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Nitric oxide synthase expression in lungs of pulmonary hypertensive patients with heart disease.

Abstract
Since little is known about the contribution of endothelial nitric oxide synthase (e-NOS) to the mechanism of pulmonary vasospasm and the development of pulmonary vascular occlusive disease, we elucidate how e-NOS is expressed in lung biopsy specimens obtained from operative patients with pulmonary hypertension. Lung biopsy specimens were obtained from 17 patients who underwent open-heart operations for various heart diseases. A piece of normal lung specimen was also obtained from the resected lungs of three lung cancer patients as a control. e-NOS expression was visualized with a monoclonal antibody against e-NOS, and the level of expression was partially quantified. Significantly high levels of e-NOS expression were seen in adult patients, whose preoperative mean pulmonary arterial pressures were greater than 20 mm Hg. In contrast, e-NOS expression in pediatric patients with the same levels of mean pulmonary arterial pressure was the same as that in the controls and in low pulmonary arterial pressure. There was a statistically significant positive correlation between the level of e-NOS expression and Heath--Edwards grading. These data suggest that the e-NOS expression in lung tissue is induced when pulmonary vascular obstructive diseases progress.
AuthorsH Komai, Y Naito, Y Aimi, H Kimura
JournalCardiovascular pathology : the official journal of the Society for Cardiovascular Pathology (Cardiovasc Pathol) 2001 Jan-Feb Vol. 10 Issue 1 Pg. 29-32 ISSN: 1054-8807 [Print] United States
PMID11343992 (Publication Type: Journal Article)
Chemical References
  • NOS3 protein, human
  • Nitric Oxide Synthase
  • Nitric Oxide Synthase Type III
Topics
  • Aged
  • Blood Pressure (physiology)
  • Cardiac Surgical Procedures
  • Child
  • Ductus Arteriosus, Patent (complications, enzymology, pathology, physiopathology)
  • Endothelium, Vascular (enzymology, pathology)
  • Female
  • Heart Diseases (complications, enzymology, pathology, physiopathology)
  • Heart Septal Defects, Atrial (complications, enzymology, pathology, physiopathology)
  • Heart Septal Defects, Ventricular (complications, enzymology, pathology, physiopathology)
  • Humans
  • Hypertension, Pulmonary (enzymology, etiology, pathology, physiopathology)
  • Immunoenzyme Techniques
  • Infant
  • Lung (blood supply, enzymology, pathology)
  • Male
  • Middle Aged
  • Mitral Valve Insufficiency (complications, enzymology, pathology, physiopathology)
  • Mitral Valve Stenosis (complications, enzymology, pathology, physiopathology)
  • Nitric Oxide Synthase (metabolism)
  • Nitric Oxide Synthase Type III
  • Pulmonary Artery (physiopathology)
  • Tetralogy of Fallot (complications, enzymology, pathology, physiopathology)

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