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Am J Physiol Heart Circ Physiol 274: H1776-H1784, 1998;
0363-6135/98 $5.00
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Vol. 274, Issue 5, H1776-H1784, May 1998

Inhibition of nitric oxide synthesis increases venular permeability and alters endothelial actin cytoskeleton

Ann L. Baldwin1, Gavin Thurston2, and Hamda Al Naemi1

1 Department of Physiology, College of Medicine, University of Arizona, Tucson, Arizona 85724-5051; and 2 Department of Anatomy, University of California, San Francisco, California 94143-0452

    ABSTRACT
Top
Abstract
Introduction
Materials & Methods
Results
Discussion
References

Inhibition of nitric oxide (NO) synthesis using NG-nitro-L-arginine methyl ester (L-NAME) or NG-monomethyl-L-arginine (L-NMMA) increases venular permeability in the rat mesentery (I. Kurose, R. Wolf, M. B. Grisham, T. Y. Aw, R. D. Specian, and D. N. Granger. Circ. Res. 76: 30-39, 1995), but the cellular mechanisms of this response are not known. This study was performed to determine whether such venular leaks are associated with changes in the endothelial actin cytoskeleton. In anesthetized Sprague-Dawley rats, the microvasculature of a mesenteric window was perfused with buffered saline, with or without 10-5 M L-NAME, L-NMMA, or the inactive enantiomer NG-nitro-D-arginine methyl ester for 3 or 30 min. FITC-albumin was added to the perfusate for the last 3 min. The vasculature was perfusion fixed, stained for filamentous actin and for mast cells, and viewed microscopically. In control preparations, venules showed few FITC-albumin leaks and the endothelial actin cytoskeleton consisted of a peripheral rim along the cell-cell junctions. Preparations treated with L-NAME or L-NMMA showed significantly more leakage, the actin rims in leaky venules were discontinuous, and short, randomly oriented fibers appeared within the cells. In nonleaky venules, the peripheral actin rims sometimes contained small, equally spaced discontinuities not seen in control preparations. Although a mast cell stabilizer was used, 27-70% of the mast cells were degranulated in the presence of L-NMMA. Thus inhibition of NO synthesis alters the endothelial cytoskeleton and increases albumin leakage from mesenteric venules, either directly or indirectly via the involvement of mast cells.

rat mesentery; confocal microscopy; endothelium; mast cells

    INTRODUCTION
Top
Abstract
Introduction
Materials & Methods
Results
Discussion
References

PREVIOUS STUDIES demonstrated that exposure of microvascular preparations to competitive inhibitors of nitric oxide synthase (NOS) such as NG-nitro-L-arginine methyl ester (L-NAME) or NG-monomethyl-L-arginine (L-NMMA) decreases levels of cGMP in endothelial cells and increases venular permeability. The enantiomer NG-nitro-D-arginine methyl ester (D-NAME), which is identical to L-NAME except that it does not compete for NOS and thus does not inhibit production of nitric oxide (NO), has no effect on vascular permeability. Kurose et al. (9, 10) and Kubes and Granger (7) showed in the rat mesentery and feline small intestine, respectively, that these inhibitors cause a rapid (within 10 min) increase in venular permeability that is independent of leukocyte adhesion. This is followed by a leukocyte-dependent increase in permeability that is detected after 30 min. In the rat, both phases of increased permeability are inhibited by the permeable analog of cGMP, 8-bromoguanosine 3',5'-cyclic monophosphate. It was hypothesized that depletion of cGMP by NO inhibitors would block cGMP-dependent dephosphorylation of myosin light chain (19, 20), leading to endothelial contraction and possible opening of interendothelial junctions (15, 25). It is likely that endothelial cell retraction, if it occurs, would be accompanied by alterations in the endothelial actin cytoskeleton. However, no studies have been reported that directly demonstrate the cytoskeletal effects of NO inhibition in blood vessels.

Inhibition of NO synthesis may also exert its effects on venular permeability by causing mast cell degranulation and consequential release of mediators, such as histamine, that then act on the endothelial cells, possibly in combination with leukocytes. Kubes et al. (8) have shown in the rat mesentery that inhibition of NO synthesis causes mast cell degranulation. In cultured cells this occurs both as a direct effect of the NOS inhibitor (L-NAME) on mast cells (i.e., independent of endothelium) and via endothelium-derived superoxide that would normally be scavenged by NO (17). Thus any of the wide range of mediators that are released from mast cells could be responsible for the observed increase in microvascular permeability, either by themselves or in conjunction with leukocytes. As yet, no studies have been reported in which the direct effects of NO inhibition on endothelial integrity in vivo have been separated from effects mediated by mast cells. Although mast cell stabilizers have been used to limit degranulation, these are not 100% effective in the presence of NOS inhibitors.

Understanding the mechanisms that promote the effects of NO on microvascular permeability is further complicated by the fact that in some preparations inhibition of NOS decreases, rather than increases, permeability. Such preparations include the hamster cheek pouch (11-13) and the isolated porcine coronary venule (26). Consistent with these studies was the observation that sodium nitroprusside, which releases NO, causes increased permeability of single perfused frog mesenteric capillaries (14). In the latter two preparations leukocytes were absent. Mast cells may have been present in all three, but it is possible that they were not as sensitive to degranulation as those found in the rat mesentery. It is interesting that Mayhan (11) suggested that increased NO might increase permeability by causing endothelial contraction, whereas Kubes (6) hypothesized that inhibition of NO might cause exactly the same response.

We have previously shown that discrete venular leaks, which are produced in the mesentery by histamine (3, 23, 24), are accompanied by breaks in the actin fibers located subjacent to the endothelial cell membrane at cell-cell junctions (1, 21, 22). We have referred to these structures as the endothelial peripheral actin rims (PAR). This observation is consistent with Drenckhahn's hypothesis (2) that there may be no active contraction of the endothelial cell per se in response to inflammation but that, instead, interendothelial gaps are formed because cell-cell adhesion is disrupted due to a change in the actin filaments along the junction. The present study was performed to determine the effect of inhibition of NO synthesis on venular endothelial leakage, specifically with regard to characterizing leak size, location of leaks, and changes in the actin cytoskeleton. The effects of inhibition of NO synthesis on these parameters are compared with those of histamine, relating to our previous studies.

    MATERIALS AND METHODS
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Abstract
Introduction
Materials & Methods
Results
Discussion
References

Cannulation and perfusion of rat mesentery. The procedure was similar to that described previously (1) and is summarized here. Thirty male Sprague-Dawley rats (350-400 g) were anesthetized with an intramuscular injection of pentobarbital sodium (6 mg/100 g). After tracheotomy, 0.9 ml of the mast cell stabilizer cromolyn (2.5 mg/ml; Sigma, St. Louis, MO) was injected via the jugular vein. This dose was similar to that used by other investigators in the same preparation (5). The same dose was repeated 30 min later. The abdomen was opened, and several contiguous well-vascularized mesenteric windows were selected and spread out flat over a Plexiglas platform. The superior mesenteric artery was cannulated near the selected mesenteric windows, and the appropriate arterioles and venules bordering the windows were ligated to allow perfusion only of the chosen windows.

The mesenteric windows were flushed clear of blood with HEPES-buffered saline (HBS, pH 7.4) containing 0.5% BSA and 1 U/ml heparin at 37°C and perfused, at an inlet pressure of 100 mmHg, with either HBS-BSA alone (controls, 4 animals for 3 min, 2 animals for 30 min) or HBS-BSA plus one of the following: 10-5 M L-NAME (6 animals for 30 min), 10-5 M L-NMMA (8 animals for 3 min, 6 animals for 30 min), and 10-5 M D-NAME (4 animals for 30 min). During the last 3 min of each perfusion, 0.05% FITC-albumin (Sigma) was added to the perfusate. As soon as the vasculature of the windows was filled with FITC-albumin, as judged by the color, the pressure was adjusted to 40 mmHg and the portal vein, which acted as the flow outlet, was clamped. After 3 min, the clamp was removed and 3 ml of fixative (3% formaldehyde in HBS) were perfused via the cannula at a pressure of 100 mmHg. Next, the pressure was reduced to 40 mmHg, the portal vein was clamped, and fixation was continued for 30 min. The vasculature of the mesenteric windows was then perfused, via the cannula, with a cocktail of 3% formaldehyde, 0.1% Triton X-100, and rhodamine phalloidin (10 U/ml) (Molecular Probes, Eugene, OR) in HBS for 30 min at 4°C to promote staining of endothelial actin fibers. After staining, the vasculature was perfusion fixed for 30 min with 3% formaldehyde and then flushed with HBS. The mesenteric tissue was carefully excised and mounted between two thin glass coverslips using aqueous mounting medium (Vectashield, Vector Laboratories, Burlingame, CA). In three L-NMMA 3-min experiments and three controls (HBS-BSA alone), the fixed mesenteric windows (several from each experiment) were excised, spread flat on microscope slides, and suffused with 1% toluidine blue for 15 min, before being flushed with HBS and mounted. Toluidine blue was used to stain the mast cells to determine the percentage that had degranulated. This process was repeated on three preparations that had been subjected to 10-4 M histamine for 3 min, for comparison. To gain a representative sample of the degree of mast cell degranulation in each preparation, 10 fields of view (each a 1-mm-diameter circle) were randomly chosen from the mesenteric windows and the mast cells were scored as degranulated or not. The total number of mast cells scored for each preparation was ~100.

Assessment of venular leakage. An assessment of overall vascular leakage was made by measuring the number and area of regions with extravascular FITC-albumin. Slides were examined using a Zeiss Axioplan microscope with ×10 objective, numerical aperture (NA) 0.6, fitted for epifluorescence. The light source was a 100-W Hg lamp for epifluorescence and a halogen lamp for transmitted illumination. A video camera (Optronix VI 470) was mounted at the camera port of the microscope. Five images of leaky vessel networks from each mesentery, produced by epifluorescence with the appropriate FITC excitation and emission filters (lambda  = 488 and 515 nm, respectively), were viewed on a black-and-white monitor and also recorded on a video recorder. Recordings were also made of the networks under transillumination. Videotaped images were later analyzed using an analog-to-digital converter and appropriate software (NIH Image) to measure the length and diameter of each venule, the number of leaks per venule, and the area of each leak. If a leak was positioned at a vascular junction, the leak area was divided by the number of venules involved. Data were pooled within each group (i.e., L-NMMA for 3 min), and the following values were calculated: 1) average number of leaks per length of venule, 2) average leak area per micrometer of venule, and 3) size distribution of leaks. Leaks were divided into two categories according to size: contained leaks were defined as leaks that did not extend beyond the area of one endothelial cell, and extended leaks were defined as leaks that involved the boundaries of three or more adjacent endothelial cells.

Actin cytoskeleton. Epifluorescence microscopy was used to examine the structure and degree of integrity of the endothelial actin cytoskeleton of mesenteric venules from all groups. Photographs of venules were taken, in pairs, using the FITC filter and rhodamine filter in turn, through a 63×, NA 1.25 oil-immersion objective. The photographs were taken to record representative examples of leaky and nonleaky venules, and the only criterion used for selecting a vessel for photography was its clarity under epifluorescence microscopy. The total number of venules that were photographed for HBS-BSA, D-NAME (30 min), L-NMMA (3 min), L-NMMA (30 min), L-NAME (3 min), and L-NAME (30 min) preparations were 51, 35, 33, 21, 28 and 93, respectively. The specimens were also viewed with a confocal microscope (Zeiss LSM 410) equipped with a krypton-argon laser. With the use of a 40×, NA 1.0 oil-immersion objective lens, a venule of interest was identified and a series of images were collected at different focus levels (step size 1 µm) using the 568-nm line for rhodamine phalloidin and the 488-nm line for FITC-albumin.

Statistical analysis. Values from the different groups were compared at different time points using Student's t-test with a P value <0.05 to indicate statistical significance. All values are presented as means ± SE. In these studies, n is the number of venules per group. To compare size distributions of leaks between groups, the Kolmogorov-Smirnov two-sample test was used.

    RESULTS
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Abstract
Introduction
Materials & Methods
Results
Discussion
References

Distribution of leaks. Microscopic examination of control mesenteric preparations by epifluorescence revealed very few leaky sites after perfusion with HBS-BSA for 3 (4 experiments) or 30 (2 experiments) min or with D-NAME for 30 min (4 experiments). Preparations treated with L-NMMA for 3 or 30 min (8 and 6 experiments, respectively) or with L-NAME for 30 min (6 experiments) showed many leaky sites. The leakage occurred in venules but not arterioles or capillaries. The percentage of venules that showed leaks and the total number of venules examined for HBS-BSA, D-NAME (30 min), L-NMMA (3 min), L-NMMA (30 min), and L-NAME (30 min) preparations were 18 (n = 244), 6 (n = 112), 71 (n = 179), 41 (n = 66), and 51% (n = 396). Treatment with L-NMMA, L-NAME, or histamine caused leakage in venules of all sizes. For example, after 3-min treatment with L-NMMA, leakage occurred in 71% of venules 15-30 µm in diameter, 71% of venules from 30 to 55 µm, and 75% of venules >55 µm.

The distributions of leak sizes for preparations treated with L-NMMA or L-NAME are shown in Fig. 1. After 3-min L-NMMA treatment, most leaks were <500 µm2 in area (Fig. 1A). After 30-min treatment with L-NMMA, the size distribution of leaks broadened significantly, that is, the number of small leaks was reduced and the number of large leaks was significantly increased (Fig. 1B). After 30-min treatment with L-NAME, the size distribution of leaks was similar to that produced by 30-min treatment with L-NMMA (Fig. 1C).


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Fig. 1.   Distribution of leak sizes after treatment with NG-monomethyl-L-arginine (L-NMMA) for 3 min (A), L-NMMA for 30 min (B), and NG-nitro-L-arginine methyl ester (L-NAME) for 30 min (C). For all histograms in Fig. 1, bin size used was 500 µm2. Leak size was determined by measuring area of extravascular FITC-BSA. Distributions were compared using Kolmogorov-Smirnov 2-sample test. Leak size distribution after 30-min L-NMMA was significantly wider than that after 3-min L-NMMA. (Test statistic = 0.37; where P < 0.05, test statistic = 0.12).

Quantification of leaks. The number of leaks per venule length as a function of type and duration of treatment is shown in Fig. 2A. Previous results for histamine treatment are included in Fig. 2 for comparison. In both saline (HBS-BSA)- and D-NAME-treated vessels, the number of leaks was significantly less than in those subjected to the other treatments. In the case of L-NMMA, but not histamine, the number of leaks was strongly dependent on duration of the treatment, being significantly greater after 3 min than after 30 min. After 3 min L-NMMA produced significantly more leaks than histamine, but after 30 min histamine produced significantly more leaks than L-NMMA. Treatment with L-NAME for 30 min caused a number of leaks similar to that caused by L-NMMA for the same duration.


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Fig. 2.   A: average number of leaks per length of venule for different treatments. Results from saline-perfused control preparations for 3 and 30 min were pooled, because in this case duration of experiment did not significantly affect outcome. B: average total leak area per venule length (µm2/µm) for different treatments. Error bars indicate SE. Significant differences: * between 3- and 30-min L-NMMA; ** between 3-min histamine and 3-min L-NMMA; *** between 30-min histamine and 30-min L-NMMA (Student's t-test, P < 0.05). Previous results for histamine are included for comparison. D-NAME, NG-nitro-D-arginine methyl ester.

The average leak area per venule length as a function of type and duration of treatment is shown in Fig. 2B. Once again, HBS-BSA- and D-NAME-treated preparations showed significantly lower leak areas than those subjected to other treatments. In the case of histamine, but not L-NMMA, the leak area was significantly dependent on the duration of the experiment. Histamine treatment for 30 min produced a fourfold increase in leak area compared with 3-min treatment. After 3 min the mean total leak area produced by histamine was significantly smaller than that caused by L-NMMA, but after 30 min histamine produced a significantly greater leak area than L-NMMA. Treatment with L-NAME for 30 min produced a mean leak area midway between those caused by 30-min histamine and L-NMMA treatments and was not significantly different from either.

Changes in endothelial actin cytoskeleton. In control preparations (those perfused with saline or D-NAME), most venules did not leak FITC-albumin (Fig. 3A). The endothelial cell actin cytoskeleton in venules (Fig. 3B) consisted of peripheral fibers at the cell-cell junctions, which we have called PAR (see arrow) (1, 21, 22), and occasional short fibers in the central portion of the cell (arrowhead). The PAR were regular and almost continuous along cell junctions, although occasional breaks in the PAR were observed.


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Fig. 3.   Image pairs of FITC-albumin (A)- and rhodamine phalloidin (B)-stained control (D-NAME) preparation showing venules. Note peripheral actin rim (PAR) of each cell in B (arrow). Also note occasional short actin fibers within outer rim (arrowhead). C: network of venules from a preparation treated with L-NMMA for 3 min. Note abundance of contained leaks. Scale bars = 25 µm.

After 3-min treatment with L-NAME or L-NMMA, leaks were visible in 70% of the venules (Fig. 3C). Leaks were rarely seen in arterioles. An example of a leak, at high magnification, observed in a 3-min L-NMMA preparation is shown in Fig. 4A. The actin cytoskeleton of the same vessel is shown in Fig. 4B. An adherent leukocyte can also be seen in this venule (arrow). The leak apparently involves only one endothelial cell. Note the diffuse actin staining associated with the leaky cell and not with adjacent cells. This fluorescence was not caused by "bleed through" from the FITC channel, because the optical filters used were specific for the rhodamine wavelength. This type of leak was previously noted in venules of preparations that had been subjected to 10-min histamine treatment (1). Some perturbations of the PAR of the leaky cell can also be seen (Fig. 4B, arrowhead). This type of disruption was rarely seen in control preparations. Normally, the PAR, as seen with rhodamine phalloidin, forms a distinct line at the edge of the cell, sometimes with occasional, isolated small breaks (see Fig. 5). In the cells adjacent to the leaky cell in Fig. 4B, distinct actin fibers are evident in the central region of the cell.


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Fig. 4.   Image pairs of FITC-albumin (A)- and rhodamine phalloidin (B)-stained preparation after 3-min treatment with L-NMMA. In A, note contained leak. In B, note diffuse actin staining coincident with leak. A leukocyte is also visible (arrow). Arrowhead, local discontinuities of PAR of leaky cell. Scale bars = 25 µm.


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Fig. 5.   Configuration of intact endothelial PAR.

Figure 6 shows examples of venules from preparations treated with L-NMMA for 30 min. Figure 6, A and B (taken using filters for FITC-albumin and rhodamine phalloidin, respectively), shows images from a nonleaky venule. In Fig. 6B, note the regular, small discontinuities in the PAR. Such regular discontinuities were not seen in control preparations and were not observed in preparations treated with histamine. These discontinuities were often present in nonleaky venules from preparations treated with L-NMMA or L-NAME but were not seen in leaky venules from the same preparations. Note the presence of an adherent leukocyte (arrow). Figure 6, C and D (taken using filters for FITC and rhodamine, respectively), shows a venule with four contained leaks that are positioned at cell junctions. By comparing the two images, it can be seen that the positions of the leaks coincide with discontinuities in the PAR (arrowheads). Discontinuities in the PAR, which are not accompanied by leak sites, were also seen. Figure 6, E and F, shows confocal images in which signals from the FITC and rhodamine channels have been superimposed to demonstrate placement of leaks against the cytoskeleton. Note the leukocytes within both venules (arrows). In Fig. 6E, contained leaks are seen. The FITC-BSA can be seen leaving the venules in the form of narrow "streams" within the interstitium. This was a common observation after treatment with L-NMMA or L-NAME. Although the PAR are still well defined, some discontinuities can also be seen, particularly in the left half of the figure near the largest leak. Note the presence of central fibers, largely aligned with the longitudinal axis of the vessel. Figure 6F shows a region of a venule with extended leaks. The PAR are disrupted and no longer mark the endothelial cell junctions. Central fibers are present but are short and randomly oriented, similar to those we reported seeing 10 min or longer after histamine treatment (1). The vessel in the lower left-hand corner of Fig. 6F is an arteriole and can be recognized by the dense array of central actin fibers aligned with the longitudinal axis of the vessel.


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Fig. 6.   Image pairs of FITC-albumin- and rhodamine phalloidin-stained preparation after 30-min treatment with L-NMMA. A nonleaky area, with perforated PAR and central fibers, is shown in A and B. Note presence of an adherent leukocyte (arrow). A venule with contained leaks (arrowheads) is shown in C and D. Leaks (C) coincide with discontinuities in PAR (D). Additional discontinuities in PAR, which are not accompanied by leaks, are also visible. Images shown in E and F were taken using a confocal microscope, and FITC-albumin and rhodamine phalloidin images are superimposed. Contained leaks, accompanied by small discontinuities in the PAR, are shown in E. Extensive leaks, accompanied by considerable disruption of actin cytoskeleton, are shown in F. Leukocytes are also visible (arrows). Scale bars = 25 µm.

Mast cell degranulation. In the three 3-min control preparations that were stained with toluidine blue, the percentages of degranulated mast cells were 9, 5, and 9%, respectively. Corresponding values for the L-NMMA preparations were 35, 27, and 70%, respectively. These compared with values of 78, 79, and 77%, respectively, that were obtained when mesenteries were subjected to 10-4 M histamine after intravenous injection of cromolyn.

Adherent leukocytes. Although the perfusates used within the isolated mesenteric window vasculature did not contain leukocytes, some leukocytes were seen adhering to venular endothelium after fixation. These leukocytes probably gained entry to the vessels by backflow of venous blood when perfusates were changed, for example, when the treatment solution was replaced by treatment solution plus FITC-BSA. Thus it was unlikely that the leukocytes were in contact with L-NAME or L-NMMA for >3 min. Kubes and Granger (7) showed that it takes ~30 min before L-NAME induces leukocyte adhesion. Therefore, the leukocyte adherence that we observed in some venules was probably not related to the absence of NO.

    DISCUSSION
Top
Abstract
Introduction
Materials & Methods
Results
Discussion
References

In this study, the effects of NO synthesis inhibitors on venular permeability and endothelial actin cytoskeleton were determined in situ at two time points. The present study demonstrated that L-NMMA and L-NAME induced venular leaks of a range of sizes within a single preparation, and that the size distribution did not change very much when treatment was extended from 3 to 30 min. This study has also demonstrated several morphological events that accompany the venular leakage induced by inhibition of NO. These include changes in the endothelial actin cytoskeleton and degranulation of mast cells, even in the presence of mast cell stabilizers. Each effect of inhibition of NO synthesis is discussed in turn below and compared with previous results obtained after histamine application.

Venular leakage. The luminal surface area of endothelial cells ranges from 400 to 900 µm2 (1). This means that most leaks produced by treatment with L-NMMA for 3 min covered a region of less than one cell area and thus were considered to be contained leaks. However, a small number of large leaks were also visible. This leak distribution was very similar to that previously observed after 3-min histamine treatment (1). The previous study showed that after 10-min histamine treatment the leak size distribution widened considerably, but after 30 min the distribution became more narrow. Thus the histamine response was transient. In the case of L-NMMA, there was a slight, but significant, widening of the leak size distribution after 30-min treatment compared with 3 min. Increasing treatment time from 3 to 30 min reduced the number of leaks but had little effect on leak area, whereas, for histamine, comparison between 3- and 30-min treatment times demonstrated an increase in leak area but little effect on the number of leaks. These results suggest that during treatment with L-NMMA, the leaks either coalesce to form fewer, larger leaks, or that some of the small leaks seal and the larger leaks increase slightly in size.

Changes in endothelial actin cytoskeleton. With regard to the cytoskeletal alterations after treatment with inhibitors of NO synthesis, one point to note is that some of these changes were also seen after histamine treatment, but others were not. In addition, the whole range of cytoskeletal changes that were observed after 30 min were also evident after 3 min. This is in contrast to the time dependence of the cytoskeletal alterations observed after histamine (1). One similarity with respect to treatment with histamine was the association of contained leaks with focal discontinuities in the PAR. In tandem with this was our observation of focal discontinuities in PAR without accompanying leaky spots, indicating that the disruption of the PAR, alone, is not sufficient to cause leakage. An additional process, perhaps involving redistribution of other junctional proteins such as cadherins, the intramembranous anchoring proteins that connect to F actin via catenins, may also be necessary. The extensive disruption of the actin cytoskeleton and occasional areas of diffuse F actin accompanying extended leaks were also seen with histamine.

One difference between the effects of NO synthesis inhibition and histamine application on the endothelial actin cytoskeleton was the timing of the appearance of actin fibers in the central region of the cell. They were seen in nonleaky venules, and in endothelial cells adjacent to leaks, only 3 min after inhibition of NO synthesis. Central fibers were not seen this early after histamine treatment; it usually took 10-15 min before they could be observed. In addition, the central fibers seen after histamine treatment were usually short and randomly oriented, whereas, after treatment with L-NAME or L-NMMA, the fibers were longer and oriented to a greater extent with the longitudinal axis of the vessel. We speculated that the formation of central fibers after histamine treatment was connected with leak recovery rather than with leak formation, first, because they did not appear until the leaks were regressing and, second, because they were rarely found in endothelial cells that were directly involved in a leak. The latter statement still holds true after inhibition of NO, and so it is possible that the central fibers also fulfill a defensive mechanism in this case.

One novel observation concerning the effect of NO inhibition on the actin cytoskeleton was the appearance of uniformly spaced, small discontinuities in the PAR of endothelial cells in nonleaky venules. The fact that they appeared in response to two different NO-inhibitors, L-NMMA and L-NAME, and that they were not seen after treatment with the enantiomer of L-NAME, D-NAME, suggests that they were indeed triggered by inhibition of NO. Once more, the fact that these regular discontinuities were never seen in cells involved in leaks indicates that some other factor is involved in leak formation besides local interruption of the PAR.

Mast cell degranulation. The mesentery contains a high density of connective tissue mast cells, which can degranulate and release histamine and other inflammatory mediators. Previous experiments indicate that mast cells can be degranulated by superoxide (8). Concentrations of superoxide anion are regulated by NO, which acts as a scavenger for this substance. Thus depletion of NO could lead to mast cell degranulation, and addition of NO donors could reduce degranulation. Both these responses have been demonstrated in the rat mesentery (4, 8). Although cromolyn was used as a mast cell stabilizer in these experiments, 5-10% of the mast cells degranulated in control preparations and 27-70% degranulated in the presence of L-NAME. Niu et al. (17) have shown previously that addition of mast cells in a ratio as low as 1 mast cell to 50 neutrophils is sufficient to cause a large increase in neutrophil adherence to endothelium. Because of their potency and strategic location, we cannot rule out mast cell secretory products as contributors to at least part of the leak production and endothelial cell cytoskeletal rearrangement. Differences in the type, sensitivity, and density of mast cells between species, and between tissue types, could account for the wide spectrum of alterations in microvascular permeability induced by inhibition of NO. For example, NO increases venular permeability in the hamster cheek pouch (11, 13), isolated porcine venule (26), and frog isolated mesenteric venule (14) but decreases permeability in the rat mesenteric circulation (9).

Irrespective of the presence of mast cells, several lines of evidence suggest that inhibition of NO has a direct effect on the venular endothelium. First, inhibition of NO results in a reduction of intracellular cGMP (16), which in cultured endothelial cells leads to contraction of actomyosin filaments and possible cell contraction to produce a widening of the intercellular clefts (18). Second, levels of superoxide anions, produced by mitochondrial function, may increase if there is less NO available to scavenge the superoxide (8). Excess quantities of superoxide anions may lead to tissue damage. However, because all of the venules in a given preparation will be subjected to these effects and not all of them leak, it is possible that the direct effects of NO inhibition may just lead to a low-grade disruption of the endothelial PAR (the regularly spaced disruptions). Leaks may form either when the direct effects become particularly intense or when the indirect effects, mediated, for example, by mast cells, are superimposed. It is likely that venules in different areas of a given preparation will be subjected to differing degrees of indirect effects, and this would explain the variability between venules in the same preparation in their responses to NO inhibitors.

In summary, we have shown that inhibition of NO causes leaks to develop in rat mesenteric venules, similar to those produced by histamine. The leaks are accompanied by changes in the endothelial actin cytoskeleton, consistent with formation of interendothelial gaps and others that may counteract leak formation. Unlike histamine treatment, however, the same types of cytoskeletal rearrangements are present after 3-min NO inhibition as after 30-min inhibition. Local discontinuities of the PAR are necessary, but not sufficient, for leak formation. Mast cells also may play a role in leak formation. Thus inhibition of NO may affect venular permeability directly or indirectly via effects on leukocytes and mast cells. This complexity of initiating factors may explain the variety of cytoskeletal changes that are rapidly manifested after treatment with inhibitors of NO and also may account for the wide spectrum of effects on venular permeability in different preparations and in different animal species.

    ACKNOWLEDGEMENTS

We thank Lisa Wilson for expertise in animal surgery and Dirk Hamlin for assistance in collection and analysis of data.

    FOOTNOTES

This work was supported in part by the Arizona Disease Control Research Commission and the Research Evaluation and Allocation Committee, University of California.

Address for reprint requests: A. L. Baldwin, Dept. of Physiology, College of Medicine, Univ. of Arizona, Tucson, AZ 85724-5051.

Received 13 August 1997; accepted in final form 3 February 1998.

    REFERENCES
Top
Abstract
Introduction
Materials & Methods
Results
Discussion
References

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AJP Heart Circ Physiol 274(5):H1776-H1784
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