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1 Center for Anesthesiology Research and 2 Department of Thoracic and Cardiovascular Surgery, The Cleveland Clinic Foundation, Cleveland, Ohio 44195
We tested
the hypothesis that regulation of the pulmonary circulation by
endogenous endothelin (ET) during normoxia and hypoxia was altered in
conscious dogs 1 mo after left lung autotransplantation (LLA).
Sham-operated control and post-LLA dogs were chronically instrumented
to measure the left pulmonary vascular pressure-flow (LP-
) relationship. LP-
plots were generated on separate days during normoxia and hypoxia
(arterial PO2 ~50 Torr) in the
intact condition, after selective ETA-receptor inhibition (BQ-485), and after combined ETA+B-receptor inhibition
(bosentan). Although LLA resulted in a chronic increase in pulmonary
vascular resistance, the ET-receptor antagonists had no effect on the
LP-
relationship during normoxia in either group.
The magnitude of hypoxic pulmonary vasoconstriction (HPV) was flow
dependent in both groups, and the HPV response was potentiated post-LLA
compared with control. ETA-receptor inhibition attenuated
the HPV response to the same extent in both groups.
ETA+B-receptor inhibition attenuated the HPV response to a
greater extent than did ETA-receptor inhibition alone, and
this effect was greater post-LLA compared with control. Plasma ET-1
concentration only increased during hypoxia in the LLA group. These
results indicate that ET does not regulate the baseline
LP-
relationship in either group. Both
ETA- and ETB-receptor activation mediate a
component of HPV in conscious dogs, and the vasoconstrictor influence
of ETB-receptor activation is enhanced post-LLA.
pulmonary vascular pressure-flow relationship; endothelin-receptor antagonists; hypoxic pulmonary vasoconstriction
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Q. Liu, J. S. K. Sham, L. A. Shimoda, and J. T. Sylvester Hypoxic constriction of porcine distal pulmonary arteries: endothelium and endothelin dependence Am J Physiol Lung Cell Mol Physiol, May 1, 2001; 280(5): L856 - L865. [Abstract] [Full Text] [PDF] |
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