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Am J Physiol Heart Circ Physiol 294: H1724-H1735, 2008. First published February 8, 2008; doi:10.1152/ajpheart.01072.2007
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Lysozyme, a mediator of sepsis that produces vasodilation by hydrogen peroxide signaling in an arterial preparation

Steven N. Mink,1,2 Krika Kasian,1 Luis E. Santos Martinez,4 Hans Jacobs,3 Ratna Bose,2 Zhao-Qin Cheng,1 and R. Bruce Light1

Departments of 1Medicine, 2Pharmacology and Therapeutics, and 3Biochemistry and Medical Genetics, University of Manitoba, Winnipeg, Manitoba, Canada; and 4Instituto Nacional de Cardiologia Ignacio Chavez, Mexico City, Mexico

Submitted 15 September 2007 ; accepted in final form 6 February 2008

In septic shock, systemic vasodilation and myocardial depression contribute to the systemic hypotension observed. Both components can be attributed to the effects of mediators that are released as part of the inflammatory response. We previously found that lysozyme (Lzm-S), released from leukocytes, contributed to the myocardial depression that develops in a canine model of septic shock. Lzm-S binds to the endocardial endothelium, resulting in the production of nitric oxide (NO), which, in turn, activates the myocardial soluble guanylate cyclase (sGC) pathway. In the present study, we determined whether Lzm-S might also play a role in the systemic vasodilation that occurs in septic shock. In a phenylephrine-contracted canine carotid artery ring preparation, we found that both canine and human Lzm-S, at concentrations similar to those found in sepsis, produced vasorelaxation. This decrease in force could not be prevented by inhibitors of NO synthase, prostaglandin synthesis, or potassium channel inhibitors and was not dependent on the presence of the vascular endothelium. However, inhibitors of the sGC pathway prevented the vasodilatory activity of Lzm-S. In addition, Aspergillus niger catalase, which breaks down H2O2, as well as hydroxyl radical scavengers, which included hydroquinone and mannitol, prevented the effect of Lzm-S. Electrochemical sensors corroborated that Lzm-S caused H2O2 release from the carotid artery preparation. In conclusion, these results support the notion that when Lzm-S interacts with the arterial vasculature, this interaction results in the formation of H2O2, which, in turn, activates the sGC pathway to cause relaxation. Lzm-S may contribute to the vasodilation that occurs in septic shock.

reactive oxygen species; catalase; compound I; hydroxyl radical; septic shock; hypotension



Address for reprint requests and other correspondence: S. N. Mink, Health Sciences Centre, GF-221, 820 Sherbrook St., Winnipeg, Manitoba, Canada R3A 1R9 (e-mail: minksn{at}cc.umanitoba.ca)




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S. N Mink, H. Jacobs, Z.-Q. Cheng, K. Kasian, L. E Santos-Martinez, and R. B. Light
Lysozyme, a mediator of sepsis that intrinsically generates hydrogen peroxide to cause cardiovascular dysfunction
Am J Physiol Heart Circ Physiol, September 1, 2009; 297(3): H930 - H948.
[Abstract] [Full Text] [PDF]




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