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Departments of Pharmacological and Physiological Science and Internal Medicine, St. Louis University School of Medicine, St. Louis, Missouri 63104
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ABSTRACT |
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We recently
reported that canine pulmonary microsomes metabolize arachidonic acid
to all four regioisomeric epoxyeicosatrienoic acids (EET). 5,6-EET
dilates blood vessels in several nonpulmonary vascular beds, often in a
cyclooxygenase-dependent manner. The present study was designed to
determine whether 5,6-EET can decrease pulmonary vascular resistance
(PVR) in the intact pulmonary circulation. In isolated canine lungs
perfused with physiological salt solution, a constant infusion of
U-46619 (3.28 ± 0.99 nmol/min) increased PVR 62.1 ± 4.5%.
Administration of 5,6-EET
(10
5 M) into the perfusate
reduced the U-46619-mediated increase in PVR by 23.6 ± 6.1%. These
effects of U-46619 and 5,6-EET were limited to changes in resistance
solely in the pulmonary venous segment. In contrast, venous as well as
arterial segmental resistances were increased in 5-hydroxytryptamine
(5-HT)-treated lungs. However, in the latter instance, 5,6-EET reduced
arterial but not venous segmental resistance. 5,6-EET increased
pulmonary PGI2 synthesis from 70.5 ± 18.4 to 675.9 ± 125.4 ng/min. In the presence of indomethacin (10
4 M), 5,6-EET did not
increase PGI2 synthesis nor did it
decrease U-46619- or 5-HT-mediated increases in PVR. In canine
intrapulmonary vessels, 5,6-EET decreased active tension in veins
contracted with U-46619. 5,6-EET decreased active tension in arteries
but not veins contracted with 5-HT, consistent with results in the perfused lungs. These results demonstrate that 5,6-EET is a vasodilator in the intact pulmonary circulation. Its dilator activity depends on
the constrictor agent present, the segmental resistance, and cyclooxygenase activity.
thromboxane; prostacyclin; cyclooxygenase; pulmonary vasculature; segmental resistance
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INTRODUCTION |
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EPOXYEICOSATRIENOIC ACIDS (EET) are compounds formed by cytochrome P-450 monooxygenase-mediated insertion of an epoxide group across the unsaturated carbons of arachidonic acid (AA) at positions 5,6; 8,9; 11,12; or 14,15 (3, 12). Synthesis of all four EET regioisomers by microsomal preparations of lung tissue has been reported in dogs (40), rabbits (47), and guinea pigs (19). The predominant metabolites of AA metabolism in each of these studies were EET and their hydration products, the dihydroxyeicosatrienoic acids (DHET). In addition, endogenously synthesized EET were detected in homogenates of rat and human lung (46). Although the lung is capable of synthesizing EET from AA, the effects of EET on the intact pulmonary circulation have not previously been reported. In other vascular beds, when applied exogenously, EET generally have been reported to act as vasodilators, often requiring cyclooxygenase activity to express the dilator activity (15, 23, 24).
It has been suggested that endogenous vasodilator substances act to moderate pulmonary vasoconstrictor influences such as thromboxane (Tx) A2 and 5-hydroxytryptamine (5-HT) to maintain low pulmonary vascular resistance (PVR) (1). However, in addition to lowering resistance, these vasodilator substances have the potential to oppose vasoconstriction that occurs in local areas of alveolar hypoxia. When this occurs, perfusion of poorly oxygenated lung units results in systemic hypoxemia due to addition of this poorly oxygenated blood into the systemic arterial circulation, i.e., venous admixture. In a dog model of ethchlorvynol-induced acute lung injury, we previously reported that inhibition of cytochrome P-450 activity prevented the increase in venous admixture associated with the systemic hypoxemia of that injury (40). We therefore propose that if 5,6-EET acts as a dilator in the pulmonary circulation, it may oppose increases in PVR and contribute to the increased venous admixture of acute lung injury. Because inhibition of cyclooxygenase activity also prevents the systemic hypoxemia associated with acute lung injury (21, 22, 38, 44), we propose that 5,6-EET requires cyclooxygenase activity to express its pulmonary vasodilator properties.
To determine whether exogenously administered 5,6-EET can cause
pulmonary vasodilation, we examined its effects in isolated perfused
canine lungs in which PVR was increased with
9,11-dideoxy-11
-epoxymethano-PGF2
(U-46619), a TxA2 mimetic, or
5-HT. U-46619 was chosen, since it has been used as a vasoconstrictor
in studies examining the effects of EET on other vascular beds (16, 35,
36). However, in the dog, U-46619 selectively increases pulmonary
venous segmental resistance. Therefore 5-HT was used because it
increases both pulmonary arterial and venous resistance in the dog. The
5,6-EET regioisomer was selected for this study because it is the only EET that can undergo cyclization via cyclooxygenase activity to form
endoperoxide intermediates and prostaglandin analogs (28). These
metabolites have been suggested to mediate the vasodilator effect of
5,6-EET reported for the perfused rabbit kidney (6), rat tail artery
(5), and rat intestinal microvessels (32), preparations in which
5,6-EET required cyclooxygenase activity to produce vasodilation.
We previously reported that 5,6-EET relaxes
PGF2
-contracted isolated canine
pulmonary venous rings in a concentration- and cyclooxygenase-dependent
manner; i.e., indomethacin prevented the reduction in tension (40).
Here, we report in the intact pulmonary circulation of the dog that
1) 5,6-EET can inhibit the increases
in PVR mediated by U-46619 and 5-HT;
2) the effect of 5,6-EET on PVR is
associated with an increase in pulmonary prostaglandin synthesis; and
3) inhibition of cyclooxygenase
activity eliminates the effect of 5,6-EET on PVR and prevents the
5,6-EET-mediated increase in endogenous prostaglandin synthesis.
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METHODS |
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Preparation of isolated lungs for perfusion with physiological salt
solution.
Adult microfilaria-free male mongrel dogs (24-34 kg) were
anesthetized with intravenous pentobarbital sodium (30 mg/kg),
anticoagulated with intravenous heparin (10,000 U), and exsanguinated.
Via a left lateral thoracotomy, the left lower lung lobe was isolated as previously described (45). Cannulas were inserted into the pulmonary
artery and pulmonary vein. The lobe was excised, supported on a nylon
mesh (Nytex) platform, and suspended from an isometric force transducer
(FT03, Grass) within a heated (37°C), humidified box. The lobe was
perfused with a physiological salt solution (PSS) containing (in mM)
118.3 NaCl, 4.7 KCl, 2.5 CaCl2,
1.2 MgSO4, 1.2 KH2PO4,
25.0 NaHCO3, 0.026 Na-EDTA, and
11.1 glucose to which 5% dextran (70,000 mol wt) was added. The
perfusate was circulated at 37°C with a Masterflex pump
(Cole-Parmer). The lobe was perfused in a nonrecirculating manner until
the pulmonary venous effluent was clear. For the remainder of the
experiment, the lobe was perfused under constant-flow conditions (550 ml/min, 8.6 ± 0.5 ml · min
1 · g
lung wt
1) with a
recirculating volume of 300 ml. Outflow pressure was maintained between
2.0 and 2.5 mmHg (zone 3 lung) by mechanically adjusting resistance in
the outflow tubing. Pressure transducers were placed at the level of
the hilum for obtaining continuous recording of pulmonary arterial
(Ppa, inflow), pulmonary venous (Ppv, outflow), and airway
pressures on a polygraph (model 7, Grass). Total pulmonary pressure
gradient (TPPG) represents the pressure drop across the lung
(Ppa
Ppv). Microvascular pressure (Pmv) was estimated by the
double-vascular occlusion method as previously described (10, 45). This
technique requires simultaneous occlusion of inflow and outflow
catheters. Under these conditions, Ppa and
Ppv approach a common pressure.
This common value represents the pressure in the most compliant segment
of the pulmonary vasculature, the capillaries. The lobe was ventilated
for 1 min every 5 min with 15%
O2-6%
CO2-balance
N2 at a tidal volume of 100 ml and a rate of 8 breaths/min. In addition, the perfusate was gassed with
15% O2-6%
CO2-balance
N2. Perfusate values for pH,
PCO2, and
PO2 were 7.359 ± 0.025 units,
24.4 ± 1.3 mmHg, and 118.4 ± 4.0 mmHg, respectively
(n = 11). Positive end-expiratory pressure was maintained at 0.5-1.0 mmHg.
Measurement of immunoreactive TxB2 and
6-keto-PGF1
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Samples of the perfusate were obtained at 15-min intervals before and
after administration of 5,6-EET to determine the rates of pulmonary
PGI2 and
TxA2 synthesis. Synthetic rates
were based on time-dependent increases in the measurements of
immunoreactive 6-keto-PGF1
and
TxB2, the stable degradation
products of PGI2 and
TxA2, respectively. Samples were
collected in plastic syringes containing indomethacin (5 µg/ml) and
EDTA (1 mg/ml) as previously reported (39). Samples were kept on ice
and centrifuged at 1,800 g at 4°C
for 20 min. The supernatant was removed and stored frozen at
30°C until assay. Enzyme immunoassay of
6-keto-PGF1
and
TxB2 was performed in 96-well
microtiter plates precoated with 2 µg/well goat anti-rabbit IgG, as
previously described (31, 39, 43). Before use, the plates were washed
with 10
2 M phosphate buffer
(pH 7.4) containing 0.05% Tween 20 (wash buffer). The assay was
performed in a total volume of 150 µl. In brief, 50 µl of
acetylcholinesterase-conjugated eicosanoid tracer, 50 µl of antiserum
directed against 6-keto-PGF1
or
TxB2 (PerSeptive Diagnostics), and
50 µl of a standard or sample in assay buffer were combined and
incubated at 25°C for 18-20 h. After the plates were washed
three times with buffer, DTNB (200 µl) was dispensed into each well.
Absorbance was recorded at 412 nm in a microtiter plate
spectrophotometer (Biotech) when the absorbance for the well containing
the "0" standard exceeded 0.200 absorbance units. Each sample was
assayed in duplicate. A standard curve was generated for each assay and
sample eicosanoid concentrations were determined by comparison to a
log-logit transformation of the standard curve.
Preparation of EET standards.
Selective epoxidation of AA to 5,6-EET was achieved using the method of
Corey et al. (9). Briefly, AA (10 mg) was incubated with potassium
triiodide (8 eq) and potassium bicarbonate (5 eq) in
tetrahydrofuran-water (1.5:1) under
N2 gas, for 16 h at 4°C. Excess iodine was removed by dropwise addition of saturated sodium sulfite (500 µl) until the solution cleared. The oily iodolactone was
extracted three times with hexane (1 ml). The combined organic extracts
were dried by vacuum centrifugation (Savant), dissolved in 1 ml
tetrahydrofuran, and incubated with 500 µl lithium hydroxide (0.2 M)
with constant stirring for 3 h at 25°C. The reaction mixture, containing 5,6-EET, was acidified with formic acid (pH 4.0), extracted three times with ethyl acetate (2 ml), and washed once with water (1 ml). The extract was purified by reverse-phase HPLC using a Nucleosil
C18 column (5 µm, 4.6 × 250 mm) with a linear gradient from 50% water in acetonitrile-acetic
acid (999:1) to 100% acetonitrile-acetic acid (999:1) over 40 min at 1 ml/min. Eluate containing 5,6-EET was collected, evaporated to dryness,
and stored under N2 gas in hexane
at
80°C. The identity and quantity of the 5,6-EET
synthesized were obtained by comparing the HPLC (ultraviolet absorbance
at 192 nm) retention time and peak area, respectively, to an authentic standard (Cayman Chemical). The integrity of the standard was confirmed
by gas chromatography-mass spectrometry as previously reported (40). In
its free-acid form, 5,6-EET readily decomposes to 5,6-DHET and the
corresponding
-lactone. Therefore, before use, 5,6-EET was
repurified by reverse-phase HPLC.
Isolated lung protocols.
The relationship between perfusion pressure and flow rate has been used
to describe changes in PVR (26). For this form of analysis,
pressure-flow curves (PFC) were generated by recording vascular
pressures at 100-ml flow increments between 300 and 700 ml/min. At each
flow increment, Ppa and
Pmv were measured after Ppv was adjusted to 2.0-2.5
mmHg. After the PFC measurements under baseline conditions were
completed, a constant infusion of U-46619, a thromboxane-endoperoxide
receptor agonist (0.1 mM in 0.9% NaCl), or 5-HT (13 mM in 0.9% NaCl)
was added to the perfusate reservoir. Only one of these pulmonary
vasoconstrictors was used in each perfused lung preparation. Infusion
rates were adjusted to achieve an increase in
Ppa of 5-6 mmHg. The second
PFC was generated during U-46619 or 5-HT infusion. While the increased
PVR was maintained with either agent, a third PFC was generated 5 min
after addition of 5,6-EET (10 µM final perfusate concn) in 15 µl
ethanol. This concentration of 5,6-EET was found to produce a maximal
response in isolated rings of canine pulmonary veins in which ring
tension was increased with U-46619 (Fig.
1). Administration of the ethanol vehicle
(15 µl) alone did not alter PVR. After the third PFC, the perfusate
reservoir was filled with fresh PSS and indomethacin (10
4 M) was added
to the perfusate. Thirty minutes after the addition of indomethacin,
PFC measurements were obtained during U-46619 or 5-HT infusion before
and 5 min after addition of 5,6-EET to the perfusate. Before and after
each PFC, multiple timed samples of perfusate were collected for
measurement of 6-keto-PGF1
and
TxB2 accumulation.
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Isolated vessel protocols.
Canine lung lobes were obtained as described above. Intrapulmonary
veins and arteries were dissected free of extravascular tissue and
stored overnight in cold (4°C) PSS saturated with 95% O2-5%
CO2 as previously described (40).
Immediately before use, the pulmonary vessels were cut into rings
3-4 mm long and suspended in water-jacketed tissue chambers
containing 10 ml PSS gassed with 95%
O2-5%
CO2 at 37°C. Each ring was
mounted between two stainless steel support wires. Ring tension was
measured from one of the support wires by attachment to an isometric
force transducer (FT03, Grass) and was recorded continuously on a
polygraph (model 7, Grass). Each ring was placed under a basal tension
(2-5 g), which had been determined to result in a maximal
contractile response to KCl (60 mM). At basal tension, each ring was
contracted with KCl (60 mM) to determine its maximal contraction. After
this initial depolarizing contraction, the rings were washed three
times with PSS and allowed to return to basal tension over a period of
30 min. At basal tension, U-46619
(10
9 M) or 5-HT
(10
8 to
10
6 M) was added to achieve
a contraction which was 50-80% of that induced by KCl (60 mM).
Increasing concentrations of 5,6-EET
(10
8 to
10
5 M), in 1-5 µl
absolute ethanol, were added cumulatively to the contracted rings. At
these concentrations, the ethanol vehicle did not induce relaxation.
After 5,6-EET-induced relaxation, the rings were washed, and
indomethacin (3 × 10
5
M), an inhibitor of cyclooxygenase activity, was added to the solution
bathing the rings. In some experiments, effects of indomethacin were
confirmed with a chemically dissimilar cyclooxygenase inhibitor, ibuprofen (5 × 10
5
M). After 30 min, U-46619 or 5-HT was added to the PSS containing the
cyclooxygenase inhibitor to match the active tension generated in the
absence of indomethacin. Repeated application of 5,6-EET in the absence
of cyclooxygenase inhibitors did not result in significant attenuation
of the 5,6-EET-induced relaxation response.
Statistical methods. All values are expressed as means ± SE. Differences between experimental groups were determined by ANOVA. If the F ratio indicated significant differences, a Tukey's protected t-test was used to establish differences between individual sample means. When appropriate, a Student's t-test for paired data was used. Values of P < 0.05 were considered to be statistically significant.
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RESULTS |
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Effects of U-46619 on PVR in isolated canine lungs perfused with
PSS.
In five isolated left lower lung lobes, perfused with PSS at a constant
flow rate of 550 ml/min (8.6 ± 0.5 ml/g lung tissue), a 0.1 mM
solution of U-46619 in 0.9% NaCl was infused into the perfusate
reservoir at a rate of 3.28 ± 0.99 nmol/min. The actual infusion
rate (range 9-65 µl/min) was adjusted to achieve an increase in
Ppa of 5-6 mmHg. Within
10-15 min after initiation of the U-46619 infusion, TPPG increased
from 7.30 ± 0.61 to 12.42 ± 0.27 mmHg (Fig. 1), with
no concurrent change in Ppv.
U-46619 administration resulted in increased TPPG at each of the five
flow increments (Fig. 1) chosen for generation of the PFC. During the
infusion of U-46619, the increase in PVR remained constant at 550 ml/min perfusate flow. Least-squares linear regression analysis
revealed that U-46619 increased the slope of the PFC from 1.8 ± 0.2 × 10
2
to 2.9 ± 0.1 × 10
2
mmHg · ml
1 · min,
a 62.1 ± 4.5% increase in PVR. Partitioning the total PVR into arterial and venous segments, using the double-occlusion method, revealed that the U-46619-mediated increase in PVR resulted solely from increased resistance in the pulmonary venous segment (Fig.
2, A
and B).
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Effects of 5,6-EET on PVR in isolated canine lungs perfused with PSS
containing U-46619.
During the maintenance of increased PVR with U-46619, administration of
5,6-EET (10
5 M, final
concn) resulted in a sustained decrease in TPPG of 3.42 ± 0.48 mmHg
at 550 ml/min perfusate flow (Fig. 1). The PVR remained stable at this
reduced level while a PFC was generated. 5,6-EET decreased TPPG at all
flow increments (Fig. 1) and reduced the slope of the PFC from 2.9 ± 0.1 × 10
2 to
2.1 ± 0.1 × 10
2
mmHg · ml
1 · min,
a value not different from that obtained before the U-46619 infusion.
The 5,6-EET-mediated effect on PVR was limited to a reduction in the
U-46619-induced increase in pulmonary venous resistance (Fig. 2,
A and
B). 5,6-EET had no effects on PVR in the arterial segment. This result was supported in separate experiments in which administration of 5,6-EET in the absence of agonist-induced vasoconstriction (n = 2) did not
change total, arterial, or venous segmental resistances (data not
shown).
Effects of 5,6-EET on PVR in isolated canine lungs perfused with PSS
containing 5-HT.
In five additional, identically prepared, isolated left lower lung
lobes, a 13 mM solution of 5-HT was added to the perfusate reservoir at
325 ± 36 nmol/min. The infusion of 5-HT increased the TPPG from
7.35 ± 0.48 to 13.75 ± 0.43 mmHg (Fig.
3). Concurrently, 5-HT increased the slope
of the PFC from 1.8 ± 0.2 × 10
2 to 3.3 ± 0.2 × 10
2
mmHg · ml
1 · min.
In contrast to U-46619, which increased resistance only in the venous
segment, 5-HT resulted in a 63.9 ± 19.0% increase in the arterial
segmental resistance and a 97.2 ± 19.6% increase in the venous
segmental resistance (Fig. 3). During the maintenance of increased PVR
with 5-HT, administration of 5,6-EET
(10
5 M) resulted in a
sustained decrease in TPPG of 2.93 ± 0.51 mmHg at 550 ml/min
perfusate flow. The PVR remained stable at this reduced level while a
PFC was generated. 5,6-EET decreased TPPG at some, but not all, flow
increments (Fig. 3). However, it reduced Ppa at all flow increments and
reduced arterial segmental resistance from 1.12 ± 0.09 × 10
2 to 0.90 ± 0.03 × 10
2
mmHg · ml
1 · min
without reducing resistance in the pulmonary venous segment (Fig. 3).
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Effects of 5,6-EET on pulmonary synthesis of
PGI2 and TxA2.
The rate of PGI2 synthesis,
estimated by the rate of
6-keto-PGF1
accumulation in the
recirculating perfusate of the isolated lung, increased from 70.5 ± 18.4 to 675.9 ± 125.4 ng/min after administration of 5,6-EET into
the perfusate (Fig. 4). Before administration of 5,6-EET, the rate of
TxA2 synthesis was lower (1.4 ± 0.5 ng/min) than that of
PGI2 and did not change
significantly after administration of 5,6-EET. Thirty minutes after
treatment of the lungs with indomethacin
(10
4 M), administration of
5,6-EET resulted in no additional accumulation of
6-keto-PGF1
or
TxB2 (Fig. 4). These results
demonstrate that inhibition of cyclooxygenase activity prevented
5,6-EET-induced synthesis of PGI2
in the isolated canine lungs.
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Effects of indomethacin on 5,6-EET-mediated changes in PVR in
isolated canine lungs perfused with PSS containing U-46619 or 5-HT.
Indomethacin (10
4 M)
prevented the 5,6-EET-mediated reduction in total and venous segmental
resistance in U-46619-treated lungs (Fig.
5) as well as the reduction in arterial
segmental resistance in 5-HT-treated lungs (Fig.
6). These results suggest that a product of
cyclooxygenase activity was responsible for the U-46619- and 5-HT-mediated increases in PVR associated with 5,6-EET administration. In separate experiments (n = 2),
5,6-EET was administered only once, after indomethacin
(10
4 M) administration, to
eliminate the possibility that effects of previous PFC and not
indomethacin inhibited the response to 5,6-EET. Results of these
experiments (data not shown) were not different than those in which
indomethacin was administered after multiple PFCs were generated (see
Figs. 5 and 6).
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Effects of 5,6-EET on PVR in isolated canine lungs perfused with
blood.
In lungs perfused with blood, administration of 5,6-EET
(10
5 M) in the presence of
U-46619 (n = 2) resulted in a
qualitatively similar reduction in U-46619-mediated resistance to that
observed with PSS-perfused lungs (5,6-EET reduced slope of PFC from
2.61 to 2.52 × 10
2
mmHg · ml
1 · min).
These results demonstrate that 5,6-EET, administered into circulating
blood, is neither bound so avidly to plasma proteins nor incorporated
so rapidly into blood cell lipids as to inhibit its action as a
vasodilator within the pulmonary circulation.
Effects of 5,6-EET on U-46619- and 5-HT-induced tension in isolated
canine pulmonary vascular rings.
In isolated rings of pulmonary veins, administration of U-46619
resulted in a concentration-dependent increase in active tension (EC50 1.77 ± 1.11 × 10
9 M, Fig.
7). U-46619 failed to increase tension
in pulmonary arterial rings at 3 × 10
8 M, a concentration that
resulted in a near-maximal response from the pulmonary veins. In rings
of pulmonary veins in which active tension was induced with U-46619
(10
9 M), administration of
5,6-EET reduced that tension in a concentration-dependent manner (Fig.
8A).
Consistent with the results obtained in the isolated perfused lung,
indomethacin (3 × 10
5
M) prevented the 5,6-EET-mediated reduction in U-46619-induced active
tension in isolated pulmonary venous rings (Fig.
8B). Qualitatively similar results
were obtained when ibuprofen (5 × 10
5 M), a chemically
dissimilar inhibitor of cyclooxygenase activity, was substituted for
indomethacin in these experiments (n = 3, data not shown). 5-HT increased the active tension in rings of both
pulmonary artery and vein (Fig. 9).
Consistent with the results obtained in the isolated perfused lung,
5,6-EET reduced the active tension in pulmonary arterial rings but not
pulmonary venous rings (Fig. 9). Either indomethacin or ibuprofen
inhibited the 5,6-EET reduction in active tension mediated by 5-HT.
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DISCUSSION |
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Previous studies in nonpulmonary vascular beds have established that
exogenously administered 5,6-EET most often produces vasodilation (15,
23, 24). We recently reported that 5,6-EET decreased the active tension
in isolated rings of canine pulmonary veins contracted with
PGF2
(40). In the present
study, we extend those observations and report for the first time the effects of an exogenously administered EET on the intact pulmonary circulation. The results demonstrate that 5,6-EET opposes U-46619- and
5-HT-induced increases in PVR in the circulation of the isolated perfused canine lung. The effects of 5,6-EET on pulmonary vascular reactivity were found to be dependent on cyclooxygenase activity; i.e.,
indomethacin, an inhibitor of cyclooxygenase activity, abolished both
the 5,6-EET-mediated reduction in PVR in the isolated perfused lung and
the 5,6-EET-mediated reduction in active tension in pulmonary venous
rings. These results are consistent with those reported for the effects
of 5,6-EET in the isolated perfused rabbit kidney (7) and isolated
perfused rat caudal artery (5). In the latter studies, administration
of 5,6-EET opposed the increase in vascular resistance induced with
phenylephrine. In both the rabbit kidney and rat caudal artery, the
vasodilator responses to 5,6-EET were dependent on cyclooxygenase
activity. Similarly, inhibition of cyclooxygenase activity eliminated
the vasodilator effect of 5,6-EET in the rat intestinal
microcirculation (32) and the rabbit and cat cerebral microcirculation
(11).
However, the vasodilator activity of 5,6-EET has been reported to be independent of cyclooxygenase activity in some organ systems studied. In isolated canine (36) and bovine (35) coronary arterial rings contracted with U-46619, 5,6-EET produced a cyclooxygenase-independent relaxation. Administration of 5,6-EET to isolated rat kidneys perfused with a PSS devoid of blood elements also resulted in cyclooxygenase-independent vasodilation (13). However, when perfused with blood, 5,6-EET mediated a vasoconstrictor response in the rat kidney (13, 41). The vasoconstriction was proposed to result from rapid uptake of 5,6-EET into platelets resulting in cyclooxygenase-mediated metabolism to a compound with vasoconstrictor properties. In the present study, 5,6-EET produced a dilator response in the canine pulmonary circulation when the perfusate consisted of either PSS (Figs. 1 and 2) or blood. In contrast to results obtained in the isolated blood-perfused rat kidney (13), results of the present study suggest that the vasodilator activity of 5,6-EET in blood-perfused lungs was qualitatively similar to that observed in lungs perfused with PSS.
Oliw (27, 29) reported that of the four regioisomeric EET, only 5,6-EET retains the 8, 11, and 14 cis-double bonds required for cyclooxygenase metabolism to prostaglandin analogs. Cyclooxygenase-dependent, 5,6-EET-mediated vasodilation has been proposed to result from one or a combination of up to three different mechanisms (7). Dilation may result from 1) 5,6-EET stimulated synthesis of endogenous vasodilator prostaglandins, 2) metabolism of 5,6-EET by cyclooxygenase activity to 5,6-epoxy-PGE1 or 5-hydroxy-PGI1, the PGE and PGI analogs of 5,6-EET, respectively (28), or 3) generation of vasodilator reactive oxygen species (20), which act as vasodilators (11).
In the present study, administration of 5,6-EET into the perfusate of
the isolated perfused canine lung resulted in a large increase in the
rate of PGI2 synthesis, measured
by accumulation of 6-keto-PGF1
,
the stable degradation product of
PGI2 (Fig. 4). Although measurable
concentrations of TxB2, the stable
degradation product of TxA2, were
also present in the perfusate, the rate of thromboxane synthesis did
not increase significantly upon administration of 5,6-EET. These
results were not unexpected, since
PGI2 is the major cyclooxygenase
metabolite of AA synthesized by vascular endothelium. 5,6-EET was
previously observed to increase
PGI2 synthesis in the isolated
perfused rabbit kidney and cultured pulmonary artery endothelial cells
in culture (4). Administration of 5,6-EET may stimulate an increase in
PGI2 synthesis in the vascular
endothelium by increasing the availability of AA for cyclooxygenase-mediated metabolism. 5,6-EET has been reported to
increase the entry of extracellular calcium into vascular endothelial cells (26). In the vascular endothelium, this increase in free cytosolic calcium may activate the calcium-dependent cytosolic phospholipase A2, the
phospholipase purported to mediate most of the agonist-induced AA
release from membrane phospholipids for cyclooxygenase-dependent
prostaglandin synthesis (8). Although most primary prostaglandins
constrict the pulmonary vasculature, PGI2 is a pulmonary vasodilator
(17). Because inhibition of cyclooxygenase activity with indomethacin
abolished both the increase in
PGI2 synthesis (Fig. 4) and the
pulmonary vasodilator activity (Fig. 5) mediated by administration of
5,6-EET, the increased PGI2
synthesis may mediate some or all of the 5,6-EET-induced vasodilation
in the canine pulmonary circulation.
In the isolated perfused rabbit kidney, addition of 5,6-EET to the renal arterial perfusate resulted in cyclooxygenase-dependent metabolism of 5,6-EET to 5,6-epoxy-PGE1 and 5-hydroxy-PGI1 (4). Carroll et al. (4) reported that pulmonary endothelial cells in culture metabolized 5,6-EET, via cyclooxygenase activity, to 5,6-epoxy-PGE1 and 5-hydroxy-PGI1 as well. In the isolated kidney, 5,6-epoxy-PGE1 was a vasodilator. Synthesis of these two metabolites of 5,6-EET and their effects on the pulmonary circulation were not determined in the present study and their significance in 5,6-EET-mediated vasodilation of the pulmonary circulation remains to be determined.
Vasodilation resulting from the cyclooxygenase-mediated production of oxygen radicals has been identified only in the cerebral microvascular circulation (11). No evidence was obtained to evaluate this mechanism of 5,6-EET-mediated vasodilation in the pulmonary circulation.
In the present study, the effects of 5,6-EET on PVR were investigated in the presence of two agents, U-46619 and 5-HT, which increased vascular resistance. The effect of U-46619 on PVR in the isolated perfused canine lung was limited to the venous segment (Fig. 2); i.e., U-46619 did not increase resistance in the arterial segment. Consistent with these findings, rings of canine pulmonary arteries were also insensitive to the application of U-46619 (Fig. 7). Similar results were previously reported for the stable TxA2 analog in the isolated perfused canine lung (37) and isolated rings of canine pulmonary vessels (25). The mechanism for selective pulmonary venous constriction to U-46619 in the dog lung is not known. It has been suggested that functional TxA2 receptors may be more abundant in the dog pulmonary venous segment compared with the arterial segment (37). However, predominance of vasoconstriction in the venous segment is not consistent among species. In the rat, U-46619 produced equal arterial and venous constriction (42). Therefore species-specific differences in the longitudinal distribution of PVR resulting from administration of specific vasoactive agonists must be recognized (2).
Although pulmonary veins are often viewed primarily as conduit vessels, their vasoactivity has been described in several species (14, 25, 33, 37). However, without addition of a constrictor agent to the perfusate, vasomotor effects of 5,6-EET were absent. A requirement for agonist-induced vasoconstriction to observe an EET-mediated response has previously been reported in isolated canine and bovine coronary vessels (35, 36) and in the intact rat intestinal vasculature (32). Pinto et al. (30) reported that administration of AA to isolated rings of rabbit pulmonary artery resulted in contraction in the absence of active tone and dilation only when the vessels were precontracted with phenylephrine. The AA-induced relaxation response was inhibited with SKF-525A, an inhibitor of cytochrome P-450-monooxygenase activity, suggesting the dilator response was mediated by a cytochrome P-450 metabolite of AA.
5-HT has previously been reported to constrict both the arterial and venous segment of the isolated, perfused canine lung (34). At the infusion rates used in this study, similar increases in total PVR were obtained with either U-46619 or 5-HT administration. However, with 5-HT, this increase was divided between the arterial and venous segments (Fig. 3). Unexpectedly, the reduction in PVR resulting from administration of 5,6-EET was limited to the arterial segment. This finding in the isolated lung was confirmed in isolated rings of canine intrapulmonary veins and arteries; i.e., 5-HT-induced active tension was opposed by 5,6-EET only in rings of intrapulmonary artery. Because 5,6-EET did reduce venous segmental resistance when that resistance was increased with U-46619, these data suggest a difference in the mechanism leading to contraction in the venous segment resulting from administration of U-46619 and 5-HT, the latter being insensitive to the dilator activity of 5,6-EET. Although the nature of this difference was not investigated in the present study, Kaye et al. (18) suggest that differences in the pressor response to U-46619- and 5-HT in the cat may be related to differences in the signal transduction pathway leading to contraction. Therefore the dilator activity of 5,6-EET in the canine pulmonary circulation was not only dependent on cyclooxygenase activity but also on the contractile agent mediating the increased resistance (Fig. 3).
In conclusion, the results of this study demonstrate that exogenously administered 5,6-EET mediates vasodilation in the isolated perfused canine lung. The activity of 5,6-EET was dependent on induction of active vasoconstriction and the activity of cyclooxygenase. Because synthesis of 5,6-EET in canine lung tissue has previously been identified (40), these findings support the hypothesis that endogenously synthesized 5,6-EET may act to oppose agonist-induced increases in vascular resistance in the pulmonary circulation.
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ACKNOWLEDGEMENTS |
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The authors thank Jo Schreiweis for excellent technical assistance.
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FOOTNOTES |
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This study was supported by National Heart, Lung, and Blood Institute Grants HL-52675 and HL-51298 and a grant-in-aid from the American Heart Association.
Address for reprint requests: A. H. Stephenson, Clinical Pharmacology, St. Louis University School of Medicine, 1402 S. Grand Blvd., St. Louis, MO 63104.
Received 5 September 1997; accepted in final form 10 March 1998.
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