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Vol. 296, Issue 1, 71-76, January 2001
Departments of Cell and Molecular Pharmacology and Experimental
Therapeutics (T.A.M., J.G.W., A.A.J., P.J.P., H.S.M.) and Medicine
(A.A.J., H.S.M.), Medical University of South Carolina, Charleston,
South Carolina
Extensive research has provided few therapeutic agents for the
treatment of septicemia. Bradykinin, an endogenous vasodepressor hormone, is a key mediator in the hypotension seen with septicemia. The
present investigation shows that a stable metabolic fragment of
bradykinin, arginine-proline-proline-glycine-phenylalanine (RPPGF),
prevents the deleterious effects of endotoxin [lipopolysaccharide (LPS); a component of the membrane of Gram negative bacteria], the
signaling agent responsible for the effects of septicemia, in both
anesthetized rats and in isolated rat aortic segments. Survival time of
rats treated with LPS (12 mg/kg) was significantly (p < 0.05) prolonged by pretreatment with RPPGF
[140.3 ± 16 min (n = 10)] compared with
rats receiving saline and LPS [93.2 ± 8 min
(n = 39)]. Prolongation of survival was not seen
when rats were pretreated with either bradykinin or with PRGFP
(proline-arginine-glycine-phenylalanine-proline). Isolated aortic
segments treated with LPS (30 µg/ml) showed a significantly reduced
ability to contract in response to phenylephrine compared with control
segments not receiving LPS. Pretreatment of the segments with RPPGF
significantly reversed the LPS-induced reduction in contractile
response of the segments. Removal of the endothelial layer did not
alter the protection provided by RPPGF. These results demonstrate the
ability of a stable metabolic fragment of bradykinin, RPPGF, to protect
against the deleterious effects produced by LPS. The findings presented
here may provide the basis for a new developmental area for novel
therapeutic agents in the treatment of septicemia.
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