title: Endothelial nitric oxide synthase mediates protective effects of hypoxic preconditioning in lungs.
abstract: To elucidate the protective mechanism of whole-body hypoxic preconditioning (WHPC) on pulmonary ischemia-reperfusion injury focussing on nitric oxide synthases (NOS), mice were placed in a hypoxic chamber (FIO(2)=0.1) for 4h followed by 12h of normoxia. Then, pulmonary ischemia for 1h followed by 5h of reperfusion was performed by clamping the left hilum in vivo (I/R). WHPC protected WT mice from pulmonary leukocyte infiltration as assessed by myeloperoxidase (MPO) activity, associated with a mild further increase in endothelial permeability (Evans Blue extravasation). When all NOS isoforms were inhibited during WHPC by L-NAME, mortality and MPO activity after I/R markedly increased. To determine the responsible NOS isoform, quantitative RT-PCR was performed for eNOS and iNOS mRNA, showing that only eNOS was upregulated in response to WHPC. While eNOS total protein expression remained unchanged, the amount of phosphorylated eNOS also increased. The WHPC/IR experiments were then repeated with eNOS knockout mice. Here, we found that the protective effect of WHPC on pulmonary leukocyte sequestration was abrogated, and endothelial leakage was further exacerbated. We conclude that WHPC limits neutrophil sequestration via an eNOS-dependent mechanism, and that eNOS helps preserve endothelial permeability during hypoxia and I/R.
authors.affiliation: Department of Cardiac Surgery, University of Rostock, Schillingallee 35, 18055 Rostock, Germany.
authors.forename: A
authors.initials: A
authors.lastname: Kaminski
authors.forename: C
authors.initials: C
authors.lastname: Kasch
authors.forename: L
authors.initials: L
authors.lastname: Zhang
authors.forename: S
authors.initials: S
authors.lastname: Kumar
authors.forename: C
authors.initials: C
authors.lastname: Sponholz
authors.forename: Y-H
authors.initials: YH
authors.lastname: Choi
authors.forename: N
authors.initials: N
authors.lastname: Ma
authors.forename: A
authors.initials: A
authors.lastname: Liebold
authors.forename: Y
authors.initials: Y
authors.lastname: Ladilov
authors.forename: G
authors.initials: G
authors.lastname: Steinhoff
authors.forename: C
authors.initials: C
authors.lastname: Stamm
mesh_terms: D000818:Animals; D015153:Blotting, Western; D002199:Capillary Permeability / Q000502:physiology; D002465:Cell Movement / Q000502:physiology; D004730:Endothelium, Vascular / Q000502:physiology; D005070:Evans Blue; D005260:Female; D005987:Glyceraldehyde-3-Phosphate Dehydrogenases / Q000378:metabolism; D000860:Hypoxia / Q000503:physiopathology*; D008168:Lung / Q000201:enzymology / Q000502:physiology*; D051379:Mice; D018345:Mice, Knockout; D009504:Neutrophils / Q000502:physiology; D052250:Nitric Oxide Synthase Type III / Q000235:genetics / Q000502:physiology*; D009195:Peroxidase / Q000378:metabolism; D012333:RNA, Messenger / Q000096:biosynthesis; D020133:Reverse Transcriptase Polymerase Chain Reaction
chemical_list: D012333:RNA, Messenger; D005070:Evans Blue; D009195:Peroxidase; D052250:Nitric Oxide Synthase Type III; D005987:Glyceraldehyde-3-Phosphate Dehydrogenases