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Department of Obstetrics, Gynecology and Reproductive Sciences, University of Maryland School of Medicine, Baltimore, Maryland 21158
To investigate the
effect of chronic hypoxia (HPX) on vasodilation of the fetal heart, we
exposed pregnant guinea pigs to room air or 12% O2 for 4, 7, or 10 days. We excised hearts from anesthetized fetuses (60 ± 3 days; 65-day gestation = term) and measured changes in both the
coronary artery pressure of the isolated constant-flow preparation and
endothelial nitric oxide synthase (eNOS) mRNA of fetal ventricles.
Dilator responses to cumulative addition
(10
9-10
5 M) of acetylcholine and sodium
nitroprusside in prostaglandin F2
(5 × 10
6 M)-constricted hearts were similar among normoxia
(NMX), 4-, 7-, and 10-day HPX (control). Nitro-L-arginine
(L-NA, 10
4M), a NOS inhibitor, inhibited
maximal acetylcholine dilation of hearts exposed to 10-day HPX greater
than NMX, 4-, and 7-day HPX. Hypoxia (after 7 and 10 days) increased
eNOS mRNA of fetal ventricles compared with NMX and 4-day HPX.
4-Aminopyridine (3 mM), a voltage-dependent K+-channel
inhibitor, inhibited acetylcholine- but not sodium
nitroprusside-induced dilation of NMX and 10-day HPX hearts to a
similar magnitude. Glibenclamide (10
5 M), an
ATP-sensitive K+-channel inhibitor, had no effect on
vasodilation. We conclude that chronic HPX increases the contribution
of NO but does not alter K+-channel activation in response
to acetylcholine-stimulated coronary dilation. Thus increases in NO
production via upregulation of eNOS gene expression may be an adaptive
response to chronic HPX in the fetal coronary circulation.
coronary microcirculation; endothelial nitric oxide; K+ channel; endothelium-dependent hyperpolarizing factor
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