Adenosine modulates hypoxia-induced atrial natriuretic peptide release in fetal sheep. Ogunyemi, Dotun A., Brian J. Koos, Chander P. Arora, Lony C. Castro, and Brian A. Mason. Department of Obstetrics and Gynecology, Nicholas S. Assali Perinatal Research Laboratory, UCLA School of Medicine, Los Angeles, CA 90024; and the Department of Obstetrics and Gynecology, Cedars Sinai Research Institute, Cedars Sinai Medical Center, Los Angeles, CA 90048
APStracts 2:0174H, 1995.
The effects of adenosine on atrial natriuretic peptide (ANP) secretion were determined in chronically catheterized fetal sheep (>0.8 term). Adenosine was infused into the the right jugular vein for 1 h at 8 +/- 0.4 (5 fetuses), 160 +/- 8 (6 fetuses), and 344 +/- 18 _g/min per kg fetal weight. Fetal arterial blood gases and pH were generally unaffected by adenosine, although mean PaCO2 increased transiently by 2-5 Torr and pH fell progressively during the highest rate of infusion. During the intermediate and high infusion rates, fetal hemoglobin concentrations increased by 11-13% and mean fetal heart rate rose by 18% from a control value of about 167 beats/min. Mean arterial pressure was not affected during adenosine infusion. Adenosine significantly increased fetal plasma ANP levels with maximum concentrations 1.80, 2.36, and 2.51 times greater than the control means (142-166 pg/ml) for the respective infusion rates of 8, 160, and 344 _g/min/kg fetal weight. In 7 fetuses, reducing fetal PaO2 by about 9-10 Torr from a control of 23 +/- 1.3 Torr increased plasma ANP concentrations about 2.4 times the control mean of 176 pg/min. Adenosine receptor blockade with 8-(p-sulfophenyl) -theophylline reduced by 50% the maximum hypoxia-induced rise in plasma ANP concentrations. It is concluded that adenosine 1) causes a dose-dependent rise in fetal plasma ANP concentrations, and 2) modulates fetal ANP release during hypoxia.

Received 20 July 1994; accepted in final form 27 January 1995.
APS Manuscript Number H639-4.
Article publication pending Am. J. Physiol. (Heart Circ. Physiology).
ISSN 1080-4757 Copyright 1995 The American Physiological Society.
Published in APStracts on  2 May 1995.