PMID- 17720871 OWN - NLM STAT- MEDLINE DCOM- 20071220 LR - 20201209 IS - 1040-0605 (Print) IS - 1040-0605 (Linking) VI - 293 IP - 5 DP - 2007 Nov TI - Congenital NOS2 deficiency prevents impairment of hypoxic pulmonary vasoconstriction in murine ventilator-induced lung injury. PG - L1300-5 AB - Hypoxic pulmonary vasoconstriction (HPV) preserves systemic arterial oxygenation during lung injury by diverting blood flow away from poorly ventilated lung regions. Ventilator-induced lung injury (VILI) is characterized by pulmonary inflammation, lung edema, and impaired HPV leading to systemic hypoxemia. Studying mice congenitally deficient in inducible nitric oxide synthase (NOS2) and wild-type mice treated with a selective NOS2 inhibitor, L-N(6)-(1-iminoethyl)lysine (L-NIL), we investigated the contribution of NOS2 to the impairment of HPV in anesthetized mice subjected to 6 h of either high tidal volume (HV(T)) or low tidal volume (LV(T)) ventilation. HPV was estimated by measuring the changes of left lung pulmonary vascular resistance (LPVR) in response to left mainstem bronchus occlusion (LMBO). LMBO increased the LPVR similarly in wild-type, NOS2(-/-), and wild-type mice treated with L-NIL 30 min before commencing 6 h of LV(T) ventilation (96% +/- 30%, 103% +/- 33%, and 80% +/- 16%, respectively, means +/- SD). HPV was impaired in wild-type mice subjected to 6 h of HV(T) ventilation (23% +/- 16%). In contrast, HPV was preserved after 6 h of HV(T) ventilation in NOS2(-/-) and wild-type mice treated with L-NIL either 30 min before or 6 h after commencing HV(T) ventilation (66% +/- 22%, 82% +/- 29%, and 85% +/- 16%, respectively). After 6 h of HV(T) ventilation and LMBO, systemic arterial oxygen tension was higher in NOS2(-/-) than in wild-type mice (192 +/- 11 vs. 171 +/- 17 mmHg; P < 0.05). We conclude that either congenital NOS2 deficiency or selective inhibition of NOS2 protects mice from the impairment of HPV occurring after 6 h of HV(T) ventilation. FAU - Liu, Rong AU - Liu R AD - Dept. of Anesthesia and Critical Care, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts 02114, USA. FAU - Hotta, Yukako AU - Hotta Y FAU - Graveline, Amanda R AU - Graveline AR FAU - Evgenov, Oleg V AU - Evgenov OV FAU - Buys, Emmanuel S AU - Buys ES FAU - Bloch, Kenneth D AU - Bloch KD FAU - Ichinose, Fumito AU - Ichinose F FAU - Zapol, Warren M AU - Zapol WM LA - eng GR - HL-42397/HL/NHLBI NIH HHS/United States GR - HL-71987/HL/NHLBI NIH HHS/United States GR - HL-74352/HL/NHLBI NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural DEP - 20070824 PL - United States TA - Am J Physiol Lung Cell Mol Physiol JT - American journal of physiology. Lung cellular and molecular physiology JID - 100901229 RN - 0 (Enzyme Inhibitors) RN - 0 (N(6)-(1-iminoethyl)lysine) RN - EC 1.14.13.39 (Nitric Oxide Synthase Type II) RN - EC 1.14.13.39 (Nos2 protein, mouse) RN - K3Z4F929H6 (Lysine) SB - IM MH - Animals MH - Bronchoconstriction MH - Enzyme Inhibitors/pharmacology MH - Hypoxia/physiopathology MH - Lung/*blood supply MH - Lysine/analogs & derivatives/pharmacology MH - Male MH - Mice MH - Mice, Inbred C57BL MH - Nitric Oxide Synthase Type II/*deficiency/genetics MH - Pulmonary Artery MH - *Pulmonary Ventilation MH - Respiratory Distress Syndrome/*etiology MH - Respiratory Insufficiency/enzymology/*prevention & control MH - Vascular Resistance MH - *Vasoconstriction MH - Ventilators, Mechanical/*adverse effects EDAT- 2007/08/28 09:00 MHDA- 2007/12/21 09:00 CRDT- 2007/08/28 09:00 PHST- 2007/08/28 09:00 [pubmed] PHST- 2007/12/21 09:00 [medline] PHST- 2007/08/28 09:00 [entrez] AID - 00396.2006 [pii] AID - 10.1152/ajplung.00396.2006 [doi] PST - ppublish SO - Am J Physiol Lung Cell Mol Physiol. 2007 Nov;293(5):L1300-5. doi: 10.1152/ajplung.00396.2006. Epub 2007 Aug 24.