NITRIC-OXIDE DOES NOT MEDIATE LIPOPOLYSACCHARIDE-INDUCED MYOCARDIAL DEPRESSION IN GUINEA-PIGS

Objective: To determine the role of nitric oxide as a mediator of lipo polysaccharide induced myocardial depression. Design: Prospective, con trolled study. Setting: University research laboratory. Subjects: Mate and female Hartley guinea pigs. Interventions: Animals (n = 97) recei ved intraperitoneal injections of either saline or Escherichia coli li popolysaccharide (2 mg/kg). Some (n = 5) animals received two injectio ns of dexamethasone before lipopolysaccharide. Left atria were harvest ed 6 hrs (n = 20) or 16 hrs (n = 77) later and placed in a tissue bath with Krebs-Henseleit buffer. Contractile tension was measured in the presence or absence of two inhibitors of nitric oxide synthase (NG. ni troarginine [NNA] or aminoguanidine). Atrial and serum nitrite/nitrate and atrial cyclic guanosine monophosphate (cGMP) concentrations were assayed. Measurements and Main Results: Lipopolysaccharide caused sign ificant atrial contractile depression at 16 hrs but not 6 hrs compared with control animals. Neither NNA nor aminoguanidine reversed the dep ression in atrial function. In contrast, exposure of control atria to NNA worsened contractile function. There were no significant differenc es between control and lipopolysaccharide-treated animals in atrial an d serum nitrite/nitrate and atrial cGMP concentrations. Conclusions: N itric oxide does not mediate lipopolysaccharide-induced myocardial dep ression in this animal model. Basal concentrations of nitric oxide may be important since NNA worsened contractile function in control atria .