Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
3
pubmed:dateCreated
1999-10-14
pubmed:abstractText
We investigated the pulmonary vascular effects of E4021, a potent inhibitor of cGMP-specific phosphodiesterase, in control late-gestation fetal lambs, and in newborn lambs with persistent pulmonary hypertension (PPHN) after prenatal ligation of the ductus arteriosus. E4021 alone significantly relaxed fifth-generation pulmonary arteries isolated from control fetal lambs, an effect completely blocked after inhibition of nitric oxide synthase (NOS). In contrast, E4021 did not relax pulmonary arteries isolated from hypertensive lambs. Pretreatment with E4021 (10(-7) M) significantly enhanced relaxations to the NO donor S-nitrosyl-acetyl-penicilamine (SNAP) in arteries from both control and hypertensive lambs. In control, fully instrumented fetal lambs, infusions of E4021 (31 microgram/min) selectively dilated the pulmonary circulation, an effect again blocked after inhibition of NO synthase. Further studies were performed in newborn lambs with PPHN to study the vascular effects of E4021 alone, and in combination with inhaled NO. E4021 alone (1 to 100 microgram/kg/min) decreased pulmonary artery pressure (Ppa) in a dose-dependent fashion, and had minimal effect on systemic pressure. At the highest dose (100 microgram/kg/min), the dilation was selective for the pulmonary circulation. In subsequent protocols, E4021 (10 microgram/kg/min) significantly decreased Ppa and pulmonary vascular resistance (PVR), but these pulmonary vascular effects were not enhanced after NO inhalation at 0.5 or 5 ppm. We speculate that the lack of enhancement was due to the dramatic effects of E4021 alone. Potent, specific phosphodiesterase inhibitors such as E4021 may prove to be useful in the treatment of PPHN.
pubmed:grant
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
AIM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Sep
pubmed:issn
1073-449X
pubmed:author
pubmed:issnType
Print
pubmed:volume
160
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
858-65
pubmed:dateRevised
2010-7-6
pubmed:meshHeading
pubmed-meshheading:10471609-Analysis of Variance, pubmed-meshheading:10471609-Animals, pubmed-meshheading:10471609-Animals, Newborn, pubmed-meshheading:10471609-Cyclic GMP, pubmed-meshheading:10471609-Disease Models, Animal, pubmed-meshheading:10471609-Dose-Response Relationship, Drug, pubmed-meshheading:10471609-Female, pubmed-meshheading:10471609-Fetus, pubmed-meshheading:10471609-Humans, pubmed-meshheading:10471609-Infant, Newborn, pubmed-meshheading:10471609-Infusions, Intravenous, pubmed-meshheading:10471609-Nitric Oxide, pubmed-meshheading:10471609-Persistent Fetal Circulation Syndrome, pubmed-meshheading:10471609-Phosphodiesterase Inhibitors, pubmed-meshheading:10471609-Piperidines, pubmed-meshheading:10471609-Pregnancy, pubmed-meshheading:10471609-Pulmonary Artery, pubmed-meshheading:10471609-Pulmonary Circulation, pubmed-meshheading:10471609-Quinazolines, pubmed-meshheading:10471609-Sheep, pubmed-meshheading:10471609-Statistics, Nonparametric, pubmed-meshheading:10471609-Vasodilation
pubmed:year
1999
pubmed:articleTitle
The cGMP-specific phosphodiesterase inhibitor E4021 dilates the pulmonary circulation.
pubmed:affiliation
School of Medicine and Biomedical Sciences, State University of New York at Buffalo, Buffalo, New York, USA.
pubmed:publicationType
Journal Article, Research Support, U.S. Gov't, P.H.S., Research Support, Non-U.S. Gov't