Félétou M, Girard V, Canet E
Département de Pneumologie, Institut de Recherches Servier, Suresnes, France.
J Cardiovasc Pharmacol. 1995 Apr;25(4):665-73. doi: 10.1097/00005344-199504000-00022.
We designed experiments to determine in vitro the influence of hypoxia on endothelium function in porcine pulmonary artery and vein. Rings of large isolated intralobar pulmonary arteries and veins were mounted in organ chambers for isometric tension recording. In veins and arteries with endothelium (precontracted with histamine and U 46619, respectively), hypoxia induced a transient contractile response that was significantly greater in veins. These contractile responses were fully blocked by L-nitro arginine (LNA) in arteries but only partially in veins. In pulmonary vessels without endothelium, only venous rings produced a contractile response to hypoxia; this contraction was blocked by indomethacin. In precontracted pulmonary arterial and venous rings, bradykinin (BK) induced endothelium-dependent relaxations unaffected by indomethacin. Venous relaxations were fully blocked by LNA, but arterial relaxations were only partially inhibited by the nitric oxide (NO) synthase inhibitor. In KCl (30 mM)-precontracted vessels, the endothelium-dependent relaxations were minimally affected in veins but significantly inhibited in arteries. Identical results were obtained in tissue contracted with histamine or U 46619 in presence of tetraethyl ammonium (TEA 10 mM). Hypoxia (30 mm Hg) abolished the venous relaxation but did not significantly influence the arterial relaxation. In arterial rings, the effects of KCl and LNA (or hypoxia) were additive. These results suggest that in isolated porcine pulmonary veins, endothelium-dependent relaxation to BK is exclusively dependent on NO formation. In arteries, however, NO production is partially involved. Another mechanism, possibly endothelium-dependent hyperpolarization, exists. These differences in endothelial responsiveness lead to different patterns of response to hypoxia.
我们设计了实验,以在体外确定缺氧对猪肺动脉和静脉内皮功能的影响。将分离出的较大叶内肺动脉和静脉环安装在器官腔室中,用于等长张力记录。在有内皮的静脉和动脉中(分别用组胺和U 46619预收缩),缺氧诱导了短暂的收缩反应,静脉中的反应明显更大。这些收缩反应在动脉中被L-硝基精氨酸(LNA)完全阻断,但在静脉中仅部分被阻断。在无内皮的肺血管中,只有静脉环对缺氧产生收缩反应;这种收缩被吲哚美辛阻断。在预收缩的肺动脉和静脉环中,缓激肽(BK)诱导的内皮依赖性舒张不受吲哚美辛影响。静脉舒张被LNA完全阻断,但动脉舒张仅被一氧化氮(NO)合酶抑制剂部分抑制。在氯化钾(30 mM)预收缩的血管中,内皮依赖性舒张在静脉中受影响最小,但在动脉中被显著抑制。在用组胺或U 46619收缩并存在四乙铵(10 mM TEA)的组织中获得了相同的结果。缺氧(30 mmHg)消除了静脉舒张,但对动脉舒张没有显著影响。在动脉环中,氯化钾和LNA(或缺氧)的作用是相加的。这些结果表明,在分离的猪肺静脉中,对BK的内皮依赖性舒张完全依赖于NO的形成。然而,在动脉中,NO的产生只是部分参与。另一种机制可能是内皮依赖性超极化。内皮反应性的这些差异导致对缺氧的不同反应模式。