Endotoxin pretreatment enhances the portal venous contractile response to endothelin-1. Pannen, Benedikt H. J., Michael Bauer, Jian X. Zhang, James L. Robotham, Mark G. Clemens. Department of Surgery and the Department of Anesthesiology and Critical Care Medicine, The Johns Hopkins Medical Institutions, Baltimore, Maryland 21287
APStracts 2:0267H, 1995.
To test whether endotoxin pretreatment modulates the portal hemodynamic response to endothelin-1 (ET-1) and phenylephrine (PE), two potent vasoconstrictors in the portal circulation of the normal liver, rats received i.p. injections of E. coli lipopolysaccharide (LPS; 1 mg x kg-1 body weight) or saline. Livers were isolated after 6 or 24 hours and perfused with Krebs buffer containing 5% autologous erythrocytes. Analyses of portal pressure-flow (P-Q) relationships and epifluorescence video microscopy were performed before and after ET-1 (10-9 M) or PE (10-5 M). LPS-pretreatment increased total portal resistances (Rt), zero-flow pressures (PQ=0), and linear regression slopes of P-Q relationships, decreased the sinusoidal diameters (DS), and sinusoidal volumetric flow (QV). Six and 24 hours after LPS the response to ET-1 was enhanced, leading to greater increases in Rt, PQ=0, and slope, and more pronounced decreases in DS, VRBC, and QV. In contrast, PE effects were similar (PQ=0, slope, DS) or even attenuated (Rt, VRBC, QV) in livers from LPS-treated as compared to control animals. Thus, endotoxin pretreatment increased the portal contractile response to ET-1 but not to PE. This enhanced ET-1 response appeared to occur at sinusoidal and presinusoidal levels and may contribute to endotoxin-induced hepatic microcirculatory failure.

Received 5 April 1995; accepted in final form 12 June 1995.
APS Manuscript Number H326-5.
Article publication pending Am. J. Physiol. (Heart Circ. Physiology).
ISSN 1080-4757 Copyright 1995 The American Physiological Society.
Published in APStracts on 11 July 1995.