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pubmed-article:9469690pubmed:abstractTextWe investigated the effect of endotoxemia on alpha1-adrenergic receptor-mediated smooth muscle contraction as measured by mean arterial pressure (MAP) in response to incremental doses of a vasopressor. Twelve male Sprague-Dawley rats were randomized to receive parenteral nutrition alone (PN) or in combination with a continuous infusion of endotoxin (PN-LPS) for 48 hours. Incremental doses of phenylephrine were given and peak MAP response was recorded. The endotoxin group had a decreased rise in MAP with the same dose of phenylephrine compared with the control group (59 +/- 14 and 99 +/- 12 mm Hg, respectively, p<0.001). However, the baseline MAP was higher in the endotoxin group (102 +/- 18 and 71 +/- 7 mm Hg, respectively, p<0.002). The overall maximum effect was the same for both groups (161 +/- 16 and 170 +/- 8 mm Hg, respectively, p=NS). These data indicate that sustained endotoxemia does not result in desensitization of alpha1-adrenergic responsiveness. Other mechanisms are responsible for the ineffectiveness of vasopressors during advanced sepsis.lld:pubmed
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pubmed-article:9469690pubmed:authorpubmed-author:MasI RIRlld:pubmed
pubmed-article:9469690pubmed:authorpubmed-author:LimaJ JJJlld:pubmed
pubmed-article:9469690pubmed:authorpubmed-author:KoppJ EJElld:pubmed
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pubmed-article:9469690pubmed:pagination170-4lld:pubmed
pubmed-article:9469690pubmed:dateRevised2007-11-14lld:pubmed
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pubmed-article:9469690pubmed:articleTitleEffect of sustained endotoxemia on alpha1-adrenergic responsiveness in parenterally fed rats.lld:pubmed
pubmed-article:9469690pubmed:affiliationDepartment of Clinical Pharmacy, University of Tennessee, Memphis 38163, USA.lld:pubmed
pubmed-article:9469690pubmed:publicationTypeJournal Articlelld:pubmed
pubmed-article:9469690pubmed:publicationTypeComparative Studylld:pubmed
pubmed-article:9469690pubmed:publicationTypeResearch Support, U.S. Gov't, P.H.S.lld:pubmed
pubmed-article:9469690pubmed:publicationTypeResearch Support, Non-U.S. Gov'tlld:pubmed