Summarysynthesis of a vasodilator PG that reduces the vasoconstriction.Inhibition of prostaglandin cyclooxygenase augments hypoxic pulmonary vasoconstriction. We used a neonatal lamb lung preparation perfused with Krebs' bicarbonate buffer to characterize and quantify prostanoids produced by the pulmonary vasculature from endogenous arachidonic acid in the absence of formed blood elements during ventilation with normoxic and hypoxic gas mixtures. Prostaglandin (PG) 12 synthesis increased from 6.4 + 2.7 ng/min (SEM) during normoxic ventilation to 14.3 f 5.4 ng/min during hypoxia and returned to 4.7 f 1.2 ng/min with resumption of normoxia. These data demonstrate that hypoxia stimulates pulmonary vascular synthesis of prostaglandin I2 from endogenous substrate in neonatal lambs and suggest that the augmentation of hypoxic pulmonary vasoconstriction by prostaglandin cyclooxygenase inhibition is due, at least in part, to interference with the synthesis of this vasodilator prostanoid.
Abbreviations
PG, prostanoid PG12, prostacyclin TXB2, thromboxane B2Inhibition of prostaglandin cyclooxygenase augments hypoxic pulmonary vasoconstriction in adult mammals of several species (1,12,24,27,28). A possible explanation for this observation is that hypoxia or hypoxic pulmonary vasoconstriction induces the ~nhibition of PG synthesis would remove this vasodilator PG and, thus, increase the hypoxic constriction. Indirect evidence supporting this hypothesis in the neonate includes the observations that: 1) PGIa is the most abundant PG produced by fetal bovine pulmonary arterial slices (22); 2) under normoxic conditions, PGI? is the most abundant PG produced by the newly ventilated neonatal lamb lung (10, 11); 3) PG12 is a pulmonary vasodilator in the fetal and neonatal lamb (3, 9, 13), and its vasodilatory effect on the neonatal pulmonary vasculature is more evident during hypoxic pulmonary vasoconstriction (13); and 4) hypoxic pulmonary vasoconstriction in premature and term neonatal goats is augmented by indomethacin, an inhibitor of PG synthesis (23). In the present study, we used a neonatal lamb lung preparation perfused with Krebs' bicarbonate buffer to characterize and quantify prostanoids produced by the pulmonary vasculature from endogenous arachidonic acid in the absence of formed blood elements. Pulmonary perfusate was collected during ventilation with normoxic and hypoxic gas mixtures. Analysis of these perfusates allowed determination of the effect of hypoxic pulmonary vasoconstriction on pulmonary vascular prostanoid synthesis.
MATERIALS AND METHODSAnimalpreparation. Fourteen neonatal lambs [10.7 & 2.0 days old (SEM); 5.5 +. 1.6 kg) were anesthetized with 50 mg/kg achloralose IV. A tracheostomy was performed, and ventilation with room air was begun using a constant volume ventilator. A left thoracotomy was performed and the left lung was removed, leaving the mediastinum intact. Consequently, the right lung, which was to be perfused, was not exposed to the environment. The tidal volume was reduced by approximately 40%...