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1 Laboratory for Research in Neonatal Physiology, Departments of Physiology and Pediatrics, University of Tennessee Health Science Center, Memphis, Tennessee 38163; 2 Department of Pharmacology, New York Medical College, Valhalla, New York 10595; and 3 Department of Physiology, Tulane University School of Medicine, New Orleans, Louisiana 70112
Carbon
monoxide (CO) is an endogenous dilator in the newborn cerebral
microcirculation. Other dilators include prostanoids and nitric oxide
(NO), and interactions among the systems are likely. Experiments on
anesthetized piglets with cranial windows address the hypothesis that
CO-induced dilation of pial arterioles involves interaction with the
prostanoid and NO systems. Topical application of CO or the heme
oxygenase substrate heme-L-lysinate (HLL) produced
dilation. Indomethacin,
N
-nitro-L-arginine
(L-NNA), and either iberiotoxin or tetraethylammonium chloride (TEA) were used to inhibit prostanoids, NO, and
Ca2+-activated K+ (KCa) channels,
respectively. Indomethacin, L-NNA, iberiotoxin, or TEA
blocked cerebral vasodilation to CO and HLL. Vasodilations to both CO
and HLL were returned to indomethacin-treated piglets by topical
application of iloprost. Vasodilations to both CO and HLL were returned
to L-NNA-treated piglets by sodium nitroprusside but not
iloprost. In iberiotoxin- or TEA-treated piglets, dilations to CO and
HLL could not be restored by either iloprost or sodium nitroprusside.
The dilator actions of CO involve prostacyclin and NO as permissive
enablers. The permissive actions of prostacyclin and NO may alter the
KCa channel response to CO because neither iloprost nor
sodium nitroprusside could restore dilation to CO when these channels
were blocked.
heme oxygenase; permissive, potassium channels
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