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Departments of Anesthesia and Pharmacology, University of Pennsylvania and The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania 19104
Because methionine
enkephalin contributes to and dynorphin opposes dilation during a
10-min hypoxic exposure, opioids modulate pial artery dilation to this
stimulus. However, such modulation may be dependent on the duration of
hypoxia. The present study was designed to characterize the modulation
of hypoxic pial dilation by opioids as a function of stimulus duration
in newborn pigs equipped with a closed cranial window. Hypoxic dilation
was decremented in both moderate and severe groups
(PO2
35 and 25 mmHg, respectively) during 20-min and 40-min exposure periods compared with
the response during 5 or 10 min of stimulation (24 ± 1, 25 ± 1, 18 ± 1, and 14 ± 1% for 5, 10, 20, and 40 min of moderate hypoxia; means ± SE). Moderate and severe hypoxia had no effect on
cerebral spinal fluid (CSF) methionine enkephalin or dynorphin concentration during a 5-min exposure period. During a 10-min exposure,
however, both opioids were increased in CSF. During 20- and 40-min
exposure periods, CSF dynorphin continued to increase, whereas
methionine enkephalin steadily decreased (962 ± 18, 952 ± 21, 2,821 ± 15, 2,000 ± 81, and 1,726 ± 58 pg/ml methionine enkephalin for control, 5, 10, 20, and 40 min of moderate hypoxia, respectively). The µ-opioid (methionine enkephalin) antagonist
-funaltrexamine had no influence on dilation during the 5-min exposure, decremented the 10- and 20-min exposures, but had no effect
on 40-min exposure hypoxic dilation. Whereas the
-opioid (dynorphin)
antagonist norbinaltorphimine similarly had no effect on a
5-min exposure dilation, it, in contrast, potentiated 10-, 20-, and
40-min exposure hypoxic dilations (23 ± 1 vs. 23 ± 1, 24 ± 1 vs. 32 ± 1, 16 ± 1 vs. 24 ± 2, and 13 ± 1 vs. 23 ± 3% for 5, 10, 20, and 40-min hypoxic dilation before and after
norbinaltorphimine). These data show that opioids do not modulate
hypoxic pial dilation during short but do so during longer exposure
periods. Moreover, hypoxic pial dilation is diminished during longer
exposure periods. Decremented hypoxic pial dilation during longer
exposure periods results, at least in part, from decreased release of
methionine enkephalin and accentuated release of dynorphin. These data
suggest that the relative role of opioids in hypoxic pial dilation
changes with the stimulus duration.
newborn; cerebral circulation
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A. Venteicher and W. M. Armstead Vasopressin contributes to dynorphin modulation of hypoxic cerebrovasodilation Am J Physiol Heart Circ Physiol, December 1, 1998; 275(6): H2072 - H2079. [Abstract] [Full Text] [PDF] |
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