Abrupt cessation of lung perfusion induces a rapid endothelial response tha
t is not associated with anoxia but reflects loss of normal shear stress. T
his response includes membrane depolarization, H2O2 generation, and increas
ed intracellular Ca2+. We evaluated these parameters immediately upon nonhy
poxic ischemia using fluorescence videomicroscopy to image in situ endothel
ial cells in isolated, ventilated rat lungs. Lungs labeled with 4-{2-[6-(di
octylamino)-2-naphthalenyl]ethenyl}1-(3-sulfopropyl)-pyridinium (di-8-ANEPP
S; a membrane potential probe), Amplex Red (an extracellular H2O2 probe), o
r fluo 3-AM (a Ca2+ indicator) were subjected to control perfusion followed
by global ischemia. Endothelial di-8-ANEPPS fluorescence increased signifi
cantly within the first second of ischemia and stabilized at 15 s, indicati
ng membrane depolarization by similar to 17 mV; depolarization was blocked
by preperfusion with the K+ channel agonist lemakalim. Increased H2O2, inhi
bitable by catalase, was detected in the vascular space at 1-2 s after the
onset of ischemia. Increased intracellular Ca2+ was detected 10-15 s after
the onset of ischemia; the initial increase was inhibited by preperfusion w
ith thapsigargin. Thus the temporal sequence of the initial response of end
othelial cells in situ to loss of shear stress (i.e., ischemia) is as follo
ws: membrane depolarization, (HO2)-O-2 release, and increased intracellular
Ca2+.