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J Appl Physiol 85: 1635-1642, 1998;
8750-7587/98 $5.00
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Vol. 85, Issue 5, 1635-1642, November 1998

Effect of cardiogenic and noncardiogenic pulmonary edema on histamine responsiveness in sheep

James R. Snapper1, Peter L. Lefferts1, Weixuan Lu2, Young Sil Hwang3, and Jonathan D. Plitman1

1 Department of Medicine, Vanderbilt University School of Medicine, Nashville, Tennessee 37232-2650; 2 Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Beijing 100730, China; and 3 Gyeongsang University College of Medicine, Chinju 660-280, Korea

We compared the effects of cardiogenic pulmonary edema, brief pulmonary vascular congestion without frank edema, and noncardiogenic pulmonary edema on responsiveness to inhaled histamine in chronically instrumented awake sheep. Histamine responsiveness was measured before and after 1) cardiogenic pulmonary edema induced by raising left atrial pressure to 35 cmH2O (up-arrow Pla) for 3.5 h by partial obstruction of flow across the mitral valve, 2) brief cardiogenic congestion via up-arrow Pla for 0.5 h, 3) noncardiogenic pulmonary edema induced by 25 mg/kg intravenous perilla ketone (PK), and 4) 3.5 h of monitoring without up-arrow Pla or PK (controls). Treatment for 3.5 h with up-arrow Pla (n = 9) and PK (n = 11) each significantly lessened the histamine dose required to cause a fall to 65% of baseline dynamic lung compliance (ED65Cdyn), i.e., increased responsiveness. Sheep treated for 0.5 h with up-arrow Pla (n = 7) and controls (n = 5) showed no significant change in ED65Cdyn. Intravenous atropine (0.1 mg/kg) before the second histamine challenge altered neither the reduction of ED65Cdyn in up-arrow Pla (n = 8) and PK (n = 9) sheep nor the ED65Cdyn level of controls (n = 9). These data imply that the local effects of edema, rather than bronchial vascular hemodynamics, cholinergic reflexes, and permeability changes, are germane to lung hyperresponsiveness during pulmonary edema in sheep.

bronchi; bronchial hyperreactivity; lung


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