Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
2
pubmed:dateCreated
2001-2-22
pubmed:abstractText
Clinically significant increases in pulmonary vascular resistance have been noted on acute withdrawal of inhaled nitric oxide (NO). Endothelin (ET)-1 is a vasoactive peptide produced by the vascular endothelium that may participate in the pathophysiology of pulmonary hypertension. The objectives of this study were to determine the effects of inhaled NO on endogenous ET-1 production in vivo in the intact lamb and to determine the potential role of ET-1 in the rebound pulmonary hypertension associated with the withdrawal of inhaled NO. Seven 1-mo-old vehicle-treated control lambs and six PD-156707 (an ET(A) receptor antagonist)-treated lambs were mechanically ventilated. Inhaled NO (40 parts per million) was administered for 24 h and then acutely withdrawn. After 24 h of inhaled NO, plasma ET-1 levels increased by 119.5 +/- 42.2% (P < 0.05). Western blot analysis revealed that protein levels of preproET-1, endothelin-converting enzyme-1alpha, and ET(A) and ET(B) receptors were unchanged. On acute withdrawal of NO, pulmonary vascular resistance (PVR) increased by 77.8% (P < 0.05) in control lambs but was unchanged (-5.5%) in PD-156707-treated lambs. Inhaled NO increased plasma ET-1 concentrations but not gene expression in the intact lamb, and ET(A) receptor blockade prevented the increase in PVR after NO withdrawal. These data suggest a role for ET-1 in the rebound pulmonary hypertension noted on acute withdrawal of inhaled NO.
pubmed:grant
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Feb
pubmed:issn
0363-6135
pubmed:author
pubmed:issnType
Print
pubmed:volume
280
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
H777-85
pubmed:dateRevised
2007-11-14
pubmed:meshHeading
pubmed-meshheading:11158977-Administration, Inhalation, pubmed-meshheading:11158977-Animals, pubmed-meshheading:11158977-Animals, Newborn, pubmed-meshheading:11158977-Blotting, Western, pubmed-meshheading:11158977-Dioxoles, pubmed-meshheading:11158977-Endothelin-1, pubmed-meshheading:11158977-Endothelium, Vascular, pubmed-meshheading:11158977-Hypertension, Pulmonary, pubmed-meshheading:11158977-Lung, pubmed-meshheading:11158977-Metalloendopeptidases, pubmed-meshheading:11158977-Nitric Oxide, pubmed-meshheading:11158977-Pulmonary Circulation, pubmed-meshheading:11158977-Receptor, Endothelin A, pubmed-meshheading:11158977-Receptor, Endothelin B, pubmed-meshheading:11158977-Receptors, Endothelin, pubmed-meshheading:11158977-Respiration, Artificial, pubmed-meshheading:11158977-Sheep, pubmed-meshheading:11158977-Substance Withdrawal Syndrome, pubmed-meshheading:11158977-Vascular Resistance
pubmed:year
2001
pubmed:articleTitle
Inhaled nitric oxide-induced rebound pulmonary hypertension: role for endothelin-1.
pubmed:affiliation
Department of Cardiothoracic Surgery, University of California, San Francisco, San Francisco, California 94143-0106, USA.
pubmed:publicationType
Journal Article, Research Support, U.S. Gov't, P.H.S., Research Support, Non-U.S. Gov't