P. Dutta et al., The influence of phosphodiesterase inhibitor, rolipram, on hemodynamics inlipopolysaccharide-treated rats, JPN J PHARM, 85(3), 2001, pp. 241-249
Administration of bacterial endotoxin (lipopolysaccharide, LPS) intravenous
ly has been noted to produce a shock state, which is characterized by hypot
ension and mutli-organ system failure. The aim of the present investigation
was to (a) examine the influence of rolipram on hemodynamics, plasma level
s of tumor necrosis factor-alpha (TNF-alpha) levels, and production of indu
cible nitric oxide synthase (iNOS) in the lungs, ex vivo, in LPS-treated ra
ts, and (b) determine the cardiovascular effects of a selective alpha (1)-a
drenoceptor agonist, methoxamine, in the absence or presence of rolipram in
rats treated with LPS. Blood pressure, cardiac index, heart rate and arter
ial resistance were assessed in Long-Evens rats anesthetized with thiobutab
arbital. Administration of LPS to animals resulted in a significant reducti
on in cardiac index over time. The administration of LPS to rats resulted i
n a substantial rise in the plasma levels of TNF-alpha. Furthermore, the in
jection of LPS resulted in a significant increase in the iNOS activity in t
he lungs. Pre-treatment with rolipram prevented the decline in cardiac inde
x in animals that received LPS. Infusion of methoxamine into animals inject
ed with rolipram and pre-treated with LPS did not result in significant cha
nges in cardiac index. Pre-treatment with rolipram or dexamethasone in anim
als injected with LPS significantly prevented the rise in TNF-alpha when co
mpared to the respective values in vehicle-treated animals. Our present obs
ervations support the view that the cardiac index can be maintained in anim
als treated with LPS independent of iNOS inhibition.