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Departments of Anesthesia and Pharmacology, University of Pennsylvania and The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania 19104
Because pial artery dilation during a 20- or
40-min hypoxic exposure was less than that observed during a 5- or
10-min exposure, stimulus duration determines the vascular response to
hypoxia. Dynorphin (Dyn) modulates hypoxic pial dilation and
contributes to decremented dilation during longer hypoxic exposures.
This study was designed to determine whether vasopressin (VP)
contributes to Dyn modulation of hypoxic pial dilation in newborn pigs
equipped with a closed cranial window. Moderate (M) and severe (S)
hypoxia (arterial PO2 ~ 35 and 25 mmHg, respectively) had no effect on cerebrospinal fluid VP during a
5-min exposure but increased its concentration during longer exposure
periods. The VP antagonist [
-mercapto-
,
-cyclopentamethylenepropionyl1,O-Me-Tyr2,Arg8]vasopressin
(MEAVP) had no influence on pial dilation during the 5-min exposure but
potentiated the 20- and 40-min M and S hypoxic exposure dilations: 21 ± 2 vs. 29 ± 3% and 23 ± 2 vs. 33 ± 2% for 20- and
40-min S hypoxic dilation before and after MEAVP. Topical VP during 5 min of hypoxia elicited dilation that was reversed to vasoconstriction
during 20 min of S and 40 min of M and S hypoxia. Similarly, during 5 min of hypoxia, Dyn elicited dilation that was reversed to
vasoconstriction during longer hypoxic periods. MEAVP blunted this
Dyn-induced vasoconstriction. These data show that VP modulates hypoxic
pial dilation in a stimulus duration-dependent manner and that VP
contributes to the reversal of Dyn from a dilator to a constrictor
during prolonged hypoxia. Finally, these data suggest that VP
contributes to Dyn modulation of hypoxic cerebrovasodilation.
newborn; cerebral circulation; opioids
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