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Am J Physiol Heart Circ Physiol 282: H30-H37, 2002;
0363-6135/02 $5.00
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Vol. 282, Issue 1, H30-H37, January 2002

Role of CO in attenuated vasoconstrictor reactivity of mesenteric resistance arteries after chronic hypoxia

Rayna J. Gonzales and Benjimen R. Walker

Vascular Physiology Group, Department of Cell Biology and Physiology, University of New Mexico Health Sciences Center, Albuquerque, New Mexico 87131-5218


    ABSTRACT
TOP
ABSTRACT
INTRODUCTION
METHODS
RESULTS
DISCUSSION
REFERENCES

Chronic hypoxia (CH) is associated with a persistent reduction in systemic vasoconstrictor reactivity. Experiments on aortic ring segments isolated from CH rats suggest that enhanced vascular expression of heme oxygenase (HO) and resultant production of the vasodilator carbon monoxide (CO) may underlie this attenuated vasoreactivity after hypoxia. Similar to the aorta, small arteries from CH rats exhibit blunted reactivity; however, the regulatory role of CO in the resistance vasculature has not been established. Therefore, we examined the significance of HO activity on responsiveness to phenylephrine (PE) in the mesenteric circulation of control and CH rats. To document that the mesenteric bed demonstrates reduced reactivity after CH, we determined the vasoconstrictor responses of conscious, chronically instrumented male Sprague-Dawley rats to PE under control conditions and then immediately after exposure to 48 h CH (0.5 atm). All rats showed reduced mesenteric vasoconstriction to PE after CH. To examine the role of CO in reduced reactivity, small mesenteric arteries (100-200 µm intraluminal diameter) from control and 48-h CH rats were isolated and mounted on glass cannulas, pressurized to 60 mmHg and superfused with increasing concentrations of PE under normoxic conditions. Similar to the intact circulation, vessels from CH rats exhibited reduced vasoconstrictor sensitivity to PE compared with controls that persisted in the presence of nitric oxide synthase inhibition. The HO inhibitor, zinc protoporphyrin IX (5 µM) enhanced reactivity only in CH vessels. Additionally, a range of concentrations of the HO substrate heme-L-lysinate caused vasodilation in CH vessels but not in controls. Thus we conclude that CO contributes a significant vasodilator influence in resistance vessels after CH that may account for diminished vasoconstrictor responsiveness under these conditions.

rat; heme oxygenase


    INTRODUCTION
TOP
ABSTRACT
INTRODUCTION
METHODS
RESULTS
DISCUSSION
REFERENCES

SEVERAL RECENT STUDIES (3,4) have demonstrated that exposure to prolonged environmental hypoxia results in reduced systemic vasoconstrictor reactivity that persists on restoration of normal oxygenation. This effect has been observed not only in vivo, but also in vascular tissue isolated from hypoxia-exposed animals, suggesting that altered sensitivity is a local vascular phenomenon (18). Mechanisms associated with the regulation of altered responsiveness in the vasculature during hypoxia are not well understood. However, experiments on aortic tissue isolated from chronically hypoxic (CH) rats suggest that enhanced vascular expression of heme oxygenase (HO) and resultant production of the vasodilator carbon monoxide (CO) may be responsible for the attenuated vasoreactivity after long-term hypoxia (18).

Expression of HO has been reported (6, 16, 17, 20) in a variety of cell types including vascular smooth muscle (VSM) and endothelial cells. In the endothelium the production of CO, much like nitric oxide (NO), elicits dilation by diffusing across the endothelial membrane and interacting with the underlying VSM activating soluble guanylyl cyclase, leading to the subsequent production of cGMP (7, 20). Some studies have suggested that during hypoxia NO synthase (NOS) and HO expression are increased and each may contribute to altered regulation of vascular tone. Thus a portion of the attenuated vasoconstrictor reactivity to CH may in part be due to increases in NO and CO production. Experiments on aortic ring segments isolated from CH rats demonstrate that contractility to alpha 1-agonist stimulation is blunted and that this response persists with NOS inhibition (3). Although the aorta from CH rats exhibits a reduction in vascular reactivity, the regulatory role of CO in the resistance vasculature has not been established. Therefore, one goal of the current study was to determine if mesenteric resistance arteries from animals exposed to CH exhibit an attenuated vasoconstrictor response to phenylephrine (PE). In addition, the current study was designed to test the hypothesis that enhanced endogenous production of CO contributes to reduced vasoconstrictor reactivity in the resistance vasculature after CH exposure.


    METHODS
TOP
ABSTRACT
INTRODUCTION
METHODS
RESULTS
DISCUSSION
REFERENCES

All of the protocols and animal handling in this study were approved by the Institutional Animal Care and Use Committee of the University of New Mexico School of Medicine.

Demonstration of Attenuated Mesenteric Vasoconstrictor Responses After CH in Conscious Rats

Previous experiments from our laboratory have demonstrated that CH exposure results in diminished vasoconstrictor responses to the alpha 1-adrenergic agonist PE in the renal vascular bed of conscious rats (18) that is independent of altered autoregulation (10). Because subsequent mechanistic studies were planned for isolated mesenteric resistance arteries, experiments were first performed to assess whether the mesenteric vascular bed demonstrates similar diminished vasoconstrictor responsiveness after hypoxia. Thus we determined the mesenteric vasoconstrictor responses of conscious chronically instrumented rats to PE first under control conditions and then after 48-h exposure to hypobaric hypoxia.

Surgical Preparation of Rats for Chronic Study

Male Sprague-Dawley rats (270-330 g; Harlan) were anesthetized with a mixture of ketamine (91 mg/kg im) and acepromazine (9 mg/kg im) and prepared for chronic instrumentation with a pulsed Doppler flow probe. Flow probes were assembled using a Silastic cuff formed around a piezoelectric crystal (20 mHz, 1-mm diameter, Crystal Biotech). With the use of a midline laparotomy, the superior mesenteric artery was isolated and the cuff containing the flow probe was positioned around the artery and secured with a silk suture. Probe leads were passed through the abdominal wall and routed subcutaneously to the base of the neck and exteriorized. The leads were housed in a small plastic protective container sutured to the scalp and covered with a rubber serum stopper to prevent the animals from disturbing the leads. After surgical closure, the animals were treated with systemic antibiotics (30,000 U; penicillin G benzathine and penicillin G procaine) and topical (triple antibiotic ointment) antibiotics. After a 5-day recovery period, animals were instrumented with abdominal arterial and venous catheters (polyethylene; PE-50 and PE-10) via the femoral artery and vein. Like the probe leads, catheters were routed subcutaneously and stored in the protective plastic container. Animals were given an additional 2-3 days to recover before experiments were performed.

Mesenteric Vascular Response to PE in Control and CH Conscious Rats

On the day of experiments, rats were placed in a Plexiglas chamber (23 × 14 × 10 cm) containing fresh bedding and drinking water. Before the experiments were performed, all animals were food restricted for 4 h and allowed time to acclimate to the testing chamber. After acclimation, probe leads were connected to a Crystal Biotech Doppler flowmeter for measurement of mesenteric blood flow (MBF). Catheters were flushed with heparinized saline and the arterial line was connected to a pressure transducer, the output of which was fed to a Gould Universal amplifier. After equilibration in the chamber, 5 min of baseline data were collected, followed by a graded infusion of PE at 3, 6, and 9 µg · kg-1 · min-1 iv for 5 min at each dose. Mean arterial blood pressure (MAP), heart rate, and mean MBF Doppler signals (KHz of Doppler shift) were continuously recorded using a chart recorder (model RS 3800, Gould). Analog signals from the transducer and the Doppler mainframe were digitized and stored on computer for analysis. At the end of the experiment, blood samples were collected for hematocrit and blood gas analysis. After this initial normoxic (control) experiment, the rats were placed in a hypobaric chamber maintained at 380 ± 5 Torr for 48 h or remained at ambient barometric pressure (~630 Torr) and then were restudied in an identical fashion with the following exceptions. First, during the equilibration period before experimentation, hypoxic rats were maintained in an environment (12% O2) mimicking the PO2 of the hypobaric chamber. Second, hypoxic rats were switched to room air for the final 15 min of equilibration and during the infusion of PE. The normoxic control group breathed room air throughout equilibration and study. Finally, blood gas samples were collected under normoxic conditions for both groups and then the hypoxia-exposed rats were switched back to 12% O2 and another blood sample was drawn.

Pressurized Mesenteric Resistance Artery Preparation

Vessels were isolated from male Sprague-Dawley rats (250-350 g wt; Harlan) either housed under hypoxic conditions as above or their age-matched controls housed at ambient barometric pressure (~630 Torr). On the day of the experiment, animals were anesthetized with pentobarbital sodium (50 mg/kg ip), and the thoracic and abdominal cavity was exposed. Heparin (100 U) was immediately injected into the right ventricle, and a small volume of blood was collected for hematocrit measurement before animals were exsanguinated. A portion of the small intestine (jejunum) was then removed and pinned in a Sylgard-coated dissection dish containing ice-cold physiological saline solution (PSS) composed of (in mmol/l) 129.8 NaCl, 5.4 KCl, 0.83 MgSO4, 0.4 NaH2PO4, 19 NaHCO3, 1.8 CaCl2, and 5.5 glucose bubbled with 21% O2-6% CO2-balance N2. Small segments of third-order arteries (100-200 µm diameter) were carefully dissected and placed in a vessel chamber (Living Systems; Burlington, VT) containing ice-cold PSS. The vessel was mounted on glass cannulas (60-80 µm diameter), rinsed free of blood, and secured in place with nylon ties. A stopcock distal to the artery was closed and the vessel pressurized to 60 mmHg and maintained constant with a servo control unit (Living Systems). The vessel was superfused (5 ml/min) with PSS (37°C), aerated with 21% O2-6% CO2-balance N2, and the preparation was viewed on an inverted microscope (model TMS, Nikon) equipped with a video camera and monitor. A video dimension analyzer (Living Systems; Burlington, VT) was used to measure intraluminal diameter (ID). Changes in ID were recorded on a chart recorder (model RS 3600, Gould) and simultaneously digitized from analog signal using a computer-based data analysis acquisition system (CODAS; Dataq Instruments).

Vasoreactivity of Mesenteric Resistance Arteries to PE

Vessels were equilibrated for 60 min. During that time, the vessels were constricted with PE (10-5 mol/l) and were then administered acetylcholine (10-6 mol/l) to test for constrictor and endothelial viability, respectively. After equilibration, a complete concentration-response curve to PE (10-8-10-4 mol/l) was generated.

Effect of NO Synthesis Inhibition on Reactivity of Pressurized Mesenteric Resistance Vessels

To test for the potential involvement of NO in attenuated constrictor responsiveness of arteries from CH rats, experiments were performed as in the preceding protocol, except that the NOS inhibitor Nomega -nitro-L-arginine (L-NNA; 100 µmol/l) was added to the superfusate at the beginning of the equilibration period and remained present throughout the experiment.

Effect of HO Blockade on Reactivity of Pressurized Mesenteric Resistance Vessels

To determine whether endogenously produced CO contributes to the reduced constrictor responsiveness after CH, isolated pressurized mesenteric resistance arteries from CH or control rats were challenged with a PE concentration response curve (10-8-10-4 mol/l) in the presence of the HO inhibitor, zinc protoporphrin IX (ZnPPIX, 5 µmol/l) or vehicle. These experiments were performed in the presence of L-NNA (100 µmol/l) to eliminate the contribution of NO. Because ZnPPIX is photosensitive, all experiments were conducted in reduced light.

Vasodilator Responses of Mesenteric Resistance Arteries to the HO Substrate Heme-L-Lysinate

This study was designed to contrast the responses to heme-L-lysinate, an HO substrate, between arteries from animals exposed to control or CH conditions. Heme-L-lysinate (38 mmol/l) was prepared using the methods described by Tenhunen et al. (21). At the time of experimentation, dilutions of heme-L-lysinate (10-7-10-4 mol/l) were prepared using PSS and stored on ice. Pressurized vessels were equilibrated for 60 min in PSS containing L-NNA (100 µmol/l). After equilibration, a concentration-response curve to heme-L-lysinate was generated in vessels partially constricted with a half-maximal constrictor dose of PE (hypoxic 10-6.5; normoxic 10-6 mol/l). Vehicle for heme-L-lysinate did not affect artery diameter (data not shown).

Data Analysis and Statistics

Conscious rat experiments. Data are reported as means ± SE. Mesenteric vascular resistance (MVR) was calculated by dividing MAP (mmHg) by MBF (kilohertz of Doppler shift). Blood flow and vascular resistance are expressed as a percentage of baseline values. Arcsine transformation was used to successfully normalize the distribution of the percentage data before being statistically analyzed. Data were compared between day 1 and 48 h for both normoxic and hypoxic groups using Student's paired t-test or analysis of variance (ANOVA) for repeated measures as appropriate. Multiple comparisons were made with the Student-Newman-Keuls test when ANOVA indicated that differences existed. P <=  0.05 was considered statistically significant.

Isolated vessel experiments. Groups were compared at each point of the concentration-response curves using Student's unpaired t-test, with P <=  0.05 considered statistically significant. The n value represents the number of animals used in each group. Changes in ID from the heme-L-lysinate microvessel experiments are expressed as a percentage reversal of constriction to PE. Again, percentage data values were normally distributed by arcsine transformation before statistical comparison.

Drugs and Chemical Solutions

PE stock solutions (1 mol/l) were dissolved in ddH2O and aliquots stored at -4°C until use. For isolated vessel studies, PSS and PSS containing L-NNA (100 µmol/l) were prepared on the day of experiments. Heme-L-lysinate was prepared as described by Tehunen et al. (21). Briefly, hemin (3.85 mmol) was added to a solution containing ethanol (10 g), 1,2-proanediol (40 g), lysine (11.5 mmol), and ddH2O to bring the total volume of solution to 100 mL. The solution was filtered (0.2-µm pore size), and aliquots were stored at -4°C. ZnPPIX was prepared as an adaptation of methods described by Vreman et al. (23) on the day of each experiment. Specifically, ZnPPIX (50 mg) was solublized in 10% ethanolamine (500 µl) and 0.9% saline (2 ml) was slowly added and mixed thoroughly. HCl (1 M) was then used to adjust the pH to 8.0. Heme-L-lysinate and ZnPPIX are photosensitive compounds, and solutions containing these drugs were protected from light. ZnPPIX was purchased from Frontier Scientific and all other reagents were purchased from Sigma.


    RESULTS
TOP
ABSTRACT
INTRODUCTION
METHODS
RESULTS
DISCUSSION
REFERENCES

Conscious Animal Experiments

Table 1 presents hematocrit and blood gas values obtained from chronically instrumented rats. Exposure to CH caused a significant increase in hematocrit that was unaffected by acute normoxic exposure during the testing phase. Additionally, arterial PO2 and PCO2 were significantly lower, and pH was elevated after CH compared with control. During acute return to normoxic conditions, PO2 and PCO2 levels increased with a slight decrease in pH; however, PO2 was elevated and PCO2 decreased compared with blood gas values before 48-h hypoxic exposure, indicative of adaptation to sustained hypoxia. No differences in blood gases were observed in animals that were maintained normoxic for the entire 48-h period. Similarly, baseline MAP and heart rate were unaffected by 48-h normoxic exposure; however, heart rate was significantly elevated after 48 h of hypoxia as previously observed (10) (Table 2). Baseline MAP was slightly reduced during hypoxia but returned to prehypoxic control on restoration of normoxia before PE infusion (Table 2).

                              
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Table 1.   Hematocrit and arterial blood gas values from experiments with conscious rats.


                              
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Table 2.   Baseline MAP and heart rate data.

MVR Response to PE in Control and CH Conscious Rats

Figure 1 shows successive MAP, MBF, and MVR responses to graded infusions of PE in control rats on day 1 and after 48 h of continued normoxic exposure. Infusion of PE elicited a dose-dependent decrease in MBF and an increase in MAP and MVR that was not different between experiments. In contrast, animals exposed to hypoxia for 48 h and returned acutely to normoxia demonstrated significantly blunted blood flow and vasoconstrictor responses to PE compared with responses generated before exposure (Fig. 2). Additionally, the change in MAP was significantly blunted in response to increasing doses of PE.


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Fig. 1.   Mean arterial blood pressure (MAP) (A), mesenteric blood flow (MBF) (B), and mesenteric vascular resistance (MVR) (C) responses to graded doses of phenylephrine (PE; 3, 6, and 9 µg · kg-1 · min-1 iv) in rats during control conditions and after 48-h normoxic time control exposure (48-h control). Data are means ± SE (n = 5). There were no differences between groups.



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Fig. 2.   MAP (A), MBF (B), and MVR (C) responses to graded doses of PE (3, 6, and 9 µg · kg-1 · min-1 iv) in rats during control and after 48 h of chronic hypoxia (CH) exposure (48-h CH). Data was collected when rats were breathing 21% O2. Data are means ± SE (n = 5). *P < 0.05 vs. control.

Vasoreactivity of Mesenteric Resistance Arteries to PE

Changes in ID in response to PE in pressurized (60 mmHg) mesenteric resistance arteries are shown in Fig. 3. PE elicited a dose-dependent decrease in ID of arteries isolated from control (n = 5) and CH (n = 5) rats. However, vasoconstrictor responses to PE were significantly attenuated in vessels isolated from CH rats compared with control.


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Fig. 3.   Effect of increasing concentrations of PE (10-8-10-3.5 mol/l) on mesenteric resistance artery intraluminal diameter (ID). Arteries (100-200 µm) were isolated from control and from 48-h CH rats. Values at each dose of PE are expressed as a percent decrease in ID from baseline pressurized diameter after a 1-h equilibration. Data are means ± SE (n = 5/group). *P < 0.05 vs. control.

Effect of NO Synthesis Inhibition on Reactivity of Pressurized Mesenteric Resistance Vessels

In the presence of the NOS inhibitor L-NNA, vasoconstrictor responses to PE were greater in vessels from control and CH rats compared with untreated preparations (Fig. 4). However, L-NNA-treated vessels from CH rats exhibited persistent attenuated vasoreactivity to PE compared with similarly treated control tissue.


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Fig. 4.   Effect of increasing concentrations of PE (10-8-10-3.5 mol/l) on ID in mesenteric resistance arteries in the presence of nitric oxide synthase inhibition. Microvessels (100-200 µm) isolated from control and 48-h CH rats were pretreated with Nomega -nitro-L-arginine (L-NNA; 100 µM) 1 h before the start of PE curve. Values at each dose of PE are expressed as a percent decrease in ID from baseline diameter after a 1 h equilibration with L-NNA. Data are means ± SE (n = 5/group). *P < 0.05 vs. control.

Effect of HO Blockade on Reactivity of Pressurized Mesenteric Resistance Vessels

Because blunted vasoreactivity to PE was sustained after NOS blockade, the effect of HO inhibition in the presence of L-NNA on reactivity was assessed. Figure 5 presents changes in ID to PE in resistance arteries isolated from control rats treated with ZnPPIX or vehicle in the presence of L-NNA. Vehicle treatment did not affect reactivity to PE in vessels from either control or CH animals. However, ZnPPIX significantly attenuated reactivity to low concentrations of PE in control arteries. Conversely, PE vasoreactivity was significantly augmented at higher doses after ZnPPIX treatment in arteries from CH rats compared with vehicle (Fig. 6), suggesting a role for HO in diminished reactivity to vasoconstrictors during CH.


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Fig. 5.   Concentration-response curves to PE (10-8-10-4 mol/l) in mesenteric resistance arteries (100-200 µm) isolated from control rats (48 h; ambient air) incubated for 1 h with either L-NNA (100 µM) and zinc protoporphyrin IX (ZnPPIX; 5 µM) or L-NNA and vehicle. Values at each dose of PE are expressed as a percent decrease in ID from baseline diameter after a 1-h equilibration with L-NNA. Data are means ± SE (n = 5/group). *P < 0.05 vs. control.



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Fig. 6.   Concentration response curves to PE (10-8-10-4 mol/l) in mesenteric arterioles (100-200 µm) isolated from CH rats (48 h; 0.5 atm) incubated for 1 h with either L-NNA (100 µM) and ZnPPIX (5 µM) or L-NNA and vehicle. Values at each dose of PE are expressed as a percent decrease in ID from baseline diameter after a 1-h equilibration with L-NNA. Data are means ± SE (n = 5/group). *P < 0.05 vs. control.

Vasodilator Responses of Mesenteric Resistance Arteries to the HO Substrate Heme-L-Lysinate

Figure 7 presents the responses to heme-L-lysinate in pressurized mesenteric resistance arteries constricted to a similar degree with PE (control, 10-6.5 mol/l; hypoxic, 10-6 mol/l). Change in vessel diameter is expressed as a percent reversal of PE-induced vasoconstriction. Heme-L-lysinate resulted in a significant dose-dependent increase in ID in resistance arteries from CH rats. In contrast, this substrate for HO had a vasodilator effect only at the highest dose in vessels isolated from control rats. Vehicle did not affect diameter in vessels from either control or CH rats (data not shown).


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Fig. 7.   Heme-L-lysinate dose-response curves on mesenteric arterioles (~200 µm diameter) from control and 48-h CH rats. Change in ID is presented as a percentage of reversal of PE constriction. Maximal diameter was recorded after a 5-min equilibration to heme-L-lysinate. *P < 0.05 vs. control. Data are means ± SE (n = 5/group). Arcsine transformed data were compared with Student's t-test.


    DISCUSSION
TOP
ABSTRACT
INTRODUCTION
METHODS
RESULTS
DISCUSSION
REFERENCES

The current study investigated the contribution of enhanced endogenous CO production to reduced vasoconstrictor reactivity in mesenteric resistance arteries after CH exposure. The results of this study indicate that: 1) rats exposed to CH exhibit a blunted response to alpha 1-agonist stimulation in the mesenteric vasculature compared with animals exposed to normoxic (control) conditions; 2) reactivity to PE is significantly blunted compared with control in isolated, pressurized mesenteric resistance arteries from CH rats; 3) the HO inhibitor ZnPPIX reversed blunted vasoreactivity to PE in CH vessels; and 4) heme-L-lysinate, an HO substrate, elicited vasodilator responses selectively in vessels isolated from hypoxic rats compared with controls. Together, these results suggest that the attenuated hypoxia-induced vasoconstrictor reactivity to PE after CH may be due in part to enhanced CO production within the resistance vasculature.

Several studies have provided evidence for altered vascular control after prolonged hypoxia. For example, earlier experiments from our laboratory (4) demonstrated that total peripheral resistance responses to PE, angiotensin II, and arginine vasopressin were blunted in conscious rats exposed to 4 wk of CH. More recently, it was observed that renal vasoconstriction to alpha 1-adrenergic stimulation was diminished in conscious rats after 4 wk (18) and 48 h (10) exposure to hypoxia. Interestingly, acute return to normoxia did not restore the blunted vasoconstrictor responses to that observed in control groups in any of these studies. In the latter studies, the reduced renal vascular responsiveness in the conscious animal persisted after renal denervation, suggesting that CH-induced attenuation of systemic vasoconstrictor reactivity is influenced by endogenous factors within the vasculature independent of sympathetic reflexes. In the present study, it was not possible to denervate the mesenteric bed; however, as in the renal vasculature, we observed attenuated MVR responses to PE in conscious rats exposed to 48-h CH that then acutely returned to normoxia. Nevertheless, we did note a significant increase in HR after CH that could be indicative of elevated sympathetic tone. Indeed, it is possible that increased sympathetic activity may represent a compensatory mechanism to maintain blood pressure in the presence of enhanced local release of vasodilator CO in vivo. However, based on studies conducted in the denervated renal vasculature and on isolated vessels devoid of sympathetic influences, we conclude that the mesenteric vascular bed demonstrates CH-induced attenuation of systemic vasoconstrictor reactivity independent of altered reflexes. In addition, the reduced vasoreactivity to PE does not appear to be due to altered hematocrit or the partially compensated respiratory alkalosis seen after CH, because similar blunted vasoconstrictor responses were observed in isolated mesenteric resistance vessels studied under controlled conditions. Thus CH appears to elicit a widespread persistent reduction in vasoconstrictor sensitivity in several vascular beds that appears to be due to vascular effects of increased local CO production.

Although the above in vivo data suggest alterations in the responses of the resistance vasculature after CH, most studies examining the potential mechanism of this altered reactivity have employed large conduit arteries. Similar to conscious animal studies, experiments on conduit vessels have shown that CH exposure attenuates responsiveness to various vasoconstrictors. For example, maximum tension responses of abdominal aortic rings to arginine vasopressin are diminished after CH exposure (4). Also, in thoracic aorta segments, contractility to alpha 1-agonist stimulation is blunted over a wide range of doses of PE (2, 3). Although these data support the in vivo observations, the study of isolated resistance vessels represents a better assessment of the physiological adaptations that are relevant in vascular control. Therefore, we extended our observations of the intact mesenteric circulation to resistance arteries isolated from this bed. In isolated, pressurized resistance vessels from CH rats, vasoconstrictor responses to PE were attenuated compared with controls. These data are in agreement with earlier studies by Toporsian and Ward (22), who observed similar diminished PE-induced reactivity in diaphragmatic resistance arteries from 48-h CH rats. Together, these results provide evidence for altered responsiveness in resistance arteries after CH. However, the mechanism responsible for the persistent reduction of vascular responsiveness after CH exposure has not been conclusively established.

Several mechanisms have been proposed for the persistent alteration in vascular control elicited by prolonged hypoxic exposure. Some investigators (15) have hypothesized that hypoxia adversely affects vascular autoregulation. For example, isolated pressurized diaphragmatic arterioles from CH rats demonstrate decreased basal tone compared with arterioles from control animals (22). This decrease in basal tone is again consistent with the hypothesis that CH induces a sustained release of a local vasodilator, which may affect the sensitivity to all vasoconstrictor stimuli. In addition, differences in intraluminal pressure during PE infusion between control and CH rats could potentially influence our in vivo assessments of reactivity because several studies (5, 24) have shown that wall tension or intraluminal pressure may influence reactivity to alpha -agonist stimulation. However, a recent study from our laboratory (10) suggests that reduced reactivity of the renal vasculature persists in CH rats when perfusion pressure is normalized. Specifically, when the autoregulatory portion of the response to PE is eliminated by the control of perfusion pressure in conscious rats, the direct agonist-induced component of renal vasoconstriction remains diminished in CH animals compared with controls. In support of these in vivo results, the present study demonstrated reduced constrictor responsiveness in vessels from CH rats held at constant intraluminal pressure, thereby eliminating any myogenic contribution to the response to PE. Thus diminished autoregulatory responsiveness does not likely seem to account for reduced vasoconstrictor sensitivity after CH. Alternatively, other studies propose that CH leads to alterations in VSM signaling in response to vasoconstrictor agonists. For example, investigations (8, 26) in ovine uterine arteries demonstrate decreased alpha 1-adrenergic receptor number and affinity after hypoxia that may contribute to diminished vasoreactivity. In addition, it has been suggested that altered calcium sensitivity and/or handling in VSM may contribute to diminished vasoreactivity after long-term hypoxia (25). Although alterations in VSM function per se could contribute to altered vasoconstriction in this setting, additional evidence supports a role for a locally released vasodilator in this response.

Several endothelial factors promote vasodilation, and their enhanced release could explain the blunted responses to vasoconstrictors. Whereas NO production and expression of endothelial NOS have been shown to be elevated in the pulmonary arterial circulation of CH rats (9, 19), the role of NO in attenuated systemic vasoreactivity after CH is unclear. In the present study, we observed a sustained reduction in responsiveness to PE in CH resistance vessels compared with controls after NOS inhibition. These data are consistent with earlier experiments on isolated aortic rings from CH rats (3), and suggest the involvement of a different vasodilator endothelial factor in the blunted constrictor reactivity after hypoxia.

Several lines of evidence suggest that enhanced production of endothelial-derived CO may underlie diminished vasoconstriction after CH. The expression of HO, the enzyme responsible for CO production, has been reported in VSM and endothelial cells (6, 16, 17, 20). Lee et al. (13) demonstrated that HO-1 mRNA levels are elevated in aortic tissue after exposure to hypoxia. In addition, recent studies (10) from our laboratory have reported increased expression of HO-1 protein in aortas isolated from 48-h CH rats compared with controls. Thus these experiments suggest that the expression of HO-1 is upregulated in vascular tissue after hypoxic exposure.

Similar to NO, CO may elicit VSM dilation both by activating soluble guanylyl cyclase (6) and by direct effects on large conductance calcium-activated potassium channels (24). Furthermore, it has been observed that HO inhibition augments contractile responses to PE in L-NNA-treated aortic rings from CH rats but not from controls (3) and this response is dependent upon an intact endothelium. Furthermore, we have previously observed that renal HO enzyme activity is increased after CH and that the HO inhibitor ZnPPIX causes renal vasoconstriction selectively in CH rats compared with controls. Thus at least a portion of the attenuated vasoconstrictor reactivity after CH may be due to an increase in CO production. Because the previous studies testing this hypothesis had been conducted either on conduit vessels or in intact animals where other complicating influences affecting vascular control may exist, we examined the role of HO activity on vasoreactivity directly in resistance vessels from control and CH rats. We found that the HO inhibitor ZnPPIX enhanced PE constrictor reactivity only in arteries from CH rats. Conversely, this inhibitor had the opposite effect on PE responsiveness in control vessels, which perhaps may represent nonselective actions of the drug. However, previous studies in our laboratory have demonstrated that ZnPPIX selectively enhances PE reactivity in aortic rings isolated from CH rats without affecting PE responses in control tissue. Furthermore, ZnPPIX did not alter vasorelaxant responses to the NO donor S-nitroso-N-acetyl-penicillamine (3), suggesting a lack of nonspecific actions on soluble guanylyl cyclase. Additionally, Appleton et al. (1) demonstrated that ZnPPIX elicited inhibition of HO activity without affecting NOS and soluble guanylyl cyclase activity at concentrations similar to those employed in our studies. To provide additional support for the hypothesis that HO activity is elevated in CH arteries, experiments were designed to examine the vascular responses to the HO substrate heme-L-lysinate. Indeed, we observed that heme-L-lysinate reversed PE-induced constriction in CH vessels but had minimal effect on control tissue. The lack of effect of either HO inhibition or addition of substrate on constriction of control arteries differs from the results of others who have provided evidence for significant HO activity in other microvascular preparations (11, 12, 14). The reasons for these discrepancies are unclear; however, our data provide support that the vasodilator role of HO-derived CO is enhanced after CH and may be responsible for diminished in vivo sensitivity to vasoconstrictor stimuli in this setting.

In summary, we have demonstrated that, like the renal vasculature, the mesenteric vascular bed displays diminished vasoconstrictor responses after prolonged hypoxia. In conscious animal studies we documented that long-term hypoxia causes a blunted mesenteric vasoconstrictor response to alpha 1-agonist stimulation. Resistance vessels from this bed of CH rats exhibited similar reduced vasoconstrictor sensitivity to PE, and this response persisted in the presence of NOS inhibition. In addition, HO inhibition by ZnPPIX enhanced reactivity to PE, and the HO substrate heme-L-lysinate augmented vasodilation in mesenteric resistance arteries from CH rats. We conclude that diminished vasoconstrictor responsiveness after CH likely results from augmented production of CO in resistance vessels.


    ACKNOWLEDGEMENTS

The authors thank Minerva Murphy and Nikki Jernigan for technical assistance.


    FOOTNOTES

This work was supported by National Heart, Lung, and Blood Institute Grants HL-58124 and HL-63207 (to B. R. Walker) and HL-07736 (to R. J. Gonzales).

Address for reprint requests and other correspondence: B. R. Walker, Vascular Physiology Group, Dept. of Cell Biology and Physiology, Univ. of New Mexico Health Sciences Center, 915 Camino de Salud NE, Albuquerque, NM 87131-5218 (E-mail: bwalker{at}salud.unm.edu).

The costs of publication of this article were defrayed in part by the payment of page charges. The article must therefore be hereby marked "advertisement" in accordance with 18 U.S.C. Section 1734 solely to indicate this fact.

Received 1 June 2001; accepted in final form 11 September 2001.


    REFERENCES
TOP
ABSTRACT
INTRODUCTION
METHODS
RESULTS
DISCUSSION
REFERENCES

1.   Appleton, SD, Cheretien ML, McLaughlin BE, Vreman HJ, Stevenson DK, Brien JF, Nakatsu K, Maurice DH, and Marks GS. Selective inhibition of heme oxygenase, without inhibition of nitric oxide synthase or soluble guanylyl cyclase, by metalloporphryins at low concentrations. Drug Metab Dispos 27: 1214-1219, 1999[Abstract/Free Full Text].

2.   Auer, G, and Ward ME. Impaired reactivity of rat aorta to phenylephrine and KCl after prolonged hypoxia: role of the endothelium. J Appl Physiol 85: 411-417, 1998[Abstract/Free Full Text].

3.   Caudill, TK, Resta TC, Kanagy NL, and Walker BR. Role of endothelial carbon monoxide in attenuated vasoreactivity following chronic hypoxia. Am J Physiol Regulatory Integrative Comp Physiol 275: R1025-R1030, 1998[Abstract/Free Full Text].

4.   Doyle, MP, and Walker BR. Attenuation of systemic vasoreactivity in chronically hypoxic rats. Am J Physiol Regulatory Integrative Comp Physiol 260: R1114-R1122, 1991[Abstract/Free Full Text].

5.   Dunn, WR, Wellman GC, and Bevan JA. Enhanced resistance artery sensitivity to agonists under isobaric compared with isometric conditions. Am J Physiol Heart Circ Physiol 266: H147-H155, 1994[Abstract/Free Full Text].

6.   Durante, W, Kroll MH, Christodoulides N, Peyton KJ, and Schafer AI. Nitric oxide induces heme oxygenase-1 gene expression and carbon monoxide production in vascular smooth muscle cells. Circ Res 80: 557-564, 1997[Abstract/Free Full Text].

7.   Grazer, T, Vedernikov YP, and Li DS. Study on the mechanism of carbon monoxide induced endothelium-independent relaxation in porcine coronary artery and vein. Biomed Biochim Acta 49: 293-296, 1990[Web of Science][Medline].

8.   Hu, XQ, Longo LD, Gilbert RD, and Zhang L. Effects of long-term high-altitude hypoxemia on alpha 1-adrenergic receptors in the ovine uterine artery: function and binding studies. Am J Physiol Heart Circ Physiol 270: H1001-H1007, 1996[Abstract/Free Full Text].

9.   Isaacson, TC, Hampl V, Weir EK, Nelson DP, and Archer SL. Increased endothelium-derived NO in hypertensive pulmonary circulation of chronically hypoxic rats. J Appl Physiol 76: 933-940, 1994[Abstract/Free Full Text].

10.   Jernigan, NL, O'Donaughy TL, and Walker BR. Correlation of HO-1 expression with onset and reversal of hypoxia-induced vasoconstrictor hyporeactivity. Am J Physiol Heart Circ Physiol 281: H298-H307, 2001[Abstract/Free Full Text].

11.   Kaid, J, Zhang F, Wei Y, Jiang H, Yu C, Wang W, Balazy M, Abraham N, and Nasjletti A. Carbon monoxide of vascular origin attenuates the sensitivity of renal arterial vessels to vasoconstrictors. J Clin Invest 107: 1163-1171, 2001[Web of Science][Medline].

12.   Kozma, F, Johnson RA, Zhang F, Yu C, Tong X, and Nasjletti A. Contribution of endogenous carbon monoxide to regulation of diameter in resistance vessels. Am J Physiol Regulatory Integrative Comp Physiol 276: R1087-R1094, 1999[Abstract/Free Full Text].

13.   Lee, PJ, Jiang B, Chin BY, Iyer NV, Alam J, Semenza GL, and Choi AMK Hypoxia-inducible factor-1 mediates transcription activation of the heme oxygenase-1 gene in response to hypoxia. J Biol Chem 272: 5375-5381, 1994[Abstract/Free Full Text].

14.   Leffler, CW, Nasjletti A, Yu C, Johnson RA, Fedinec AL, and Walker N. Carbon monoxide and cerebral microvascular tone in newborn pigs. Am J Physiol Heart Circ Physiol 276: H1641-H1646, 1999[Abstract/Free Full Text].

15.   Loutzenhiser, RD, and Parker MJ. Hypoxia inhibits myogenic reactivity of renal afferent arterioles by activating ATP-sensitive K+ channels. Circ Res 74: 861-869, 1994[Abstract/Free Full Text].

16.   Morita, T, Perrella MA, Lee ME, and Kourembanas S. Smooth muscle cell-derived carbon monoxide is a regulator of vascular cGMP. Proc Natl Acad Sci USA 92: 1475-1479, 1995[Abstract/Free Full Text].

17.   Motterlini, R, Foresti R, Intaglietta M, and Winslow RM. NO-mediated activation of heme oxygenase: endogenous cytoprotection against oxidative stress to endothelium. Am J Physiol Heart Circ Physiol 270: H107-H114, 1996[Abstract/Free Full Text].

18.   O'Donaughy, TL, and Walker BR. Renal vasodilatory influence of endogenous carbon monoxide in chronically hypoxic rats. Am J Physiol Heart Circ Physiol 279: H2908-H2915, 2000[Abstract/Free Full Text].

19.   Resta, TC, Chicoine LG, Omdahl JL, and Walker BR. Maintained upregulation of pulmonary eNOS gene and protein expression during recovery from chronic hypoxia. Am J Physiol Heart Circ Physiol 276: H699-H708, 1999[Abstract/Free Full Text].

20.   Sammut, IA, Foresti R, Clark JE, Exon DJ, Vesely MJJ, Sarathchandra P, Green CJ, and Motterlini R. Carbon monoxide is a major contributor to the regulation of vascular tone in aortas expressing high levels of haeme oxygenase-1. Br J Pharmacol 125: 1437-1444, 1998[Web of Science][Medline].

21.   Tenhunen, R, Tokola O, and Linden B. Haem arginate: a new stable haem compound. J Pharm Pharmacol 39: 780-786, 1987[Web of Science][Medline].

22.   Toporsian, M, and Ward ME. Hyporeactivity of rat diaphragmatic arterioles after exposure to hypoxia in vivo. Role for endothelium. Am J Respir Crit Care Med 156: 1572-1578, 1997[Abstract/Free Full Text].

23.   Vreman, HJ, Rodgers PA, and Stevenson DK. Zinc protoporphyrin administration for suppression of increased bilirubin production by iatrogenic hemolysis in rhesus neonates. J Pediatr 117: 292-297, 1990[Web of Science][Medline].

24.   Wang, R, and Wu L. The chemical modification of KCa channels by carbon monoxide in vascular smooth muscle cells. J Biol Chem 272: 8222-8226, 1997[Abstract/Free Full Text].

25.   Zhang, L, Hu X, and Longo LD. Effect of chronic hypoxia on adrenoreceptor responses of ovine fetal umbilical vessels. Br J Pharmacol 125: 136-142, 1998[Web of Science][Medline].

26.   Zhang, L, and Xiao D. Effects of chronic hypoxia on Ca2+ mobilization and Ca2+ sensitivity of myofilaments in uterine arteries. Am J Physiol Heart Circ Physiol 274: H132-H138, 1998[Abstract/Free Full Text].


Am J Physiol Heart Circ Physiol 282(1):H30-H37
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