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CARDIOVASCULAR
School of Biomedical Sciences, University of Nottingham Medical School, Queen's Medical Centre, Nottingham, United Kingdom
Received March 18, 2003; accepted April 22, 2003.
| Abstract |
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An experimental model we characterized in vivo differs from many inasmuch
as it involves continuous infusion of relatively low doses of LPS (150 µg
kg1 h1) rather than
a high single bolus (commonly 2030 mg
kg1). In that model, we have shown regionally
selective changes in cardiovascular status
(Waller et al., 1994
; Gardiner
et al., 1993
,
1994
,
1995
,
1996a
,b
)
associated with reduced mesenteric vasoconstrictor responses to methoxamine
(an
1-adrenoceptor agonist) in vivo at 2 and 24 h after the
start of LPS infusion (Waller et al.,
1994
; Tarpey et al.,
1998a
). In contrast, the renal vasoconstrictor response to
methoxamine in vivo was not suppressed
(Waller et al., 1994
).
Interestingly, mesenteric bed preparations taken from animals infused with LPS
and investigated in vitro did not show reduced vasoconstrictor effects of
methoxamine (Tarpey and Randall,
1998
), but this may have been due to the mode of administration,
since others who have investigated mesenteric arteries isolated from
LPS-treated animals have noted an impairment in the sustained contractile
response, even though the initial response to agonist exposure was normal
(Martinez et al., 1996
;
Mitolo-Chieppa et al., 1996
).
The in vitro contractile responsiveness of the renal vasculature in this model
of endotoxemia has not been investigated to date.
Thus, we have now carried out a systematic comparison of responses to
methoxamine, given as either bolus doses or as sustained concentrations, in
perfused mesenteric vascular beds taken from rats infused with LPS for 2 or 24
h. Since the results showed impaired contractions to methoxamine under
sustained conditions in the 24 h LPS-treated group, experiments were carried
out to assess changes in intracellular Ca2+ in
mesenteric arteries taken from rats given LPS for 24 h. Furthermore, we
investigated, for the first time, in vitro contractile responses of the renal
vasculature from this model of endotoxemia. Additionally, to investigate
whether endotoxemia may affect resistance and conduit vessels differently, we
assessed the vasoconstrictor function of thoracic aortae isolated from rats
treated with LPS. Aortae were used to investigate further the possible role of
intracellular Ca2+ in hypocontractility to methoxamine
in endotoxemia using caffeine, which elicits contraction by acting on the
ryanodine receptor on the sarcoplasmic reticulum to release
Ca2+ (Zucci and
Ronca-Testoni, 1997
).
To our knowledge, the present study is the first comparison of the
contractile function of three different tissues taken from the same groups of
LPS-treated animals. A preliminary account of some of these findings has been
reported to the British Pharmacological Society
(Farmer et al., 2001
).
| Materials and Methods |
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In Vivo Administration of Substances. The animals were surgically
prepared to receive chronic infusion of either LPS or saline via catheters
implanted in the right jugular vein under surgical anesthesia with fentanyl
and medetomidine (300 µg kg1 of each i.p.).
Following surgery, anesthesia was reversed, and analgesia was provided with
atipamezole and nalbuphine, respectively (both given
at1mgkg1 s.c.). Animals were allowed to recover
overnight, during which time they received infusion of saline (0.4 ml
h1) to maintain catheter patency. The animals
were housed in individual cages and connected to a fluid-filled swivel to
allow overnight intravenous infusion into the conscious animal as described
previously (Gardiner et al.,
1993
). During this time, animals were allowed food and water ad
libitum. On the following day, the animals were assigned to one of four groups
and subjected to either a 2- or 24-h intravenous infusion of either LPS
[Escherichia coli serotype 0127:B8 (Sigma Chemical, Poole, Dorset,
UK); 150 µgkg1
h1] or saline (0.4 ml
h1) (Gardiner
et al., 1995
). After 2- or 24-h infusion of saline or LPS, rats
were anesthetized with sodium pentobarbitone (up to 60 mg i.v., supplemented
as required) for removal of kidneys, and, subsequently, superior mesenteric
arteries or mesenteric vascular beds and thoracic aortae.
Isolated Mesenteric Vascular Bed Preparation. The isolated
mesenteric vascular bed preparation, based on the method of McGregor
(1965
), was prepared as
described previously (Ralevic and
Burnstock, 1988
). Briefly, a midline incision was made, and the
gastrointestinal tract was lifted out of the abdominal cavity and placed at
the side of the animal on a paper towel soaked in Krebs' solution. The
superior mesenteric artery was identified and cannulated from where it leaves
the aorta with a blunted hypodermic needle. The mesenteric vascular bed was
flushed with Krebs' solution, and the mesentery was carefully cut away from
the gastrointestinal tract. It was placed within an organ bath and perfused at
a rate of 5 ml min1 with gassed (95%
O2, 5% CO2) Krebs' solution of the following
composition: 106.1 mM NaCl, 4.7 mM KCl, 1.2 mM KH2PO4,
25 mM NaHCO3, 1.2 mM MgSO4, 1.9 mM CaCl2, and
10 mM glucose, maintained at 37°C. Perfusate was pumped by a peristaltic
pump (Cole-Parmer Instrument Company Ltd., Saffron Walden, Essex, UK).
Relaxations or constrictions of the preparation were measured as changes in
perfusion pressure, monitored by a pressure transducer (BD Biosciences,
Cowley, Oxford, UK) situated on a side arm proximal to the preparation. A
30-min period of equilibration was observed following preparation.
Isolated Renal Vascular Bed Preparation. A midline incision was made, and the gastrointestinal tract was lifted out of the abdominal cavity and placed at the side of the animal on a paper towel soaked in Krebs' solution. The right renal artery was identified and dissected away from connective tissue along its length from the aorta to the kidney. A loose ligature was then placed around the renal artery. Using blunt dissection, the kidney was separated from the surrounding fatty connective tissue. During this time, the kidney was kept moist with Krebs' solution. The animal was then killed by decapitation, and the renal artery was cannulated with a blunted hypodermic needle. Once the needle was securely in the artery, the preparation was flushed with 1 ml of Krebs' solution, containing heparin (500 U), until the kidney was blanched. The ligature was then tightened to secure the needle in the artery, and the kidney was lifted away with any remaining connective tissue cut away. The preparation was then placed on a metal grid within an organ bath (37°C) and perfused at a rate of 8 ml min1 with gassed (95% O2, 5% CO2) Krebs' solution of the following composition: 106.1 mM NaCl, 4.7 mM KCl, 1.2 mM KH2PO4, 25 mM NaHCO3, 1.2 mM MgSO4, 1.9 mM CaCl2, and 10 mM glucose, maintained at 37°C. Perfusate was pumped by a peristaltic pump (Cole-Parmer Instrument Company Ltd), and responses of the preparation were measured as changes in perfusion pressure, monitored by a pressure transducer (BD Biosciences) situated on a side arm proximal to the preparation. A 30-min period of equilibration was observed following preparation.
Isolation of Thoracic Aortae. A midline cut was made along the sternum, the lungs and heart were removed, and the thoracic aorta was exposed. While the aorta remained in situ, the vessel was cleaned of connective tissue on its anterior surface. A cut was made through the vessel just above the diaphragm, and the vessel was carefully cut away from its posterior connections. Following removal, the vessel was placed into a beaker of cold Krebs' solution to remove any excess blood before being placed in cold Krebs' solution in a Petri dish. A ring of thoracic aorta, 1.5-cm long, was cut from the center of the excised vessel and suspended, under 1 g of tension, in an organ bath (at 37°C) containing gassed (95% O2,5%CO2) Krebs' solution of the following composition: 106.1 mM NaCl, 4.7 mM KCl, 1.2 mM KH2PO4, 25 mM NaHCO3, 1.2 mM MgSO4, 1.9 mM CaCl2, and 10 mM glucose. The preparations were allowed a 1-h period of equilibration prior to the start of experimentation.
Experimental Protocol: Mesenteric Arterial Beds. Following the
equilibration period, dose-response curves were performed for methoxamine (500
pmol-5 µmol), an
1-adrenoceptor agonist. All doses were
given as 50-µl bolus injections into an injection port, sited proximal to
the preparation. The dose interval was determined by the time to recovery of
the response to baseline. In a separate series of experiments, vasoconstrictor
responses to cumulative concentrations of methoxamine were compared in the
isolated mesenteric arterial vascular beds from the four groups. Methoxamine
was added to the perfusate in cumulative concentrations between 1 and 100
µM. In a separate series of experiments, vasoconstrictor responses to
cumulative concentrations of KCl (10300 mM) were compared. Responses to
the thromboxane A2 mimetic U46619
[GenBank]
were not investigated in the
mesenteric arterial bed, since in this preparation, U46619
[GenBank]
is a weak
vasoconstrictor (Warner,
1990
).
Experimental Protocol: Renal Arterial Beds. In the isolated perfused kidneys, following the equilibration period, a cumulative concentration-response curve was produced for methoxamine by addition of methoxamine to the perfusing Krebs' solution (10 nM-100 µM), with each addition being given when a plateau to the previous response had been achieved (usually within 5 min of administration). Methoxamine was then washed out over a 30-min period until baseline perfusion pressure was restored. Finally, a cumulative concentration-response curve was produced for KCl by addition of KCl to the perfusing Krebs' solution (10300 mM), with each addition being given once a plateau to the previous evoked response was obtained.
Experimental Protocol: Aortae. Following the equilibration period, vessels were challenged with cumulative concentrations of methoxamine (1 µM-1 mM). The methoxamine was washed out, and a 30-min rest period was allowed prior to cumulative concentrations of KCl (10300 mM) being added to the organ bath. In a separate series of preparations, aortae were challenged by cumulative concentrations of U46619 [GenBank] (1 nM-1 µM). A single concentration (20 mM) of caffeine was added to the organ bath in a separate series of preparations. Tension was measured at 5-s time points up to 1 min and then at 10-s time points up to 2 min.
Ca2+-Imaging of Mesenteric Arteries.
These experiments were carried out in superior mesenteric arteries isolated
from rats following infusion of either LPS or saline for 24 h. Changes in the
level of intracellular Ca2+ during challenge with
methoxamine and KCl were investigated. Superior mesenteric arteries were
dissected out of the animal. They were then carefully cleaned of fat and
connective tissue and dissected into 5-mm segments. These segments were
incubated with 5 µM fura-2/acetoxymethyl ester in the presence of 0.02%
Pluronic F-127, 0.1% Cremophor FL, and 1% dimethylsulfoxide in pregassed
Krebs-Henseleit buffer for 3 h at room temperature. After this incubation
period, the segments were cut open and placed lumen-side down in a heated
culture dish (Bioptechs, Inc., Butler, PA) containing Krebs-Henseleit buffer.
Two metal supports held the tissue flat against the bottom of the culture
dish. The culture dish was then mounted on an inverted microscope (Leica,
Wetzlar, Germany) equipped for dual excitation wavelength fluorescent
measurements. The objective was a Nikon CF Fluor (10 x 0.5) (Nikon,
Kingston upon Thames, UK). The light source was a 75 W xenon lamp. The
Krebs-Henseleit buffer bathing the tissue was maintained at 37°C and
constantly gassed with 95% O2/5% CO2. Tissues were
allowed to recover for 20 min prior to Ca2+
measurements. Changes in intracellular Ca2+ levels were
assessed by alternatively exciting the preparation with 340- and 380-nm
wavelength light with a 3-s delay between exposures. Emitted light (measured
at 510 nm) was collected by a photomultiplier (Photonic Science, Tunbridge
Wells, UK). The system was controlled by an Apple Macintosh Power PC using
IonVision software (Improvision, Coventry, UK). In its free form, fura-2
produces a high fluorescence at 380 nm and a low fluorescence at 340 nm. When
fura-2 binds to Ca2+, the opposite is true, such that
the amount of fluorescence at 380 nm decreases and the amount of fluorescence
at 340 nm increases. The ratio of fluorescence at these wavelengths (340/380
nm) is an index of Ca2+ concentration. Therefore,
changes in this ratio are recorded as an index of intracellular
Ca2+. The Grynkiewicz equation
(Grynkiewicz et al., 1985
) can
be used to calculate the absolute Ca2+ concentration
from the ratio values. However, the constants required for the equation (the
dissociation constant for fura-2, Rmax, and
Rmin) are difficult to determine accurately. Therefore, as
this study is concerned purely with the changes in intracellular
Ca2+ levels, we have quoted the 340/380 nm fluorescence
ratios, which are directly proportional to the absolute values.
Following 20 min of equilibration, the arteries were challenged with a single 10-µM concentration of methoxamine, and the response was recorded until a plateau had been reached (35 min). The preparations were then washed out, and an additional 30 min were allowed for equilibration. A single, 60-mM concentration of KCl was added to the perfusate, and the evoked response was recorded until a plateau had been reached (35 min).
Statistics. Responses of the perfused vascular beds were measured as increases in perfusion pressure above baseline. Aortic contractions were measured as a change in tension (g) over baseline values. Data are given as means ± S.E.M. Data were analyzed using one- or two-way analysis of variance, with Tukey's multiple comparison post hoc test or t tests as appropriate (GraphPad Prism, version 3.0; GraphPad Software Inc., San Diego, CA). Differences were only considered significant if p < 0.05.
Materials. LPS (from E. coli serotype 0127:B8), methoxamine, caffeine, and U46619 [GenBank] were obtained from Sigma Chemical. LPS was dissolved in sterile saline and prepared to a concentration of 150 µg ml1. KCl was obtained from BDH Laboratory Supplies (Poole, Dorset, UK). Anesthetic agents used were fentanyl citrate (Martindale Pharmaceuticals Ltd, Essex, UK), medetomidine (Domitor; Pfizer Ltd, Sandwich, Kent, UK), and sodium pentobarbitone (Sagatal; Rhône Mérieux Ltd, Harlow, UK). Reversing agents used were nalbuphine [HCl Nubain; DuPont (U.K.) Ltd, Stevenage, UK] and atipamezole (HCl Antisedan; Pfizer Ltd).
| Results |
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Mesenteric Arterial Beds: Dose- and Concentration-Response Relationships to Methoxamine and Concentration-Response Relationships to KCl. There were no significant differences in the baseline perfusion pressures between the 2 h saline, 24 h saline, 2 h LPS, and 24 h LPS groups, and these were 14 ± 4mmHg(n = 6), 10 ± 5mmHg (n = 5), 7 ± 3 mm Hg (n = 8), and 16 ± 2 mm Hg (n = 9), respectively.
Methoxamine, when given as a bolus, elicited dose-dependent increases in perfusion pressure (p < 0.001) (Fig. 1a). No significant differences existed between the four groups in the maximal elicited rise in perfusion pressure. Interestingly, a plot of the time course of the methoxamine-elicited contraction to a dose of 1.5 µmol (Fig. 1b) showed that although there was no significant difference in the maximal attained rise in perfusion pressure, there was a trend in the 24 h LPS group for the response to decrease more rapidly; although this was not significantly different compared with the 24 h saline group, it was significantly different from the 2 h LPS and saline groups (p < 0.05).
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Cumulative concentrations of methoxamine elicited concentration-dependent increases in perfusion pressure (p < 0.0001) (Fig. 2a). These were significantly reduced in mesenteries from rats following 24 h LPS infusion (Fig. 2a). The maximum response was significantly depressed in 24 h LPS rats compared with 24 h saline rats, being 64.4 ± 9.1 mm Hg (n = 8) and 106.7 ± 9.6 mm Hg (n = 9), respectively (p < 0.05). No significant differences were noted between the 2 h LPS and 2 h saline groups, with maximum responses being 96.6 ± 15.6 mm Hg (n = 8) and 99.4 ± 9.3 mm Hg (n = 9) respectively. There were no significant differences in EC50 values between 2 h saline, 24 h saline, 2 h LPS, or 24 h LPS groups at 14.9 ± 6.1, 7.3 ± 1.6, 7.9 ± 2.1, and 10.9 ± 2.0 µM, respectively.
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Cumulative concentrations of KCl elicited significant concentration-dependent increases in perfusion pressure (p < 0.0001) (Fig. 2b). There were no significant differences between the 2 and 24 h LPS groups and their respective controls in their response to cumulative concentrations of KCl.
Mesenteric Arteries: Methoxamine-Stimulated Ca2+ Responses. There was no significant difference in methoxamine-stimulated Ca2+ responses between arteries from 24 h saline and 24 h LPS-treated rats, the changes in the 340/380 nm ratio being 0.16 ± 0.05 (n = 5) and 0.11 ± 0.07 (n = 5), respectively (Fig. 3a). The responses were also similar when expressed as a percentage of the KCl response (Fig. 3b). The time to maximum response to methoxamine in arteries from 24 h LPS-treated rats (303 ± 107 s, n = 5) was not significantly different compared with that in the 24 h saline-treated rats (190 ± 98 s, n = 5) (Fig. 3c). There was no significant difference between the two groups in the change in 340/380 nm ratio induced by 60 mM KCl, being 0.15 ± 0.05 (n = 5) and 0.15 ± 0.04 (n = 5) in LPS-treated and saline-treated groups, respectively (Fig. 3d).
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Renal Arterial Beds: Concentration-Response Relationships to Methoxamine and KCl. Experiments were performed on four experimental groups: 2 h saline, 24 h saline, 2 h LPS, and 24 h LPS. There were no significant differences between any of the groups in the measured basal renal perfusion pressures, these being 52 ± 11 mm Hg (n = 7), 45 ± 5 mm Hg (n = 8), 60 ± 13 mm Hg (n = 9), and 51 ± 4 mm Hg (n = 5), respectively.
Responses to cumulative concentrations of methoxamine in the renal arterial beds displayed concentration dependence in all four groups (P < 0.0001) (Fig. 4). There were no significant differences between 2 h saline (n = 6), 24 h saline (n = 8), 2 h LPS (n = 9), or 24 h LPS (n = 5) groups; RMax values were 133 ± 22 mm Hg, 139 ± 18 mm Hg, 161 ± 25 mm Hg, and 190 ± 17 mm Hg, respectively, and pEC50 values were 6.37 ± 0.24, 6.27 ± 0.30, 6.24 ± 0.63, and 6.24 ± 0.19, respectively.
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Responses to cumulative concentrations of KCl were concentration-dependent (p < 0.0001). There were no significant differences between 2 h saline (n = 7), 24 h saline (n = 8),2h LPS (n = 9), or 24 h LPS (n = 5) groups; RMax values were 58 ± 13 mm Hg, 64 ± 7 mm Hg, 75 ± 11 mm Hg, and 91 ± 16 mm Hg, respectively, and pEC50 values were 1.51 ± 0.17, 1.60 ± 0.06, 1.69 ± 0.05, and 1.84 ± 0.06, respectively.
Aortae: Concentration-Response Relationships to Methoxamine, KCl, and U46619 [GenBank] . The increases in tension elicited by cumulative concentrations of methoxamine are shown in Fig. 5a. All groups displayed concentration-dependent contraction to methoxamine (p < 0.0001). Both the 2 h LPS (n = 6) and the 24 h LPS (n = 4) groups showed significantly lower contractility to methoxamine than either 2 h saline (n = 5) or 24 h saline (n = 6) groups (P < 0.05). This is reflected in the values of maximal response, which were 0.94 ± 0.09 g, 0.88 ± 0.10 g, 0.44 ± 0.05 g, and 0.49 ± 0.10 g for 2 h saline, 24 h saline, 2 h LPS, and 24 h LPS groups, respectively. With regard to pEC50 values, the 2 h LPS group was significantly lower than the 2 h saline group, being 5.3 ± 0.1 and 5.9 ± 0.1, respectively (p < 0.001). However, there was no significant difference between the 24 h LPS group and the 24 h saline group, being 5.7 ± 0.1 and 5.7 ± 0.1, respectively.
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Contractions elicited in response to cumulative concentrations of U46619 [GenBank] displayed concentration dependence (p < 0.0001) (Fig. 5b). There were no significant differences between the experimental groups in the contractions elicited by U46619 [GenBank] at any of the concentrations tested. Maximal attained contractions were 1.03 ± 0.17 g (n = 6), 1.16 ± 0.17 g (n = 7), 1.13 ± 0.10 g (n = 6), and 1.03 ± 0.14 g (n = 7) for 2 h saline, 24 h saline, 2 h LPS, and 24 h LPS groups, respectively. With regard to pEC50 values, there were no significant differences between 2 h saline and 2 h LPS or between 24 h saline and 24 h LPS groups, being 8.1 ± 0.1, 8.2 ± 0.2, 8.2 ± 0.2, and 7.8 ± 0.1, respectively.
Contractions elicited by cumulative concentrations of KCl were not significantly different between the experimental groups but did display concentration dependence (Fig. 6). Maximal contractions were 0.56 ± 0.12 g (n = 5), 0.53 ± 0.13 g (n = 6), 0.54 ± 0.08 g (n = 6), and 0.70 ± 0.16 g (n = 4) for 2 h saline, 24 h saline, 2 h LPS, and 24 h LPS groups, respectively. In addition, pEC50 values were not significantly different between the groups, being 1.68 ± 0.26, 1.43 ± 0.27, 1.54 ± 0.04, and 1.94 ± 0.13, respectively.
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Aortae: Contractile Response to Caffeine. The time course of contractions elicited by 20 mM caffeine is illustrated in Fig. 7. In the 2 h LPS group, there was a significant decrease (p < 0.05) in tension elicited by caffeine, between 15 s and 40 s, compared with the corresponding saline-treated group. However, in aortae taken after 24 h of LPS infusion, there were no significant differences in the response to caffeine compared with either control group.
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| Discussion |
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1-adrenoceptor
agonist) that we observed.
Hypocontractility to Methoxamine in the Mesenteric Arterial Bed, but Not
the Renal Arterial Bed, in Endotoxemia. The present results in the
mesenteric arterial beds are consistent with previous studies
(Mitchell et al., 1993
;
Tarpey and Randall, 1998
) in
that there was no difference in responses to methoxamine given as bolus doses
at either 2 or 24 h LPS. However, we now clearly show that there is
hypocontractility of the mesenteric arterial beds at 24 h after the onset of
LPS infusion if methoxamine is applied as cumulative concentrations. This was
not due to a generalized inability of the mesenteric arterial smooth muscle to
contract, as responses to KCl were unimpaired. These results are, in some
respects, similar to those of others, who showed a waning of the contractile
response to noradrenaline in the mesenteric arterial bed
(Mitolo-Chieppa et al., 1996
)
and mesenteric resistance arteries
(Martinez et al., 1996
)
isolated from rats treated with LPS.
It is interesting that hypocontractility was apparent when methoxamine was applied as sustained concentrations but not when applied as bolus doses. One possible explanation for this could be the way Ca2+ is utilized during the course of a contraction. Specifically, the transient contractions evoked by bolus doses of methoxamine may depend primarily on mobilization of Ca2+ from intracellular stores, whereas the sustained contractions elicited by prolonged exposure to methoxamine may involve, to a greater extent, entry of extracellular Ca2+ into the smooth muscle cells and Ca2+ sensitization. The possible role of Ca2+ in impaired responses to methoxamine was investigated in isolated superior mesenteric arteries and aortae (the choice of preparations for these experiments was largely dictated by the nature of the experiments) as discussed below.
In contrast to the impairment of vascular contractility to methoxamine in
both the mesenteric arterial bed and the aorta, isolated from endotoxemic
rats, the renal vascular bed isolated from these animals displayed no
significant attenuation of the contractile response to cumulative
concentrations of methoxamine or KCl. The lack of change in the renal response
to methoxamine in endotoxemia is consistent with findings in the renal
vasculature in vivo (Waller et al.,
1994
), although the renal vascular bed in vivo displays a greater
degree of hyperemic vasodilatation after 24 h LPS than the mesentery
(Waller et al., 1994
). The
present results indicate that renal vasodilatation is not likely to be due to
a loss of
-adrenoceptor-mediated vasoconstrictor tone. In a number of
tissues (including the mesentery and aorta), induction of inducible
nitric-oxide synthase (NOS) is maximal at 6 h after the start of LPS infusion,
but this returns to control levels at 24 h
(Gardiner et al., 1995
;
Mitchell et al., 1993
), and
kidney inducible NOS does not change during LPS infusion
(Gardiner et al., 1995
);
therefore, other factors must be responsible for the vasodilatation seen at
that stage. It remains to be determined what mechanisms are responsible for
protecting the renal vascular bed under these conditions.
Hypocontractility to Methoxamine in Thoracic Aortae in Endotoxemia.
The aortic preparations also showed hypocontractility to methoxamine, but here
the difference was apparent in preparations isolated at both 2 and 24 h after
the onset of LPS infusion. Thus, endotoxemia can cause hypocontractility to a
given vasoconstrictor (methoxamine) in both conduit (aorta) and resistance
(mesenteric arterial bed) vessels, although temporal differences in the
susceptibility of these two vasculatures to impaired responsiveness were
observed. In neither case was the hypocontractility to methoxamine due to a
generalized impairment of smooth muscle contractile function, as responses to
KCl were not affected. Thus, hypocontractility to methoxamine in this model of
endotoxemia could involve one or more of the steps including, and/or
subsequent to, stimulation of
1-adrenoceptors.
Interestingly, in contrast to the pronounced impairment of contractions to
methoxamine, contractions to U46619
[GenBank]
in the aortae were unaffected by LPS
infusion at either 2 or 24 h. Similarly, U46619
[GenBank]
-induced contractions were
reported to be largely maintained in rat mesenteric arteries in an in vitro
model of endotoxemia, whereas those to phenylephrine were attenuated
(O'Brien et al., 2001
;
Wylam et al., 2001
). In rats
rendered tolerant to lethal doses of endotoxin by repeated sublethal doses of
endotoxin, the pressor response to phenylephrine was attenuated, but a higher
peak response to U46619
[GenBank]
was observed compared with controls
(Coffee et al., 1991
), although
in the same model, the sensitivity of the response to U46619
[GenBank]
in isolated
aortic rings was reduced (Temple et al.,
2001
). The reason for these differences between the contractile
agents is unclear, but one possibility is differences between their signaling
pathways. For example, RhoA, a signaling molecule involved in sensitization of
the smooth muscle contractile machinery to Ca2+, is
activated to a greater extent by U46619
[GenBank]
than by noradrenaline in rabbit aortic
smooth muscle (Sakurada et al.,
2001
).
Role of Ca2+ in Hypocontractility in
Endotoxemia. We attempted to explore some of the underlying mechanisms of
the changes involved. Ca2+ measurements in the
mesenteric artery were restricted to 24 h, since that was the time when
significant changes in contractile responses were observed. The results showed
a tendency for smaller changes in Ca2+ after LPS
treatment, but these were not significant, so it would appear that, as shown
by Martinez et al. (1996
), a
failure to release Ca2+ does not underlie
hypocontractility to methoxamine. In the aortae, preparations taken at 24 h
after LPS treatment also showed normal responses to caffeine, indicating that
a change in mobilization of intracellular Ca2+ also does
not underlie hypocontractility to methoxamine, pointing to changes in
Ca2+ sensitization of contractile proteins (which can
take place without large changes in Ca2+)or to the
involvement of another factor. Others have shown an important contribution of
L-arginine availability and the NO pathway in regulating the extent
of mesenteric hypocontractility produced by LPS
(Mitolo-Chieppa et al., 1996
).
We did not investigate the extent to which that was involved in the changes
observed here.
In the aorta, responses to methoxamine were reduced at 2 and 24 h LPS, but
the response to caffeine was reduced only at 2 h LPS. Thus, this indicates
that there may be an impairment of Ca2+ release from
internal stores at 2 h, but not at 24 h, after LPS infusion. Previous studies
have shown elevated basal levels of intracellular Ca2+
in rat aorta caused by sepsis or endotoxin treatment, which may result from an
impairment of Ca2+ storage in intracellular organelles
(Song et al., 1993
;
Martinez et al., 1996
).
Impaired storage, and by implication, release of Ca2+ in
intracellular organelles could explain the decreased response to caffeine
observed at 2 h. Inducible NOS activity in the aorta in this model of
endotoxemia has been shown to increase between 2 and 6 h, and then to be
undetectable at 24 h, after the onset of LPS infusion
(Gardiner et al., 1995
), which
is in some respects similar to the temporal change in the response to
caffeine. In this regard, it is interesting that NO has been shown to reduce
the rate of Ca2+ release from skeletal muscle
sarcoplasmic reticulum and open probability of ryanodine receptors in lipid
bilayers (Meszaros et al.,
1996
).
If changes in Ca2+ mobilization or entry (present
study) and NO (Mitchell et al.,
1993
; Gardiner et al.,
1995
) do not underlie the mesenteric and aortic hypocontractility
to methoxamine that we have observed, at least at 24 h LPS, this raises the
question of what mechanisms are involved. One possibility is an involvement of
K+ channels, as these have been shown to be up-regulated by LPS
treatment (Czaika et al., 2000
)
and are involved in relaxation to LPS and in ex vivo aortic hypocontractility
to phenylephrine and noradrenaline in LPS-treated rats
(Hall et al., 1996
;
Sorrentino et al., 1999
;
Chen et al., 2000
).
| Conclusions |
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1-adrenoceptors, which may be significant for different
patterns of stimulation used by sympathetic nerves and/or circulating
catecholamines. | Acknowledgements |
|---|
| Footnotes |
|---|
ABBREVIATIONS: LPS, lipopolysaccharide; NO, nitric oxide.
1 Royal Society Research Fellow. ![]()
Address correspondence to: Dr. Vera Ralevic, School of Biomedical Sciences, University of Nottingham Medical School, Queen's Medical Centre, Clifton Boulevard, Nottingham, NG7 2UH, United Kingdom. E-mail: vera.ralevic{at}nottingham.ac.uk
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