Altered peripheral vascular responses to vasoactive mediators in patients with pre-ascitic cirrhosis: role of nitric oxide

2001 ◽  
Vol 34 (0) ◽  
pp. 57
Author(s):  
A Helmy
1990 ◽  
Vol 21 (5) ◽  
pp. 575-587 ◽  
Author(s):  
Jesús Marín ◽  
Carlos F. Sánchez-Ferrer

1995 ◽  
Vol 10 (6) ◽  
pp. 270-282
Author(s):  
Stella Kourembanas

Persistent pulmonary hypertension of the newborn (PPHN) is a common cause of respiratory failure in the full-term neonate. Molecular and cellular studies in vascular biology have revealed that endothelial-derived mediators play a critical role in the pathogenesis and treatment of PPHN. Endothelial-derived vasoconstrictors, like endothelin, may increase smooth muscle cell contractility and growth, leading to the physiologic and structural changes observed in the pulmonary arterioles of infants with this disease. On the other hand, decreased production of the endothelial-derived relaxing factor, nitric oxide, may exacerbate pulmonary vasoreactivity and lead to more severe pulmonary hypertension. Exogenous (inhaled) nitric oxide therapy reduces pulmonary vascular resistance and improves oxygenation. The safety and efficacy of this therapy in reducing the need for extracorporeal membrane oxygenation and decreasing long-term morbidity is being tested in several trials nationally and abroad. Understanding the basic mechanisms that regulate the gene expression and production of these vasoactive mediators will lead to improved preventive and therapeutic strategies for PPHN.


1999 ◽  
Vol 43 (1) ◽  
pp. 64-70 ◽  
Author(s):  
Y. Gao ◽  
A. K. Tassiopoulos ◽  
D. J. Mcgraw ◽  
M. C. Hauser ◽  
E. M. Camporesi ◽  
...  

1995 ◽  
Vol 268 (5) ◽  
pp. H1966-H1972 ◽  
Author(s):  
R. Nakaike ◽  
H. Shimokawa ◽  
H. Yasutake ◽  
H. Sumimoto ◽  
A. Ito ◽  
...  

L-Arginine analogues have been widely used to examine the role of endothelium-derived nitric oxide (NO) in vascular responses; however, the effects of the agents on coronary vasomotion are not fully understood. In this study, we examined the effects of the analogues on vasomotion of isolated porcine coronary arteries. Strips of the porcine coronary artery were suspended for isometric tension recording in Krebs-Henseleit solution. L-Arginine analogues, N omega-nitro-L-arginine methyl ester (L-NAME, 10(-9)-10(-3) M), NG-monomethyl-L-arginine (L-NMMA, 10(-9)-10(-3) M), and NG-nitro-L-arginine (L-NNA, 10(-9)-10(-3) M), caused dose-dependent contractions, which were greater in strips with than in those without endothelium. Those endothelium-dependent contractions were almost abolished by indomethacin (10(-5) M) and FeCl2 (10(-3) M). The latter reduces prostaglandin H2 to 12-heptadecatrienoic acid, which has no vasoconstrictor effect. These results indicate that the L-arginine analogues cause endothelium-dependent contractions that are mediated by prostaglandin endoperoxides and suggest that they have properties other than simple inhibition of NO synthesis in porcine coronary arteries.


1997 ◽  
Vol 82 (3) ◽  
pp. 852-858 ◽  
Author(s):  
Tawfic S. Hakim ◽  
Lara Ferrario ◽  
Jeffrey C. Freedman ◽  
Robert E. Carlin ◽  
Enrico M. Camporesi

Hakim, Tawfic S., Lara Ferrario, Jeffrey C. Freedman, Robert E. Carlin, and Enrico M. Camporesi. Segmental pulmonary vascular responses to ATP in rat lungs: role of nitric oxide. J. Appl. Physiol. 82(3): 852–858, 1997.—ATP exhibits vascular pressor and depressor responses in a dose- and tone-dependent manner. The vascular site of ATP-induced contraction or dilation has not previously been characterized. Using the vascular occlusion technique, we investigated the effects of ATP in isolated rat lungs perfused with autologous blood (hematocrit = 20%) and described its action during resting and elevated tone in terms of changes in resistances of the small and large arteries and veins. During resting tone, ATP (10−5M)


1962 ◽  
Vol 202 (1) ◽  
pp. 103-110 ◽  
Author(s):  
Lerner B. Hinshaw ◽  
James A. Vick ◽  
Margaret M. Jordan ◽  
Lorentz E. Wittmers

Recent reports from this laboratory have described the hemodynamic effects of endotoxin in the dog, cat, rabbit, and monkey. To determine the role of peripheral vascular changes in the onset of irreversible shock, isolated denervated dog legs were perfused by means of a pump-lung or dog-pump apparatus. Following endotoxin, dogs liberated vasoactive substances which had profound effects on the perfused organ. Large changes in leg arterial resistance and increases in small vein pressure were seen, which resulted in the formation of edema. Vascular responses of legs to pressor agents in late shock appear abnormal in that venous resistance increases while arterial responses diminish. This, in conjunction with the increased level and activity of histamine, may account for the development of the irreversible period. These findings explain the reported harmful effects of pressor agents when used therapeutically and provide a rationale for the protective actions of adrenergic and histamine-blocking drugs. The study serves to underscore the significance of recently reported findings on the primate in endotoxin shock.


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