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1 Departments of Internal Medicine and Human
Physiology,
Prostaglandin concentrations are elevated in
intestinal lymph during brief abdominal visceral ischemia, and
exogenously applied prostaglandins can directly stimulate or sensitize
ischemically sensitive visceral sympathetic nerve fibers. However, it
is not known if prostaglandin production during abdominal
ischemia is sufficient to contribute to the reflex
cardiovascular response (e.g., hypertension). Accordingly, in
anesthetized cats, the femoral artery was cannulated for measurement of
arterial blood pressure, and the superior mesenteric and celiac
arteries were isolated and fitted with snare occluders. After dual
occlusion of these arteries (
20 min), the cyclooxygenase inhibitors
indomethacin (10-20 mg/kg iv, n = 5, group 1) or acetylsalicylic acid
[50 mg/kg iv (n = 6)
and ia (n = 2); group
2] were administered and ischemia was
repeated. In group 1, indomethacin
lowered the reflex arterial blood pressure increment by 39% from 31 ± 7 to 19 ± 5 mmHg (P > 0.05). In group 2, acetylsalicylic
acid significantly (P < 0.05) reduced the reflex rise in blood pressure by 46% (28 ± 3 to 15 ± 4 mmHg). A second, more invasive preparation (group
3) was utilized to
1) minimize the confounding,
transient, nonreflex rise in blood pressure associated with arterial
ligation, and 2) further assess the
inhibitory effect of indomethacin. In group
3, the ischemia-induced blood pressure rise of
28 ± 6 mmHg was reduced by 43% to 16 ± 4 mmHg after
indomethacin (n = 4, P < 0.05). Thus blockade of the
cyclooxygenase pathway by two structurally dissimilar inhibitors attenuated the visceral-cardiovascular reflex response to brief ischemia, suggesting that prostaglandins released during
visceral ischemia contribute significantly to the activation of
the reflex cardiovascular response.
indomethacin; acetylsalicylic acid; visceral afferent nerves; blood pressure
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