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1 Division of Gastroenterology, Department of Medicine, Taipei Veterans General Hospital and National Yang-Ming University School of Medicine and 2 Institute of Traditional Medicine, National Yang-Ming University School of Medicine; Taipei 11217, Taiwan
Despite the suppression of glucagon release, an adaptive
response aimed at maintaining vasodilatation after octreotide
treatment may exist in portal hypertension. The present study was
undertaken to evaluate the possible interaction between endothelium and
non-endothelium-derived vasodilators after 1-wk octreotide
administration in cirrhotic rats. Rats were allocated to receive either
vehicle or octreotide (30 or 100 µg/kg every 12 h
subcutaneously). Hemodynamic values, plasma glucagon levels,
endothelium-related vasodilatory activities, and aortic endothelial
nitric oxide synthase (eNOS) expression were determined after
treatment. Octreotide administration decreased plasma glucagon and
increased serum 6-keto-PGF1
and NOx levels without
affecting the hemodynamic values. In cirrhotic rats receiving octreotide, there was a blunt response to either L-NAME or
indomethacin administration alone, but this blunt pressor response
disappeared after simultaneous administration of the two drugs.
Additionally, an increased aortic eNOS expression was observed in
cirrhotic rats receiving 1-wk octreotide. It is concluded that 1-wk
octreotide treatment did not correct the hemodynamic derangement in
cirrhotic rats. The enhanced endothelium-related vasodilatory activity
was noted after octreotide treatment that overcame the
octreotide-induced hemodynamic effects in portal hypertension.
glucagon; nitric oxide; prostacyclin; portal hypertension; somatostatin
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