To study whether a sepsis-induced increase in des-Arg(9)-bradykinin (des-Ar
g(9)-BK) and bradykinin (BK) B-1-receptor activity participates in the obse
rved increase in pulmonary vascular resistance in neonatal group B streptoc
occal sepsis (GBS), isometric force bioassays of pulmonary artery (PA) ring
s were studied, after 4-h exposure to either Krebs or GBS, by using the fol
lowing protocols: 1) BK dose-response curve, 2) vascular response to BK wit
h N-G-nitro-L-arginine methyl ester (L-NAME), and 3) response to des-Arg(9)
-BK (BK metabolite and B, agonist). PA rings exposed to BK resulted in cont
raction in the GBS group and a decrease in resting tension in the Control g
roup (P = 0.034) at a concentration of 10(-5) M. GBS-treated PA rings contr
acted more to des-Arg(9)-BK than did Controls (P < 0.001). BK (10(-6) M) re
laxed preconstricted PA rings incubated in GBS less than BK relaxed Control
s (P < 0.001), and preincubation with L-NAME decreased relaxation in both.
These results suggest that GBS decreased endothelium-dependent BK relaxatio
n and increased contractile response to des-Arg(9)-BK. We speculate that th
is occurs secondary to upregulation of B-1 receptors reflected by B-1-agoni
st-mediated PA contraction.