El-Awady MS, Smirnov SV, Watson ML. Voltage-independent calcium channels mediate lipopolysaccharide-induced hyporeactivity to endothelin-1 in the rat aorta. Am J Physiol Heart Circ Physiol 296: H1408 -H1415, 2009. First published March 13, 2009 doi:10.1152/ajpheart.01305.2008.-The roles of intracellular calcium concentration ([Ca 2ϩ ]i) and Ca 2ϩ sensitization in lipopolysaccharide (LPS)-induced vascular smooth muscle (VSM) hyporesponsiveness are incompletely understood. To investigate these roles, contraction responses to endothelin-1 (ET-1) and 80 mM KCl; relaxation responses to nifedipine; the expression levels of mRNAs of ET-1 and its receptors (ET A or ETB); the expression levels of protein kinase C (PKC) and phosphorylation of Rho kinase (ROK␣), CPI-17, and myosin phosphatase target subunit-1 (MYPT1); and changes in aortic VSM cell [Ca 2ϩ ]i were measured in LPS-treated aortic rings from male Wistar rats (250 -300 g). LPS (10 g/ml, 20 h) decreased contraction induced by ET-1 (0.3-100 nM) or 80 mM KCl. LPSinduced hypocontractility was not observed in the absence of external Ca 2ϩ , but LPS-treated aorta remained hypocontractile on subsequent stepwise restoration of extracellular Ca 2ϩ (0.01-10 mM). Vascular relaxation to nifedipine; mRNA expression levels of ET-1, ET A, or ET B; protein expression levels of PKC; and phosphorylation levels of ROK␣, CPI-17, and MYPT1 were not affected by LPS. In isolated aortic VSM cells, ET-1 caused a transient initial increase in [Ca 2ϩ ]i, followed by a maintained tonic increase in [Ca 2ϩ ]i, which was decreased by LPS pretreatment and was dependent on external Ca 2ϩ . Subsequent restoration of extracellular Ca 2ϩ increased [Ca 2ϩ ]i, but this increase was lower in the LPS-treated group. This difference in response to extracellular Ca 2ϩ addition was not affected by diltiazem, but was abolished by SKF-96365. Therefore, LPS induces hyporeactivity to ET-1 in rat aorta that depends on external Ca 2ϩ influx through non-voltage-operated Ca 2ϩ channels, but not on ET-1 receptor expression or Ca 2ϩ sensitization. calcium sensitization; sepsis; vascular smooth muscle SEPTIC SHOCK IS A COMPLEX pathological state characterized by systemic vasodilation and hyporesponsiveness to vasoconstrictor agents (12,32,38,39). Numerous experimental studies of sepsis have clearly documented the presence of both in vivo and in vitro vascular hyporesponsiveness to different vasoconstrictors, including ␣-adrenergic agonists (7, 12), angiotensin II (38), KCl (38, 39), endothelin-1 (ET-1) (4, 17), and thromboxane A 2 (2). Vascular hyporesponsiveness could be mediated either by an increase in vasodilating or a decrease in vasoconstricting mechanisms. Excessive production of vasodilator molecules, such as nitric oxide or prostacyclin, has been shown to contribute to the hypotension and vasoplegia in septic shock (23,24,36); however, inhibition of their production yields conflicting results. We previously showed that lipopolysaccharide (LPS) causes a selective hypocontractility of rat aorta to E...