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Volume 279, June 2000
Volume 48, June 2000
Pages R1496-R1505: Yasushi Takahashi, Christine Roman, Sylvain Chemtob, Mary M. Tse, Emil Lin, Michael A. Heymann, and Ronald I. Clyman. "Cyclooxygenase-2 inhibitors constrict the fetal lamb ductus arteriosus both in vitro and in vivo."
The accepted version of the In Vitro Studies section of METHODS is shown below instead of the earlier version that was published.
In Vitro Studies
The purpose of the in vitro studies was to show that inhibitors of COX-2, celecoxib and NS-398, were capable of inhibiting prostaglandin production and contractile tone in the ductus itself. They complement the in vivo studies where the effects of the COX-2 inhibitor could be attributed to systemic effects that are independent of the drug's direct action on the ductus.Nineteen fetal lambs (between 125 and 137 days) were delivered by
cesarean section. The ewe was anesthetized with a constant intravenous
infusion of ketamine HCl and diazepam throughout the procedure. The
fetus was given ketamine HCl (30 mg/kg im) before rapid exsanguination.
The ductus arteriosus was dissected free of loose adventitial tissue
and divided into 1-mm-wide rings that were placed in separate 10-ml
organ baths and kept in a dark room, as we described previously
(7). Tissue oxygen concentration is significantly lower in
isolated ductus rings incubated in bath solutions containing "fetal
PO2" when compared with the fetal ductus in
vivo. In vivo, the fetal lamb ductus relies on vasa vasorum that
perfuse 60-70% of the muscle media. The measured average tissue
O2 concentration in the late gestation fetal lamb ductus in
vivo is 1.5-2% O2 (PO2 = 10-14 mmHg) (H. Kajino, C. Koch, and R. Clyman, unpublished
results). In vitro, the ductus wall receives oxygen only from the lumen
and adventitial surface (as well as the 2 cut faces). Average tissue
O2 concentrations in rings of fetal lamb ductus incubated
with bath solutions containing fetal PO2 (4%
O2, PO2 = 28 mmHg) is only
0.6% (PO2 = 4 mmHg). An average tissue
O2 concentration of 1.5-2% (as observed in the fetal
ductus in vivo) is not achieved in vitro until the oxygen concentration
of the organ bath solution is increased to 30% O2 (Kajino
et al., unpublished results). Therefore, we equilibrated our bath
solution with 30% O2 to mimic average fetal tissue
O2 concentration in vivo. Although there are different
absolute tensions that develop in ductus rings that are incubated in
bath solution equilibrated with 30% O2 compared with those
incubated at 4% O2 (because of differences in
oxygen-induced tension), the contractile response to nonselective
(indomethacin) and selective COX-2 inhibitors is the same at these two
bath oxygen concentrations. This is consistent with our unpublished
observations that PGE2 or 6-keto-PGF1
(6ketoPGF1
) production rates are similar at these two
bath solution oxygen concentrations (Kajino et al., unpublished results).
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