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Am J Physiol Heart Circ Physiol 281: H1075-H1084, 2001;
0363-6135/01 $5.00
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Vol. 281, Issue 3, H1075-H1084, September 2001

Hemorrhagic shock primes the hepatic portal circulation for the vasoconstrictive effects of endothelin-1

Benedikt H. J. Pannen1, Stephan Schroll1, Torsten Loop1, Michael Bauer2, Alexander Hoetzel1, and Klaus K. Geiger1

1 Department of Anesthesiology and Critical Care Medicine, University of Freiburg, D-79106 Freiburg; and 2 Department of Anesthesiology and Critical Care Medicine, University of the Saarland, D-66421 Homburg, Germany

To test whether hemorrhagic shock and resuscitation (HSR) alters the vascular responsiveness of the portohepatic circulation to endothelins (ETs), we studied the macro- and microcirculatory effects of the preferential ETA receptor agonist ET-1 and of the selective ETB receptor agonist sarafotoxin 6c (S6c) after 1 h of hemorrhagic hypotension and 5 h of volume resuscitation in the isolated perfused rat liver ex vivo using portal pressure-flow relationships and epifluorescence microscopy. Although HSR did not cause major disturbances of hepatic perfusion per se, the response to ET-1 (0.5 × 10-9 M) was enhanced, leading to greater increases in portal driving pressure, total portal resistance, and zero-flow pressures and more pronounced decreases in portal flow, sinusoidal diameters, and hepatic oxygen delivery compared with time-matched sham shock controls. In sharp contrast, the constrictive response to S6c (0.25 × 10-9 M) remained unchanged. Thus HSR primes the portohepatic circulation for the vasoconstrictive effects of ET-1 but does not alter the effects of the ETB receptor agonist S6c. The enhanced sinusoidal response may contribute to the subsequent development of hepatic microcirculatory failure after secondary insults that are associated with increased generation of ET-1.

endothelin receptors; microcirculation; portal vein; pressure-flow relationship; sarafotoxin 6c


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