Steinhorn R H, Morin F C, Russell J A
Department of Physiology, State University of New York at Buffalo 14214.
J Clin Invest. 1994 Nov;94(5):1883-8. doi: 10.1172/JCI117538.
To determine whether the adventitia that surrounds pulmonary vessels acts as a barrier specific to nitric oxide, special lucite chambers were constructed to measure the force of contraction of rabbit pulmonary artery rings in which the endothelial or adventitial surfaces could be preferentially exposed to nitric oxide (NO), carbon monoxide (CO), or sodium nitroprusside (SNP). Delivery of NO to the endothelial and adventitial surfaces of preconstricted vessels produced markedly different concentration-response curves with maximal relaxations of 89 +/- 3 and 11 +/- 9%, respectively. In contrast, relaxations induced by both CO and SNP did not differ significantly between endothelial and adventitial exposure to these agents. Placement of a layer of pericardium onto the endothelial surface eliminated relaxation to the endothelial delivery of NO but not to CO. We conclude that the pulmonary vascular response to NO displays a striking sidedness which is not observed either with CO, another gas of similar molecular weight, or with SNP, both of which cause relaxation by stimulating guanylate cyclase. The elimination of NO but not CO relaxations with a layer of pericardium may indicate that the adventitia acts as a barrier specific to NO. This directionality of effect provides evidence for a highly localized regulation of pulmonary vascular tone by endothelial cell NO and also indicates that extravascular NO may have limited access to pulmonary vascular smooth muscle.
为了确定围绕肺血管的外膜是否作为一氧化氮的特异性屏障,构建了特殊的有机玻璃腔室来测量兔肺动脉环的收缩力,其中内皮或外膜表面可优先暴露于一氧化氮(NO)、一氧化碳(CO)或硝普钠(SNP)。将NO输送到预收缩血管的内皮和外膜表面产生了明显不同的浓度-反应曲线,最大舒张率分别为89±3%和11±9%。相比之下,CO和SNP诱导的舒张在内皮和外膜暴露于这些药物之间没有显著差异。在内皮表面放置一层心包可消除对内皮输送NO的舒张反应,但对CO的舒张反应无影响。我们得出结论,肺血管对NO的反应表现出显著的方向性,这在分子量相似的另一种气体CO或通过刺激鸟苷酸环化酶引起舒张的SNP中均未观察到。心包层消除了NO而不是CO的舒张反应,这可能表明外膜作为NO的特异性屏障。这种效应的方向性为内皮细胞NO对肺血管张力的高度局部调节提供了证据,也表明血管外NO进入肺血管平滑肌的途径可能有限。