This study examined whether an increased activity of the
endothelium-derived relaxing factor,
nitric oxide, may account for the hyporesponsiveness to
vasoconstrictors in
portal hypertension. We performed dose-response curves to
methoxamine, an alpha-
adrenoceptor agonist, with and without
N omega-nitro-L-arginine, a specific inhibitor of
nitric oxide synthesis, in experimental
portal hypertension. Partial portal vein-ligated or
sham-operated rats were pretreated with a continuous
intravenous infusion of either
N omega-nitro-L-arginine (50 micrograms.kg-1.min-1) or saline. Thirty minutes after starting the infusion of
N omega-nitro-L-arginine or saline an infusion of
methoxamine (10, 30 and 100 micrograms.kg-1.min-1) was added. Total peripheral resistance was calculated from mean arterial pressure and cardiac index. Repeated measurements of cardiac index were performed by a thermodilution technique. In portal vein-ligated rats pretreated with saline, the increase in total peripheral resistance after
methoxamine infusion was significantly less than that of
sham-operated rats (0.2 +/- 0.1 vs. 1.0 +/- 0.3, 0.6 +/- 0.1 vs. 1.6 +/- 0.3 and 3.7 +/- 0.5 vs. 6.1 +/- 0.7 mm Hg.ml-1.min.100 gm, p less than 0.05,
methoxamine 10, 30 and 100 micrograms.kg-1.min-1, respectively). In the presence of
N omega-nitro-L-arginine, the change in total peripheral resistance after
methoxamine infusion was similar in both groups (p greater than 0.05). In conclusion, this study demonstrates that a vascular hyporesponsiveness to
methoxamine is present in portal vein-ligated rats and that this hyporesponsiveness is reversed by blockade of
nitric oxide.(ABSTRACT TRUNCATED AT 250 WORDS)