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Division d'Hépatologie et de Gastroentérologie, Hôpital Cantonal Universitaire de Genève, CH 1211 Geneva, Switzerland; and Allgemein-, Viszeral-, und Transplantationschirurgie, medizinische Facultät der Humboldt-Universitat, 13353 Berlin, Germany
To study the modifications of hepatic blood flow and
hepatic function over time during endotoxemia, 10 pigs received a
continuous intravenous infusion of endotoxin (Endo, 160 ng · kg
1 · h
1)
over 18 h and 7 control (Ctrl) animals received a saline infusion. The
involvement of nitric oxide (NO) in this endotoxic model was assessed
by measuring plasma concentrations of
NO
2, NO
3, and cGMP, by testing vascular
reactivity to ACh, and by evaluating inducible NO synthase (NOS 2)
expression in hepatic biopsies. Endotoxin induced hypotensive and
normokinetic shock in association with few modifications of hepatic
blood flow, and hepatic injury was observed in both groups. Endotoxin
did not increase plasma concentrations of
NO
2,
NO
3, and cGMP. The ACh-dependent
decrease of mean arterial pressure was reduced in Endo pigs, whereas a
minor difference was observed between Ctrl and Endo pigs for
ACh-dependent modification of hepatic perfusion. Hepatic NOS 2 mRNA was
not detected in Ctrl pigs. In Endo pigs, NOS 2 protein expression was
detected only in tissues surrounding the portal vein and the inferior
vena cava, whereas NOS 2 mRNA was expressed in all hepatic biopsies.
Thus, although endotoxemia induces NOS 2 expression in the liver, our
findings show that NO involvement is lower in pigs than in rodents
during endotoxemia.
liver; vascular reactivity; acetylcholine; inducible nitric oxide synthase; hepatic circulation
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