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Department of Respiratory Medicine, Juntendo University School of Medicine, Tokyo 113-0033, Japan
To investigate
whether chronic hypoxia affects endothelin-B
(ETB) receptor-mediated
pulmonary vasodilation, we compared the vasodilator responses to
IRL-1620, a selective ETB-receptor
agonist, in isolated perfused lungs from normoxic and chronically
hypoxic adult male rats. IRL-1620 caused a dose-dependent vasodilation that was greater in the hypertensive lungs than in the normotensive lungs. In normotensive lungs, a nitric oxide (NO) synthase inhibitor, N
-nitro-L-arginine
(L-NNA; 300 µM), and an
ATP-sensitive potassium (KATP)-channel inhibitor,
glibenclamide (Glib; 10 µM), each reduced the
vasodilator response to IRL-1620 (1 nM), but the combination of
L-NNA and Glib inhibited it more
effectively than either drug alone. In contrast,
L-NNA alone, but not Glib alone,
completely blocked IRL-1620-induced vasodilation in hypertensive lungs.
The vasodilator response to a
KATP-channel opener, NIP-121 (1 µM), but not the response to sodium nitroprusside (1 µM), was
enhanced in hypertensive lungs. We also found increased expression of
mRNA for the ETB receptor in lung
tissue after hypoxic exposure. In addition, semiquantitative
immunohistochemistry demonstrated higher expression levels of
ETB receptors in the endothelium
of distal segments of the pulmonary artery in hypoxic than in normoxic
rats. These results suggest that
ETB receptor-mediated pulmonary
vasodilation is augmented after chronic hypoxic exposure and that
release of NO may be the sole mechanism of this vasodilation in
hypertensive lungs, whereas both release of NO and activation of
KATP channels are involved in
normotensive lungs. We speculate that the underlying mechanism
responsible for this augmentation may partly be related to upregulation
of ETB receptors in the
endothelium of pulmonary resistance arteries in hypertensive lungs.
pulmonary hypertension; endothelium-derived hyperpolarizing factor; nitric oxide; potassium channels
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