Endogenous nitric oxide pathway in high pulmonary blood flow-induced pulmonary vascular structural remodeling

OBJECTIVE: Pulmonary vascular structural remodeling induced by high pulmonary blood flow is an important pathologic basis of pulmonary hypertension with congenital heart disease of left-to-right shunt. However, the mechanism is still not clear. The present study aimed to examine the alteration of en...

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Veröffentlicht in:Zhonghua er ke za zhi = Chinese journal of pediatrics. - 1960. - 41(2003), 3 vom: 02. März, Seite 215-8
1. Verfasser: Qi, Jian-guang (VerfasserIn)
Weitere Verfasser: Du, Jun-bao, Tang, Xiu-ying, Li, Jian, Wei, Bing, Tang, Chao-shu
Format: Aufsatz
Sprache:Chinese
Veröffentlicht: 2003
Zugriff auf das übergeordnete Werk:Zhonghua er ke za zhi = Chinese journal of pediatrics
Schlagworte:Comparative Study English Abstract Journal Article Research Support, Non-U.S. Gov't RNA, Messenger Nitric Oxide 31C4KY9ESH Nitric Oxide Synthase EC 1.14.13.39 Nitric Oxide Synthase Type III Nos3 protein, rat
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245 1 0 |a Endogenous nitric oxide pathway in high pulmonary blood flow-induced pulmonary vascular structural remodeling 
264 1 |c 2003 
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500 |a Date Completed 22.04.2004 
500 |a Date Revised 07.06.2016 
500 |a published: Print 
500 |a Citation Status MEDLINE 
520 |a OBJECTIVE: Pulmonary vascular structural remodeling induced by high pulmonary blood flow is an important pathologic basis of pulmonary hypertension with congenital heart disease of left-to-right shunt. However, the mechanism is still not clear. The present study aimed to examine the alteration of endogenous nitric oxide (NO) pathway in high pulmonary blood flow-induced pulmonary vascular structural remodeling, so as to explore the role of NO pathway in pulmonary hypertension induced by high pulmonary blood flow 
520 |a METHODS: Sixteen male SD rats were randomly divided into control group (n = 8) and shunting group (n = 8). Aortocaval shunting was produced for 11 weeks in shunt rats. Pulmonary artery mean pressure (mPAP) of each rat was evaluated using right cardiac catheterization. The ratio of right ventricular mass to left ventricular plus septal mass [RV/(LV + S)] was detected. Pulmonary vascular micro-and ultra-structure was examined by using a light microscope and a transmitted electronic microscope. Meanwhile, the concentration of plasma NO was measured by spectrophotometry. The expressions of endothelial NO synthase (eNOS) mRNA and protein by pulmonary arteries were detected by in situ hybridization and immunohistochemistry, respectively 
520 |a RESULTS: After 11-week aortocaval shunting, mPAP was significantly increased [(22.5 +/- 2.6) mmHg vs. (15.8 +/- 2.8) mmHg, 1 mmHg = 0.133 kPa, t = 4.97, P < 0.01], and RV/(LV + S) was also markedly increased (0.267 +/- 0.022 vs. 0.221 +/- 0.016, t = 4.85, P < 0.01). The percentage of muscularized arteries was obviously increased in shunt rats compared with controls [(23.2 +/- 2.4)% vs. (13.5 +/- 2.1)%, t = 7.82, P < 0.01], and relative medial thickness of pulmonary arteries was obviously increased in shunt rats [median pulmonary artery: (7.76 +/- 0.56)% vs. (4.82 +/- 1.03)%, t = 6.23, P < 0.01; small pulmonary artery: (11.94 +/- 0.66)% vs. (6.91 +/- 0.53)%, t = 14.96, P < 0.01]. Ultrastructural changes, such as hyperplasia and degeneration of endothelial cells, irregularity of internal elastic laminar and hypertrophy and the increased number of synthetic phenotype of smooth muscle cells, were found in intrapulmonary arteries of shunt rats. Meanwhile, plasma NO concentration was increased [(30.2 +/- 7.9) micromol/L vs (19.7 +/- 5.7) micromol/L, t = 3.05, P < 0.01) and eNOS mRNA and protein expressions by pulmonary arteries were significantly augmented in rats of shunting group 
520 |a CONCLUSION: The upregulation of eNOS/NO might be an adaptive response of pulmonary circulation to an increased blood flow in the development of pulmonary hypertension and pulmonary vascular structural remodeling 
650 4 |a Comparative Study 
650 4 |a English Abstract 
650 4 |a Journal Article 
650 4 |a Research Support, Non-U.S. Gov't 
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650 7 |a EC 1.14.13.39  |2 NLM 
650 7 |a Nitric Oxide Synthase Type III  |2 NLM 
650 7 |a EC 1.14.13.39  |2 NLM 
650 7 |a Nos3 protein, rat  |2 NLM 
650 7 |a EC 1.14.13.39  |2 NLM 
700 1 |a Du, Jun-bao  |e verfasserin  |4 aut 
700 1 |a Tang, Xiu-ying  |e verfasserin  |4 aut 
700 1 |a Li, Jian  |e verfasserin  |4 aut 
700 1 |a Wei, Bing  |e verfasserin  |4 aut 
700 1 |a Tang, Chao-shu  |e verfasserin  |4 aut 
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