Hypotensive Effect of Endothelin-1 via Endothelin-B-Receptor Pathway on Pulmonary Circulation is Enhanced in Rats with Pulmonary Hypertension
Satoshi Sakai, Takashi Miyauchi, Junko Hara, Katsutoshi Goto, Iwao Yamaguchi
Abstract
Satoshi Sakai, Takashi Miyauchi, Junko Hara, Katsutoshi Goto, Iwao Yamaguchi
Abstract
Summary: The pharmacological characterization of endothelin-1 (ET-1) in the pulmonary circulation in pulmonary hypertension (PH) is not known precisely. We investigated the effect of intravenous injection of ET-1 (1000 pmol/kg) on right ventricular systolic pressure (RVSP) (which is equal to systolic pulmonary arterial pressure) in rats with monocrotaline-induced PH. ET-1 decreased RVSP in PH rats; however, ET-1 did not alter RVSP in control rats, suggesting that ET-1 causes dilatation of the pulmonary artery in PH rats. Under pretreatment with the endothelin-A- (ETA) receptor antagonist BMS 193884, ET-1 decreased RVSP in PH rats more than in control rats, suggesting that pulmonary vasodilator action of ET-1 mediated via the ETB-receptor pathway is augmented in PH rats. Under pretreatment with the ETA/B-receptor antagonist SB 209670, the effect of ET-1 in lowering pulmonary arterial pressure was abolished in both groups of rats. These results suggest that the hypotensive effect of ET-1 on pulmonary circulation mediated via the ETB-receptor pathway is enhanced in PH rats compared with control normal rats. It is considered that the blockade of only the ETA-receptor pathway is preferable to the blockade of both the ETA- and ETB-receptor pathways in the treatment of PH.
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Summary: The pharmacological characterization of endothelin-1 (ET-1) in the pulmonary circulation in pulmonary hypertension (PH) is not known precisely. We investigated the effect of intravenous injection of ET-1 (1000 pmol/kg) on right ventricular systolic pressure (RVSP) (which is equal to systolic pulmonary arterial pressure) in rats with monocrotaline-induced PH. ET-1 decreased RVSP in PH rats; however, ET-1 did not alter RVSP in control rats, suggesting that ET-1 causes dilatation of the pulmonary artery in PH rats. Under pretreatment with the endothelin-A- (ETA) receptor antagonist BMS 193884, ET-1 decreased RVSP in PH rats more than in control rats, suggesting that pulmonary vasodilator action of ET-1 mediated via the ETB-receptor pathway is augmented in PH rats. Under pretreatment with the ETA/B-receptor antagonist SB 209670, the effect of ET-1 in lowering pulmonary arterial pressure was abolished in both groups of rats. These results suggest that the hypotensive effect of ET-1 on pulmonary circulation mediated via the ETB-receptor pathway is enhanced in PH rats compared with control normal rats. It is considered that the blockade of only the ETA-receptor pathway is preferable to the blockade of both the ETA- and ETB-receptor pathways in the treatment of PH.
Key concepts: Pulmonary hypertension, Endothelin receptor, Medicine, Pulmonary artery, Ventricular pressure, Receptor antagonist, Endothelin 1, Internal medicine