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Am J Physiol Lung Cell Mol Physiol 280: L258-L263, 2001;
1040-0605/01 $5.00
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Vol. 280, Issue 2, L258-L263, February 2001

The NO donor molsidomine reduces endothelin-1 gene expression in chronic hypoxic rat lungs

Friedrich C. Blumberg1, Konrad Wolf2, Peter Sandner2, Cornelia Lorenz1, Günter A. J. Riegger1, and Michael Pfeifer1

1 Department of Internal Medicine II and 2 Institute of Physiology, University of Regensburg, 93042 Regensburg, Germany

We investigated the effects of the nitric oxide (NO) donor molsidomine and the nitric oxide synthase inhibitor N-nitro-L-arginine methyl ester (L-NAME) on pulmonary endothelin (ET)-1 gene expression and ET-1 plasma levels in chronic hypoxic rats. Two and four weeks of hypoxia (10% O2) significantly increased right ventricular systolic pressure, the medial cross-sectional vascular wall area of the pulmonary arteries, and pulmonary ET-1 mRNA expression (2-fold and 3.2-fold, respectively). ET-1 plasma levels were elevated after 4 wk of hypoxia. In rats exposed to 4 wk of hypoxia, molsidomine (15 mg · kg-1 · day-1) given either from the beginning or after 2 wk of hypoxia significantly reduced pulmonary hypertension, pulmonary vascular remodeling, pulmonary ET-1 gene expression, and ET-1 plasma levels. L-NAME administration (45 mg · kg-1 · day-1) in rats subjected to 2 wk of hypoxia did not modify these parameters. Our findings suggest that in chronic hypoxic rats, exogenously administered NO acts in part by suppressing the formation of ET-1. In contrast, inhibition of endogenous NO production exerts only minor effects on the pulmonary circulation and pulmonary ET-1 synthesis in these animals.

pulmonary hypertension; chronic hypoxia; nitric oxide


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