Zelenkov P, McLoughlin T, Johns R A
Department of Anesthesiology, University of Virginia Health Sciences Center, Charlottesville 22908.
Am J Physiol. 1993 Oct;265(4 Pt 1):L346-54. doi: 10.1152/ajplung.1993.265.4.L346.
The vascular response to hypoxia in endotoxin (lipopolysaccharide; LPS)-exposed rat pulmonary artery (PA) and thoracic aorta (AO) was investigated and the mechanism of the observed hypoxic responses defined. In isometric tension studies, LPS-treated AO and PA rings, with and without endothelium, demonstrated decreased (P < 0.05) contractile response to phenylephrine (PE EC50), and the dose response was shifted to the right (P < 0.01) compared with non-LPS treated rings. Both vessel types responded to hypoxia with a markedly increased (P < 0.01) and sustained (P < 0.01) constriction when preexposed to LPS. Control non-LPS rings with endothelium intact had a transient vasoconstriction in early hypoxia, which was abolished with removal of the endothelium. N omega-nitro-L-arginine methyl ester (L-NAME), an inhibitor of nitric oxide (NO) synthase, increased the PE EC50 tension in LPS-treated rings, markedly reduced the duration and magnitude of the hypoxic vasoconstriction in LPS-treated rings, and attenuated the transient vasoconstriction seen in endothelium-intact, non-LPS rings (all P < 0.05). L-Arginine reversed the L-NAME effects. Hypoxia decreased guanosine 3',5'-cyclic monophosphate (cGMP) content 54 +/- 4% in all LPS and 33 +/- 4% in the non-LPS intact rings (P < 0.05). L-NAME reduced cGMP content 90 +/- 5% in all LPS rings. Indomethacin inhibited formation of a constriction factor in aortic LPS-treated rings (P < 0.01) that was endothelium dependent and unaffected by the presence of L-NAME.(ABSTRACT TRUNCATED AT 250 WORDS)
研究了内毒素(脂多糖;LPS)暴露的大鼠肺动脉(PA)和胸主动脉(AO)对缺氧的血管反应,并明确了观察到的缺氧反应机制。在等长张力研究中,LPS处理的AO和PA环,无论有无内皮,对去氧肾上腺素(PE EC50)的收缩反应均降低(P<0.05),与未用LPS处理的环相比,剂量反应向右移(P<0.01)。当预先暴露于LPS时,两种血管类型对缺氧的反应均为显著增强(P<0.01)且持续(P<0.01)的收缩。内皮完整的对照非LPS环在早期缺氧时有短暂的血管收缩,去除内皮后这种收缩消失。一氧化氮(NO)合酶抑制剂Nω-硝基-L-精氨酸甲酯(L-NAME)增加了LPS处理环中的PE EC50张力,显著缩短了LPS处理环中缺氧性血管收缩的持续时间并降低了其幅度,减弱了内皮完整的非LPS环中观察到的短暂血管收缩(均P<0.05)。L-精氨酸逆转了L-NAME的作用。缺氧使所有LPS环中的鸟苷3',5'-环磷酸(cGMP)含量降低54±4%,使非LPS完整环中的cGMP含量降低33±4%(P<0.05)。L-NAME使所有LPS环中的cGMP含量降低90±5%。吲哚美辛抑制了主动脉LPS处理环中一种收缩因子的形成(P<0.01),该因子依赖于内皮且不受L-NAME存在的影响。(摘要截短于250字)