D. Javeshghani et S. Magder, Presence of nitrotyrosine with minimal inducible nitric oxide synthase induction in lipopolysaccharide-treated pigs, SHOCK, 16(4), 2001, pp. 304-311
Citations number
38
Categorie Soggetti
Aneshtesia & Intensive Care","Cardiovascular & Hematology Research
The production of large amounts of nitric oxide (NO) by the inducible form
of nitric oxide synthase (iNOS) and the subsequent production of peroxynitr
ite (OONO-) are believed to be major factors in the hemodynamic abnormaliti
es of sepsis. This finding is based on data from rats and mice but has not
been established in other species. Therefore, we examined the role of iNOS
in lipopolysaccharide (LPS)-treated pigs, which have a hemodynamic pattern
with sepsis that is more similar to humans than rats. Pigs were anesthetize
d, ventilated, and given LPS (n = 12), 20 mug/kg over 2 h, or saline (n = 7
). They were killed after 2 (n = 8 LPS, 7 control) or 4 h (4 LPS). We measu
red cardiac output (CO), mean arterial (Part), and pulmonary and central ve
nous pressures. We evaluated NO production by measuring expired NO, and pla
sma nitrate/nitrite concentration, NOS activity (in lung tissue), and iNOS
protein by Western analysis, and immunohistochemistry (lung and liver), as
well as iNOS mRNA by Northern analysis (liver and lung). We also measured n
itrotyrosine as evidence of OONO- production by slot blot, Western analysis
, and immunohistochemistry. By 2 h, Part fell and CO did not change so that
systemic vascular resistance decreased from 21.5 +/- 2.9 to 12.7 +/- 3.1 m
mHg (.) L-1 (.) min (P < 0.05) and remained at 11.3 +/- 1.7 mmHg (.) L-1 (.
) min in the animals observed for 4 h. Plasma nitrate/nitrite, expired NO,
and NOS activity did not change. We found no iNOS in tissues by Western ana
lysis with 5 different antibodies but detected a small amount of iNOS by im
munohistochemistry in inflammatory cells and small vessels. There was a sma
ll increase in iNOS mRNA in liver and lung. Despite the minimal increase in
iNOS, nitrotyrosine was increased in small vessels and in inflammatory cel
ls. In conclusion, caution should be used when extrapolating the septic res
ponse in rodents to other species, for the pattern of iNOS induction is ver
y different.