制剂不抑制对血管紧张素II的肺动脉升压反应。对C3a57 - 77出现快速耐受性,因为对同一肺给予第二剂C3a57 - 77未能引起肺动脉升压反应或TXB2产生。升压反应的丧失并非由于C3a57 - 77诱导的肺血管反应性降低,因为血管紧张素II引发的升压反应不会因肺与C3a57 - 77接触而改变。因此,C3a57 - 77在离体缓冲液灌注的大鼠肺中引起了血栓素依赖性肺血管收缩。