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Am J Physiol Regul Integr Comp Physiol (November 4, 2009). doi:10.1152/ajpregu.00576.2009
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Submitted on September 13, 2009
Revised on October 16, 2009
Accepted on October 28, 2009

Hypoxic pulmonary vasodilation: A paradigm shift with a hydrogen sulfide mechanism

Kenneth R. Olson1*, Nathan L. Whitfield, Shawn E. Bearden2, Judy St. Leger, Erika Nilson, Yan Gao, and Jane A. Madden3

1 Indiana University School of Medicine-South Bend
2 Idaho State University
3 Zablocki VA Medical Center

* To whom correspondence should be addressed. E-mail: kolson{at}nd.edu.

Hypoxic pulmonary vasoconstriction (HVC), an intrinsic and assumed ubiquitous response of mammalian pulmonary blood vessels, matches regional ventilation to perfusion via an unknown oxygen sensing mechanism. Global pulmonary hypoxia experienced by individuals suffering from COPD or numerous hypoventilation syndromes including sleep apnea, often produces maladaptive pulmonary hypertension (PH) but PH is not observed in diving mammals where profound hypoxia is routine. Here we examined the response of cow and sea lion pulmonary arteries (PA) to hypoxia and observed the expected HVC in the former and a unique hypoxic vasodilation (HVD) in resistance vessels from the latter. We then used this disparate response to examine the O2 sensing mechanism. In both animals, exogenous hydrogen sulfide (H2S) mimicked the vasoactive effects of hypoxia in isolated PA. H2S-synthesizing enzymes, cystathionine {beta}-synthase, cystathionine {gamma}-lyase and 3-mercaptopyruvate sulfur transferase, were identified in lung tissue from both animals using one-dimensional western blot analysis and immunohistochemistry. The relationship between H2S production/consumption and O2 was examined in real-time, using amperometric H2S and O2 sensors. H2S was produced by both sea lion and cow lung homogenate in the absence of O2 but it was rapidly consumed when O2 was present. Furthermore, consumption of exogenous H2S by cow lung homogenate, pulmonary arterial smooth muscle cells and heart mitochondria was O2-dependent and exhibited maximal sensitivity at physiologically relevant Po2s. These studies show that HVC is not an intrinsic property of PA and provide further evidence for O2-dependent H2S metabolism in O2 sensing.







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