It has previously been shown that the vasodilatory response to glyceryl trinitrate (GTN) was decreased during hypothermic cardiopulmonary bypass. The purpose of these experiments was to determine the effect of temperature on GTN-induced relaxation and on GTN biotransformation in rabbit aorta. It was determined that the EC50 of GTN on rabbit aortic rings (RARs) was increased significantly from 1.8 × 10−8 M at 37 °C to 3.4 × 10−8 M at 27 °C (p < 0.05). The production of NO by rabbit aortic strips (RASs) was significantly less at 27 °C compared with 37 °C after 80 min, being 9.62 × 10−11 ± 13.2 × 10−11 mol NO/g wet wt. RASs compared with 5.71 × 10−10 ± 9.43 × 10−11 mol NO/g wet wt. RASs, respectively (p < 0.05), after 80 min incubation. There was no difference in the amount of glyceryl-1,2-dinitrate (1,2-GDN) produced from GTN at the two temperatures. The ED20 for NO-induced relaxation of RARs increased from 3.46 × 10−10 ± 2.24 × 10−10 mol at 37 °C to 1.01 × 10−9 ± 4.51 × 10−10 mol at 27 °C (p < 0.05). These data indicate that the biotransformation of GTN and the release of NO were impaired by hypothermia, and that this, as well as a decrease in the tissue response to NO at 27 °C, explains the decrease in GTN activity at reduced body temperatures.Key words: glyceryl trinitrate, nitric oxide, temperature, rabbit aorta, vasodilation.
Effect of temperature and cardiopulmonary bypass on the pharmacokinetics of remifentanil
