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Department of Pediatrics, The Ohio State University, Columbus 43210; and Wexner Institute for Pediatric Research, Childrens Hospital, Columbus, Ohio 43205
Studies were
conducted to determine the effect of mechanically induced sustained
flow reduction on intestinal hemodynamics and oxygenation in 3- and
35-day-old swine. In vitro gut loops were perfused under
controlled-pressure conditions from an oxygenated blood reservoir at
age-appropriate perfusion pressures; pressure was rapidly reduced to a
level that lowered flow rate to ~50% of its baseline value, and
pressure was then kept at that level for 2 h. In 3-day-old intestine,
vascular resistance
(Ri) increased by 20% immediately after pressure and flow reduction but then stabilized for 3-4 min; thereafter, flow began to decrease despite maintenance of perfusion pressure, so that
Ri increased an
additional 15% by 30 min after flow reduction. Flow continued to
diminish over the next 90 min, though at much slower rate. Intestine
from 35-day-old swine demonstrated an immediate increase in
Ri after pressure
and flow reduction, but thereafter
Ri increased very little. The protocol was repeated within in vitro gut loops perfused under controlled-flow conditions, and within autoperfused, innervated gut loops developed in vivo and similar observations were made in both
preparations. In 3-day-old intestine, pretreatment with the
L-arginine analog
N
-monomethyl-L-arginine
(10
4 M) had no effect on
the immediate rise in resistance occurring in the first 1 min but
substantially attenuated the subsequent slow, progressive rise noted
thereafter. Pretreatment with the angiotensin 1A receptor antagonist
losartan (2 × 10
6 M)
had no effect on hemodynamic changes during the first 60 min after
mechanical perfusion pressure reduction but attenuated the very slight
increase in resistance noted during the final 60 min of the protocol.
The postnatal intestinal circulation demonstrates progressive
vasoconstriction when its flow rate is mechanically reduced in a
sustained manner, and this effect is age specific, occurring in 3- but
not 35-day-old swine. These changes in gut vascular resistance may be
consequent to loss of nitric oxide production and/or local
production of angiotensin.
nitric oxide; angiotensin; endothelium; intestinal oxygenation
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P. T. Nowicki Effects of sustained low-flow perfusion on the response to vasoconstrictor agents in postnatal intestine Am J Physiol Gastrointest Liver Physiol, June 1, 1999; 276(6): G1408 - G1416. [Abstract] [Full Text] [PDF] |
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