Prevention of bronchial hyperreactivity in a rat model of precapillary pulmonary hypertension

Walid Habre, Gergely Albu, Tibor Z. Janosi, Fabienne Fontao, Britta S. von Ungern-Sternberg, Maurice Beghetti, Ferenc Petak

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Abstract

Background: The development of bronchial hyperreactivity (BHR) subsequent to precapillary pulmonary hypertension (PHT) was prevented by acting on the major signalling pathways (endothelin, nitric oxide, vasoactive intestine peptide (VIP) and prostacyclin) involved in the control of the pulmonary vascular and bronchial tones. Methods: Five groups of rats underwent surgery to prepare an aorta-caval shunt (ACS) to induce sustained precapillary PHT for 4 weeks. During this period, no treatment was applied in one group (ACS controls), while the other groups were pretreated with VIP, iloprost, tezosentan via an intraperitoneally implemented osmotic pump, or by orally administered sildenafil. An additional group underwent sham surgery. Four weeks later, the lung responsiveness to increasing doses of an intravenous infusion of methacholine (2, 4, 8 12 and 24 μg/kg/min) was determined by using the forced oscillation technique to assess the airway resistance (Raw). Results: BHR developed in the untreated rats, as reflected by a significant decrease in ED50, the equivalent dose of methacholine required to cause a 50% increase in Raw. All drugs tested prevented the development of BHR, iloprost being the most effective in reducing both the systolic pulmonary arterial pressure (Ppa; 28%, p = 0.035) and BHR (ED50 = 9.9 ± 1.7 vs. 43 ± 11 μg/kg in ACS control and iloprost-treated rats, respectively, p = 0.008). Significant correlations were found between the levels of Ppa and ED50 (R = -0.59, p = 0.016), indicating that mechanical interdependence is primarily responsible for the development of BHR. Conclusions: The efficiency of such treatment demonstrates that re-establishment of the balance of constrictor/dilator mediators via various signalling pathways involved in PHT is of potential benefit for the avoidance of the development of BHR.

Original languageEnglish
Article number58
JournalRespiratory Research
Volume12
Issue number1
DOIs
Publication statusPublished - Apr 27 2011

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ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine

Cite this

Habre, W., Albu, G., Janosi, T. Z., Fontao, F., von Ungern-Sternberg, B. S., Beghetti, M., & Petak, F. (2011). Prevention of bronchial hyperreactivity in a rat model of precapillary pulmonary hypertension. Respiratory Research, 12(1), [58]. https://doi.org/10.1186/1465-9921-12-58