PMID- 1542546 OWN - NLM STAT- MEDLINE DCOM- 19920406 LR - 20131121 IS - 0031-3998 (Print) IS - 0031-3998 (Linking) VI - 31 IP - 2 DP - 1992 Feb TI - Effect of pentoxifylline on cytokine- and eicosanoid-induced acute pulmonary hypertension in piglets. PG - 163-9 AB - The methylxanthine derivative pentoxifylline (PTF) demonstrates vasodilatory properties in vivo. We tested the hypothesis that PTF infusion would blunt or inhibit tumor necrosis factor-alpha (TNF alpha)-induced and U46,619-induced increases in mean pulmonary artery pressure and pulmonary vascular resistance (PVR) in the neonatal piglet and would do so by altering production of eicosanoid vasoactive mediators. Anesthetized, paralyzed piglets (age 10-29 d) were randomized and treated with a 30-min infusion of TNF alpha alone (n = 13 animals), with a combination of TNF alpha plus pretreatment and continuous infusion with PTF (n = 6), or with a combination of U46,619 for 30 min plus pretreatment and continuous infusion of PTF (n = 5). There was no difference in pulmonary or systemic hemodynamic indices between the three groups at baseline. PVR was significantly elevated at 15 min and at 2 h in the TNF alpha-only group. The TNF alpha-induced rise in mean pulmonary artery pressure and PVR was inhibited by the PTF until 2 h, by which time PVR was elevated above baseline and was comparable to the value found in animals treated with only TNF alpha. PTF produced no inhibition in the U46,619-induced elevation of PVR during the 30-min simultaneous treatment. In the PTF + TNF alpha group, mean systemic blood pressure declined to 50% of baseline value (p less than 0.02) by 2 h of age. No significant decline was noted in mean systemic arterial pressure of the TNF alpha-only or the U46,619-treated group.(ABSTRACT TRUNCATED AT 250 WORDS) FAU - Truog, W E AU - Truog WE AD - Department of Pediatrics, University of Washington School of Medicine, Seattle 98195. FAU - Gibson, R L Jr AU - Gibson RL Jr FAU - Henderson, W R Jr AU - Henderson WR Jr FAU - Redding, G J AU - Redding GJ FAU - Standaert, T A AU - Standaert TA LA - eng GR - HL-01653/HL/NHLBI NIH HHS/United States GR - HL-39157/HL/NHLBI NIH HHS/United States GR - RR-00166/RR/NCRR NIH HHS/United States GR - etc. PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, P.H.S. PL - United States TA - Pediatr Res JT - Pediatric research JID - 0100714 RN - 0 (Arachidonic Acids) RN - 0 (Prostaglandin Endoperoxides, Synthetic) RN - 0 (Tumor Necrosis Factor-alpha) RN - 76898-47-0 (15-Hydroxy-11 alpha,9 alpha-(epoxymethano)prosta-5,13-dienoic Acid) RN - SD6QCT3TSU (Pentoxifylline) SB - IM MH - 15-Hydroxy-11 alpha,9 alpha-(epoxymethano)prosta-5,13-dienoic Acid MH - Acute Disease MH - Animals MH - Animals, Newborn MH - Arachidonic Acids/metabolism MH - Blood Pressure/drug effects MH - Hypertension, Pulmonary/*drug therapy/etiology/physiopathology MH - Pentoxifylline/*therapeutic use MH - Prostaglandin Endoperoxides, Synthetic MH - Pulmonary Circulation/drug effects MH - Pulmonary Gas Exchange/drug effects MH - Swine MH - Tumor Necrosis Factor-alpha MH - Vascular Resistance/drug effects EDAT- 1992/02/11 19:15 MHDA- 2001/03/28 10:01 CRDT- 1992/02/11 19:15 PHST- 1992/02/11 19:15 [pubmed] PHST- 2001/03/28 10:01 [medline] PHST- 1992/02/11 19:15 [entrez] AID - 10.1203/00006450-199202000-00015 [doi] PST - ppublish SO - Pediatr Res. 1992 Feb;31(2):163-9. doi: 10.1203/00006450-199202000-00015.