Our purpose was to determine if abundance of proteins underlying nitric oxi
de (NO) and prostanoid production is altered in lungs of piglets with aorto
pulmonary shunts. We also evaluated whether shunted piglets exhibit abnorma
l pulmonary vascular responses to ACh, an endothelium-dependent agent that
mediates dilation in part by NO and prostanoid release. At age 4-5 days, pi
glets underwent either a sham operation or placement of an aortopulmonary s
hunt. At age 5-6 wk, pulmonary arterial pressure (Ppa) and cardiac output b
y the thermodilution technique were measured in anesthetized piglets. Ppa r
esponses to the endothelium-dependent agent, ACh, and to a non-endothelium-
dependent agent, papaverine, were measured in perfused lungs. An immunoblot
technique was applied to homogenates of whole lung tissue and two size gro
ups of pulmonary arteries. In shunted piglets, Ppa and cardiac output were
elevated, and Ppa responses to papaverine were reduced. ACh responses were
not decreased when expressed relative to Ppa dilation with papaverine. Endo
thelial nitric oxide synthase (eNOS), cyclooxygenase-1, cyclooxygenase-2, p
rostacyclin synthase, and thromboxane synthase amounts were unaltered in al
l lung tissue homogenates. Altered abundance of eNOS and/or prostanoid enzy
mes does not contribute to the blunted dilation and the elevation in Ppa as
sociated with aortopulmonary shunts in newborn piglets.