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1 Center For Anesthesiology Research, The Cleveland Clinic, Cleveland, Ohio, United States
* To whom correspondence should be addressed. E-mail: murrayp{at}ccf.org.
Pulmonary veins (PV) make a significant contribution to total pulmonary vascular resistance. We investigated the extent and cellular mechanisms by which the intravenous anesthetics, propofol and thiopental, alter adenosine triphosphate-sensitive potassium (K+ATP) channel relaxation in canine PV. The effects of K+ATP channel inhibition (glybenclamide), cyclooxygenase inhibition (indomethacin), nitric oxide synthase inhibition (L-NAME), and L-type voltage-gated Ca2+ channel inhibition (nifedipine) on vasorelaxation responses to levcromakalim (K+ATP channel activator) alone and in combination with the anesthetics were assessed. The maximal relaxation response to levcromakalim was attenuated by removing the endothelium and by L-NAME, but not by indomethacin. Propofol (10-5, 3x10-5 and 10-4 M) and thiopental (10-4 and 3x10-4 M) each attenuated levcromakalim relaxation in endothelium-intact (E+) rings, whereas propofol (3x10-5 and 10-4 M) and thiopental (3x10-4 M) attenuated levcromakalim relaxation in endothelium-denuded (E-) rings. In E+ rings, the anesthesia-induced attenuation of levcromakalim relaxation was decreased following pretreatment with L-NAME, but not with indomethacin. In E- strips, propofol (10-4 M) and thiopental (3x10-4 M) inhibited decreases in tension and intracellular Ca2+ concentration ([Ca2+]i) in response to levcromakalim, and these changes were abolished by nifedipine. These findings indicate that propofol and thiopental attenuate the endothelium-dependent component of K+ATP-induced PV vasorelaxation via an inhibitory effect on the nitric oxide pathway. Both anesthetics also attenuate the PV smooth muscle component of K+ATP-induced relaxation by reducing the levcromakalim-induced decrease in [Ca2+]i via an inhibitory effect on L-type voltage-gated Ca2+ channels.
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