Endothelin A but not endothelin B receptor blockade reduces capillary permeability in severe experimental pancreatitis.

Abstract:

INTRODUCTION:Microcirculatory disorders, in particular increased capillary permeability (CapPerm), contribute to the multiple organ dysfunction syndrome in severe acute pancreatitis (AP). Endothelin receptor antagonists (ET-RA) have been shown to stabilize capillary leakage and improve organ function in AP. AIM:To find out which endothelin receptor subtype (ET-A or ET-B) mediates the changes in CapPerm. METHODOLOGY:Severe AP was induced in rats by intraductal bile salt infusion and i.v. cerulein. Animals were randomized to receive (1) saline; (2) selective ET-A-RA (LU-135252; 30 mg/kg); (3) selective ET-B-RA (A-192621); (4) nonselective ET-RA (LU-135252; 120 mg/kg); or (5) combined ET-A/B-RA (30 mg/kg LU-135252 + A-192621). Capillary blood flow (CBF) and CapPerm in the pancreas and colon and leukocyte rolling in mesenteric venules were determined. RESULTS:Selective ET-A-RA increased CBF and decreased CapPerm in the pancreas and colon by 90-147% and reduced leukocyte rolling in AP but had no effect in healthy controls. Selective ET-B-RA increased pancreatic CBF (2.3 +/- 0.03 versus 2.1 +/- 0.04 nL/min) and enhanced CapPerm in the pancreas and colon by 24-35% in healthy controls but had no effect in AP. Blockade of both receptors produced effects similar to but less pronounced than those of selective ET-A-RA. CONCLUSIONS:Blockade of ET-A and ET-B receptors has different effects on CapPerm in healthy animals and those with AP. This may explain the inconclusive results reported with nonselective ET-RA. In severe AP, blockade of ET-A but not ET-B receptors reduces CapPerm.

journal_name

Pancreas

journal_title

Pancreas

authors

Eibl G,Forgacs B,Hotz HG,Buhr HJ,Foitzik T

doi

10.1097/00006676-200208000-00019

subject

Has Abstract

pub_date

2002-08-01 00:00:00

pages

e15-20

issue

2

eissn

0885-3177

issn

1536-4828

pii

00006676-200208000-00019

journal_volume

25

pub_type

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