Vascular hyporeactivity is an important factor in irreversible
shock, and post-
shock mesenteric lymph (
PSML) blockade improves vascular reactivity after
hemorrhagic shock. This study explored the possible involvement of
myosin light chain kinase (MLCK) in
PSML-mediated vascular hyporeactivity and
calcium desensitization. Rats were divided into
sham (n=12),
shock (n=18), and shock+drainage (n=18) groups. A
hemorrhagic shock model (40 ± 2 mmHg, 3 h) was established in the
shock and shock+drainage groups.
PSML drainage was performed from 1 to 3 h from start of
hypotension in shock+drainage rats. Levels of phospho-MLCK (p-MLCK) were determined in superior mesenteric artery (SMA) tissue, and the vascular reactivity to
norepinephrine (NE) and sensitivity to Ca²⁺ were observed in SMA rings in an isolated organ perfusion system. p-MLCK was significantly decreased in the
shock group compared with the
sham group, but increased in the shock+drainage group compared with the
shock group.
Substance P (1 nM), an agonist of MLCK, significantly elevated the decreased contractile response of SMA rings to both NE and Ca²⁺ at various concentrations. Maximum contractility (Emax) in the
shock group increased with NE (from 0.179 ± 0.038 to 0.440 ± 0.177 g/mg, P<0.05) and Ca²⁺ (from 0.515 ± 0.043 to 0.646 ± 0.096 g/mg, P<0.05).
ML-7 (0.1 nM), an inhibitor of MLCK, reduced the increased vascular response to NE and Ca²⁺ at various concentrations in the shock+drainage group (from 0.744 ± 0.187 to 0.570 ± 0.143 g/mg in Emax for NE and from 0.729 ± 0.037 to 0.645 ± 0.056 g/mg in Emax for Ca²⁺, P<0.05). We conclude that MLCK is an important contributor to
PSML drainage, enhancing vascular reactivity and
calcium sensitivity in rats with
hemorrhagic shock.