The precise role of inhibitory nonadrenergic noncholinergic (iNANC) neurons
and nitric oxide in airway hyperresponsiveness remains uncertain, The role
of NO in the regulation of airway responsiveness was studied in anaestheti
zed and mechanically ventilated cats.
To assess airway responsiveness, the changes in total pulmonary resistance
(R-L) produced by delivering serotonin aerosol to the airways were measured
before and after N-omega-nitro-L-arginine methyl ester (L-NAME), or a gang
lionic blocker, hexamethonium, which has been reported to block iNANC. Sero
tonin was chosen because it causes bronchoconstriction in part by neural re
flex. To further clarify the mechanism(s) involved, the effect of inhaled c
apsaicin was also determined in animals with sustained bronchoconstriction
induced by serotonin after treatment with atropine and propranolol,
Inhibition of NO synthase by L-NAME or blockade of iNANC neurons by hexamet
honium significantly increased airway responsiveness, However, addition of
L-NAME did not further increase airway responsiveness in animals treated wi
th hexamethonium. In the presence of atropine and propranolol, inhaled caps
aicin caused a marked bronchodilation during serotonin-induced sustained br
onchoconstriction. The bronchodilation induced by capsaicin was significant
ly suppressed by hexamethonium and by L-NAME,
These results suggest that the nitric oxide released from inhibitory nonadr
energic noncholinergic neurons is important in modulating the airway respon
siveness of cats in vivo.