Shah V, Haddad F G, Garcia-Cardena G, Frangos J A, Mennone A, Groszmann R J, Sessa W C
Department of Medicine, Yale University School of Medicine, New Haven, Connecticut 06520, USA.
J Clin Invest. 1997 Dec 1;100(11):2923-30. doi: 10.1172/JCI119842.
The mechanisms that regulate vascular resistance in the liver are an area of active investigation. Previously, we have shown that nitric oxide (NO) modulates hepatic vascular tone in the normal rat liver. In this study, the production of NO is examined in further detail by isolating sinusoidal endothelial cells (SEC) from the rat liver. Endothelial NO synthase (eNOS) was present in SEC based on Western blotting and confocal immunofluorescence microscopy. Exposure of SEC to flow increased the release of NO. To investigate the relevance of these in vitro findings to the intact liver, we modified an in situ perfusion system to allow for direct measurement of NO release from the hepatic vasculature. NO was released from the hepatic vasculature in a time-dependent manner, and administration of N-monomethyl-L-arginine reduced NO release and increased portal pressure. Immunostaining of intact liver demonstrated eNOS localization to endothelial cells lining the hepatic sinusoids. These findings demonstrate that SEC in vitro and in vivo express eNOS and produce NO basally, and increase their production in response to flow. Additionally, an increase in portal pressure concomitant with the blockade of NO release directly demonstrates that endogenous endothelial-derived NO modulates portal pressure.
调节肝脏血管阻力的机制是一个正在积极研究的领域。此前,我们已经表明一氧化氮(NO)可调节正常大鼠肝脏的肝血管张力。在本研究中,通过从大鼠肝脏分离肝血窦内皮细胞(SEC),对NO的产生进行了更详细的研究。基于蛋白质印迹法和共聚焦免疫荧光显微镜检查,SEC中存在内皮型一氧化氮合酶(eNOS)。将SEC暴露于血流中会增加NO的释放。为了研究这些体外研究结果与完整肝脏的相关性,我们改进了一种原位灌注系统,以便直接测量肝血管系统中NO的释放。NO以时间依赖性方式从肝血管系统中释放,给予N-单甲基-L-精氨酸可减少NO释放并增加门静脉压力。对完整肝脏的免疫染色显示eNOS定位于肝血窦内衬的内皮细胞。这些发现表明,体外和体内的SEC均表达eNOS并基础产生NO,并在血流刺激下增加其产生。此外,门静脉压力的增加与NO释放的阻断同时出现,直接表明内源性内皮源性NO调节门静脉压力。