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,2,4,5
1 Department of Medicine, Montreal Heart Institute, Montreal H1T 1C8, 2 McGill University Medical Clinic in the Montreal General Hospital, Departments of 4 Medicine and 5 Physiology, McGill University, Montreal, Quebec H3G 1A4, and 3 Department of Medicine, St. Michael's Hospital, Toronto, Ontario, Canada M5B 1W8
Endothelin-1
(ET-1) is a 21-amino acid peptide produced by vascular endothelial
cells that acts as a potent constrictor of hepatic sinusoids. Hepatic
binding of tracer 125I-labeled
ET-1 was investigated in anesthetized dogs with the multiple-indicator
dilution technique with simultaneous measurements of unlabeled
immunoreactive ET-1 plasma levels. Despite 80% binding to albumin,
tracer 125I-ET-1 was avidly
extracted by the liver, with only 15 ± 6% of the peptide surviving
passage through the organ. Exchange of ET-1 between plasma and binding
sites, probably located on the surface of liver cells, was
quantitatively described by a barrier-limited, space-distributed
variable transit time model. Reversible and irreversible parallel
binding sites were found. Reversible and irreversible plasma clearances
of unbound 125I-ET-1 were 0.084 ± 0.033 ml · s
1 · g
liver
1 and 0.17 ± 0.09 ml · s
1 · g
liver
1, respectively, and
the dissociation rate constant for reversible binding was 0.24 ± 0.12 s
1. The specific
ETA receptor antagonist BMS-182874
did not modify binding to either site. The nonspecific
ETA/ETB
antagonist LU-224332 dose-dependently reduced irreversible binding
only. ET-1 levels in the hepatic vein were significantly lower than in
the portal vein but were not different from those in the hepatic
artery. The ratio between hepatic vein and portal vein levels (0.64 ± 0.31) was considerably higher than survival fractions, suggesting a substantial simultaneous release of newly synthesized or stored ET-1
by the liver. These results demonstrate both substantial clearance and
production of ET-1 by the intact liver. Hepatic ET-1 clearance is
mediated by the ETB receptor, with
the presence of reversible, nonspecific ET-1 binding at the liver
surface
endothelin clearance; endothelin receptor antagonist; protein binding; multiple indicator-dilution technique; vasoactive peptide; receptor-binding kinetics
Deceased 21 March 1996.
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