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1 Department of Internal Medicine II, and 2 Institute of Physiology, University of Regensburg, 93042 Regensburg, Germany
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 LU-135252 (50 mg · kg
1 · day
1).
Right ventricular systolic pressure and cross-sectional medial vascular
wall area of pulmonary arteries rose significantly, and eNOS mRNA
levels increased 1.8- and 2.6-fold after 2 and 4 wk of hypoxia,
respectively (each P < 0.05). Pulmonary ET-1 mRNA and
ET-1 plasma levels increased significantly after 4 wk of hypoxia (each
P < 0.05). LU-135252 reduced right ventricular
systolic pressure, vascular remodeling, and eNOS gene expression in
chronic hypoxic rats (each P < 0.05), whereas ET-1
production was not altered. We conclude that eNOS expression in chronic
hypoxic rat lungs is modified predominantly by hemodynamic factors,
whereas the ET-B receptor-mediated pathway and hypoxia seem to be less important.
pulmonary hypertension; endothelin; hypoxia; endothelial nitric oxide synthase
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