Abstract |
The hepatopulmonary syndrome (HPS) results from intrapulmonary vasodilation in the setting of cirrhosis and portal hypertension. In experimental HPS, pulmonary endothelial endothelin B (ET(B)) receptor overexpression and increased circulating endothelin-1 (ET-1) contribute to vasodilation through enhanced endothelial nitric oxide synthase (eNOS)-derived nitric oxide (NO) production. In both experimental cirrhosis and prehepatic portal hypertension, ET(B) receptor overexpression correlates with increased vascular shear stress, a known modulator of ET(B) receptor expression. We investigated the mechanisms of pulmonary endothelial ET(B) receptor-mediated eNOS activation by ET-1 in vitro and in vivo. The effect of shear stress on ET(B) receptor expression was assessed in rat pulmonary microvascular endothelial cells (RPMVECs). The consequences of ET(B) receptor overexpression on ET-1-dependent ET(B) receptor-mediated eNOS activation were evaluated in RPMVECs and in prehepatic portal hypertensive animals exposed to exogenous ET-1. Laminar shear stress increased ET(B) receptor expression in RPMVECs without altering mRNA stability. Both shear-mediated and targeted overexpression of the ET(B) receptor enhanced ET-1-mediated ET(B) receptor-dependent eNOS activation in RPMVECs through Ca(2+)-mediated signaling pathways and independent of Akt activation. In prehepatic portal hypertensive animals relative to control, ET-1 administration also activated eNOS independent of Akt activation and triggered HPS. These findings support that increased pulmonary microvascular endothelial ET(B) receptor expression modulates ET-1-mediated eNOS activation, independent of Akt, and contributes to the development of HPS.
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Authors | Liping Tang, Bao Luo, Rakesh P Patel, Yiqun Ling, Junlan Zhang, Michael B Fallon |
Journal | American journal of physiology. Lung cellular and molecular physiology
(Am J Physiol Lung Cell Mol Physiol)
Vol. 292
Issue 6
Pg. L1467-72
(Jun 2007)
ISSN: 1040-0605 [Print] United States |
PMID | 17337507
(Publication Type: Journal Article, Research Support, N.I.H., Extramural, Research Support, U.S. Gov't, Non-P.H.S.)
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Chemical References |
- Endothelin-1
- Receptor, Endothelin B
- Nitric Oxide Synthase Type III
- Proto-Oncogene Proteins c-akt
- Calcium
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Topics |
- Animals
- Calcium
(metabolism)
- Cells, Cultured
- Endothelial Cells
(cytology, physiology)
- Endothelin-1
(pharmacology)
- Gene Expression
(physiology)
- Hepatopulmonary Syndrome
(metabolism, physiopathology)
- Lung
(blood supply)
- Microcirculation
(physiology)
- Nitric Oxide Synthase Type III
(metabolism)
- Proto-Oncogene Proteins c-akt
(metabolism)
- Rats
- Receptor, Endothelin B
(genetics, metabolism)
- Signal Transduction
(drug effects, physiology)
- Stress, Mechanical
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