Abstract | PURPOSE: The purpose of this article is to elucidate the effect of L- canavanine, a selective inhibitor of inducible NO synthase (iNOS), on hemodynamics, blood gas parameters, and plasma concentrations of lactate and endothelin-1 (ET-1) during endotoxic shock. MATERIALS AND METHODS: Eleven mongrel dogs under pentobarbital anesthesia were divided into two groups: (1) bacterial lipopolysaccharide (LPS) plus vehicle group (n = 5) receiving infusion of LPS (3 mg/kg/h for 1 h) followed by vehicle (2 mL/h for 5 hours); (2) LPS plus L- canavanine group (n = 6) receiving infusion of LPS (3 mg/kg/h for 1 hour) followed by L- canavanine (10 mg/kg/h for 5 hours). RESULTS: LPS caused a significant (P < .05) decrease in mean arterial pressure (MAP) at 1 hour, but there was no significant difference in MAP during 6-hour period between the two groups. LPS alone did not cause significant changes in other hemodynamics, whereas L- canavanine caused a significant (P < .05) increase in pulmonary vascular resistance index (PVRI) and a decrease in oxygen delivery at 6 hours. The LPS-induced lactic acidosis and hypersecretion of ET-1 were aggravated after L- canavanine infusion. Plasma ET-1 showed positive correlations to lactate levels and PVRI, and negative correlations to cardiac output and oxygen delivery only in the LPS plus L- canavanine group, but not in the LPS plus vehicle group. CONCLUSIONS: This study suggests that L- canavanine induces tissue hypoperfusion and ischemia with concomitant hypersecretion of ET-1 in dogs with endotoxic shock.
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Authors | C Mitaka, Y Hirata, K Yokoyama, T Imai |
Journal | Journal of critical care
(J Crit Care)
Vol. 16
Issue 1
Pg. 17-23
(Mar 2001)
ISSN: 0883-9441 [Print] United States |
PMID | 11230720
(Publication Type: Journal Article)
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Chemical References |
- Endothelin-1
- Enzyme Inhibitors
- Lactic Acid
- Canavanine
- Nitric Oxide Synthase
- Nitric Oxide Synthase Type II
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Topics |
- Animals
- Blood Gas Analysis
- Canavanine
(pharmacology)
- Disease Models, Animal
- Dogs
- Endothelin-1
(blood)
- Enzyme Inhibitors
(pharmacology)
- Hemodynamics
- Lactic Acid
(blood)
- Male
- Nitric Oxide Synthase
(antagonists & inhibitors)
- Nitric Oxide Synthase Type II
- Shock, Septic
(blood)
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