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Department of Molecular and Cellular Physiology, Louisiana State University Medical Center, School of Medicine in Shreveport, Shreveport, Louisiana 71130
Although a number of recent reports indicate
that bradykinin attenuates ischemia- reperfusion (I/R)-induced
tissue injury, the mechanisms underlying its protective actions are not
fully understood. However, because bradykinin induces endothelial
nitric oxide (NO) production and NO donors have been shown to attenuate postischemic leukocyte adhesion, endothelial barrier disruption, and
tissue injury, we hypothesized that bradykinin may act to reduce
I/R-induced tissue injury by preventing leukocyte recruitment and
preserving microvascular barrier function. To address this postulate,
we used intravital videomicroscopic approaches to quantify leukocyte-endothelial cell interactions and microvascular barrier function in single postcapillary venules in the rat mesentery. Reperfusion after 20 min of ischemia significantly decreased
wall shear rate and leukocyte rolling velocity, increased the number of
rolling, adherent, and emigrated leukocytes, and disrupted the
microvascular barrier as evidenced by enhanced venular albumin leakage.
Superfusion of the mesentery with bradykinin (10 nM) during I/R
significantly reduced these deleterious effects of I/R. Although these
inhibitory effects of bradykinin were not affected by cyclooxygenase
blockade with indomethacin (10 µM), coadministration with NO synthase
(N
-nitro-L-arginine methyl ester,
10 µM) or bradykinin B2-receptor (HOE-140, 1 µM) antagonists abolished the protective actions of bradykinin. Plasma NO concentration was measured in the mesenteric vein
and was significantly decreased after I/R, an effect that was prevented
by bradykinin treatment. These results indicate that bradykinin
attenuates I/R-induced leukocyte recruitment and microvascular
dysfunction by a mechanism that involves bradykinin B2-receptor-dependent NO production.
nitric oxide; venular protein leakage; leukocyte rolling
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