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A synthetic analogue of 20-HETE, 5,14-HEDGE, reverses endotoxin-induced hypotension via increased 20-HETE levels associated with decreased iNOS protein expression and vasodilator prostanoid production in rats.

Abstract
Nitric oxide (NO) produced by inducible NO synthase (iNOS) is responsible for endotoxin (ET)-induced hypotension and vascular hyporeactivity and plays a major contributory role in the multiorgan failure. Endotoxic shock is also associated with an increase in vasodilator prostanoids as well as a decrease in endothelial NO synthase (eNOS) and cytochrome P450 4A protein expression, and production of a vasoconstrictor arachidonic acid product, 20-hydroxyeicosatetraenoic acid (20-HETE). The aim of this study was to investigate the effects of a synthetic analogue of 20-HETE, N-[20-hydroxyeicosa-5(Z),14(Z)-dienoyl]glycine (5,14-HEDGE), on the ET-induced changes in eNOS, iNOS and heat shock protein 90 (hsp90) expression as well as 20-HETE and vasodilator prostanoid (6-keto-PGF(1alpha) and PGE(2)) production. ET-induced fall in blood pressure and rise in heart rate were associated with an increase in iNOS protein expression and a decrease in eNOS protein expression in heart, thoracic aorta, kidney and superior mesenteric artery. ET did not change hsp90 protein expression in the tissues. ET-induced changes in eNOS and iNOS protein expression were associated with increased 6-keto-PGF(1alpha) and PGE(2) levels and a decrease in 20-HETE levels, in the serum and kidney. These effects of ET on the iNOS protein expression and 6-keto-PGF(1alpha), PGE(2) and 20-HETE levels were prevented by 5,14-HEDGE. Furthermore, a competitive antagonist of vasoconstrictor effects of 20-HETE, 20-hydroxyeicosa-6(Z),15(Z)-dienoic acid, prevented the effects of 5,14-HEDGE on the ET-induced changes in systemic and renal levels of these prostanoids and 20-HETE. These data are consistent with the view that an increase in systemic and renal 20-HETE levels associated with a decrease in iNOS protein expression and vasodilator prostanoid production contributes to the effect of 5,14-HEDGE to prevent the hypotension during rat endotoxemia.
AuthorsTuba Cuez, Belma Korkmaz, C Kemal Buharalioglu, Seyhan Sahan-Firat, John Falck, Kafait U Malik, Bahar Tunctan
JournalBasic & clinical pharmacology & toxicology (Basic Clin Pharmacol Toxicol) Vol. 106 Issue 5 Pg. 378-88 (May 2010) ISSN: 1742-7843 [Electronic] England
PMID20002062 (Publication Type: Journal Article, Research Support, N.I.H., Extramural, Research Support, Non-U.S. Gov't)
Chemical References
  • Endotoxins
  • Hydroxyeicosatetraenoic Acids
  • Lipopeptides
  • N-(20-hydroxyeicosa-5,14-dienoyl)glycine
  • Prostaglandins
  • 20-hydroxy-5,8,11,14-eicosatetraenoic acid
  • Nitric Oxide Synthase Type II
  • Cytochrome P-450 CYP4A
Topics
  • Animals
  • Blood Pressure (drug effects)
  • Cytochrome P-450 CYP4A (metabolism)
  • Endotoxins
  • Heart Rate (drug effects)
  • Hydroxyeicosatetraenoic Acids (metabolism)
  • Hypotension (chemically induced, drug therapy, metabolism)
  • Lipopeptides (therapeutic use)
  • Nitric Oxide Synthase Type II (metabolism)
  • Prostaglandins (metabolism)
  • Rats
  • Rats, Sprague-Dawley
  • Shock, Septic (chemically induced)
  • Vasodilation

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