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-receptor stimulation and nitrergic
inhibition on bronchovascular tone
Pulmonary Research Laboratory, Department of Veterans Affairs Medical Center, Boise, Idaho 83702; and Division of Pulmonary and Critical Care Medicine, Department of Medicine, University of Washington, Seattle, Washington 98195
Adrenergic
agonists are known to influence bronchial blood flow and
bronchovascular resistance. Recently, the nitrergic system has also
been implicated in the control of bronchovascular tone. In this study,
we compared the effects of the nitric oxide synthase inhibitor
N
-nitro-L-arginine methyl
ester (L-NAME) and the
1-receptor agonist phenylephrine on bronchovascular resistance in anesthetized sheep (n = 9). Bronchial blood flow, cardiac output, and systemic and pulmonary arterial pressures were continuously monitored. Phenylephrine (1.2-3.4
µg · kg
1 · min
1)
was infused intravenously to increase mean systemic arterial pressure
above 95 Torr for 10 min and then was discontinued. When hemodynamic
parameters returned to baseline, nebulized phenylephrine (10 mg) was
given over 10 min. When parameters again normalized, L-NAME
(30 mg/kg) was infused intravenously over 1 min. Intravenous phenylephrine increased systemic vascular resistance by 40% at 10 min
with no concurrent increase in bronchovascular resistance, but inhaled
phenylephrine increased bronchovascular resistance by 66% at 10 min.
By comparison, intravenous L-NAME produced a rapid and
sustained fivefold increase in bronchovascular resistance at 10 min. We
conclude that, although
-agonist stimulation has some influence on
bronchovascular resistance in sheep, the nitrergic system has
predominant control of bronchovascular tone.
bronchial circulation; nitric oxide synthase; phenylephrine;
-adrenoceptor agonists;
-receptor agonists
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