“…One of the consequences of the administration of bacterial lipopolysaccharide (endotoxin) to experimental animals, or its release from Gram negative organisms in patients with sepsis, is impaired responsiveness to vasoconstrictor agents such as noradrenaline (Parratt 1973;Fink et al, 1985;Auclair et al, 1986;Evequoz et al, 1987) and to sympathetic nerve stimulation (Gray et al, 1990a;Guc et al, 1991;Tomikawa & Okabe, 1992). This reduced responsiveness, which also occurs in pithed animals (Guc et al, 1990;1992) and in blood vessels isolated from animals given endotoxin (Pomerantz et al, 1982;Wakabayashi et al, 1987;Bigaud et al, 1990) has been shown to be due mainly to the induction of nitric oxide synthase (NOS) and to a subsequent elevation of guanosine 3': 5'-cyclic monophosphate (cyclic GMP) Gray et al, 1991).…”