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Articles in PresS, published online ahead of print October 4, 2002
J Appl Physiol, 10.1152/jap.00239.2002
Submitted on March 19, 2002
Accepted on September 27, 2002
1 Department of Internal Medicine II, University of Regensburg, Regensburg, Germany
2 Institute of Physiology, Universitiy of Regensburg, Regensburg, Germany
* To whom correspondence should be addressed. E-mail: friedrich.blumberg{at}klinik.uni-regensburg.de.
We tested the hypothesis that pulmonary endothelial nitric oxide synthase (eNOS) gene expression is primarily regulated by hemodynamic factors, and is thus increased in rats with chronic hypoxic pulmonary hypertension. Furthermore, we examined the role of endothelin (ET)-1 in this regulatory process, since ET-1 is able to induce eNOS via activation of the ET-B receptor. Therefore, chronic hypoxic rats (10% O2) were treated with the selective ET-A receptor antagonist LU135252 (LU, 50 mg/kg/d). Right ventricular systolic pressure (RVSP) and cross-sectional medial vascular wall area of pulmonary arteries rose significantly, and eNOS mRNA levels increased 1.8-fold and 2.6-fold after 2 and 4 weeks of hypoxia, respectively (each p<0.05). Pulmonary ET-1 mRNA and ET-1 plasma levels increased significantly after 4 weeks of hypoxia (each p<0.05). LU reduced RVSP, vascular remodeling and eNOS gene expression in chronic hypoxic rats (each p<0.05), while ET-1 production was not altered. We conclude that eNOS expression in chronic hypoxic rat lungs is modified predominantly by hemodynamic factors, while the ET-B receptor-mediated pathway and hypoxia seem less important.
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