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2 Department of Anesthesia, University of Pennsylvania, Philadelphia, Pennsylvania 19104; and 1 Department of Anesthesia, Jikei University School of Medicine, Tokyo 105-8461, Japan
The changes in
force developed during 40-min exposures to hypoxia (37 ± 1 mmHg)
were recorded in large (0.84 ± 0.02-mm-diameter) and small (0.39 ± 0.01-mm-diameter) intrapulmonary arteries during combinations of
mechanical wall stretch tensions (passive + active myogenic
components), equivalent to transmural vascular pressures of 5, 15, 30, 50, and 100 mmHg, and active (vasoconstriction) tensions, stimulated by
PGF2
in doses of 0, 25, 50, and
75% effective concentrations. Constriction was observed in all
arteries during the first minute; however, at any active tension, the
pattern of the subsequent response was a function of the stretch
tension. At 5, 15, and 30 mmHg, the constriction decreased slightly at 5 min and then increased again to remain constrictor throughout. At 50 and 100 mmHg, the initial constriction was followed by persistent dilation. Hypoxic constrictor responses, most resembling those observed
in lungs in vivo and in vitro, were observed when the mechanical
stretch wall tension was equivalent to 15 or 30 mmHg and the dose of
PGF2
was 25 or 50% effective
concentration. These observations reconcile many apparently
contradictory results reported previously.
hypoxic pulmonary vasoconstriction; wall stress; prostaglandin
F2
; mechanical stretch; myogenic tone
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