Comparative effects of dexamethasone and L-canavanine in experimental septic shock.

Abstract:

:Glucocorticoids can reverse hemodynamic disturbances and dependence on catecholamines in septic shock. The relevant beneficial mechanisms of steroids in septic shock are unknown, although inducible nitric oxide synthase could account for them. The aim of this study was to compare the effects of dexamethasone, a glucocorticoid and L-canavanine, a selective inhibitor of inducible nitric oxide synthase, in a rodent model of sepsis. Mean arterial pressure was restored by dexamethasone and L-canavanine administration at 24 h, no longer at 30 h. Dexamethasone but not L-canavanine improved aortic blood flow at 24 and 30 h. Although both dexamethasone and L-canavanine administration significantly reduced nitrite/nitrate production, and improved survival, steroids did better for survival. In conclusion, dexamethasone and L-canavanine displayed similar vasopressor effects. In addition, steroids improved blood flow suggesting that steroid-induced hemodynamic improvement in sepsis is not solely due to inhibition of inducible nitric oxide synthase.

journal_name

Eur J Pharmacol

authors

Mansart A,Bollaert PE,Levy B,Nicolas MB,Mallié JP

doi

10.1016/s0014-2999(03)02035-1

keywords:

subject

Has Abstract

pub_date

2003-08-15 00:00:00

pages

61-7

issue

1-3

eissn

0014-2999

issn

1879-0712

pii

S0014299903020351

journal_volume

475

pub_type

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