Endotoxin-induced myocardial dysfunction: is there a role for nitric oxide?

Shock. 1995 Nov;4(5):338-44.

Abstract

Nitric oxide has been implicated in the regulation of cardiac contractile function as well as the depressed myocardial contractility associated with sepsis and endotoxemia. We examined the effects of nitric oxide synthase (NOS) inhibitors and a nitric oxide generator on contractile responses of left atrial preparations and ventricular myocytes isolated from endotoxemic guinea pigs, which exhibit depressed myocardial contractile function. The NOS inhibitor L-NAME had no effect on contractile tension developed by control atria or atria isolated from guinea pigs 4 or 16 h after an intraperitoneal injection of endotoxin. Similarly, contraction of ventricular myocytes isolated from control or endotoxemic guinea pigs (4 h after endotoxin injection) was unchanged by exposure to several NOS inhibitors. In addition, neither Ca(2+)-dependent nor Ca(2+)-independent ventricular NOS activity was affected by endotoxemia. These data suggest that nitric oxide alone is not responsible for the cardiac contractile dysfunction of endotoxemic guinea pigs.

Publication types

  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Animals
  • Arginine / analogs & derivatives
  • Arginine / pharmacology
  • Enzyme Inhibitors / pharmacology*
  • Guanidines / pharmacology
  • Guinea Pigs
  • Heart Atria / drug effects
  • Heart Atria / metabolism
  • Heart Atria / physiopathology*
  • Immunoenzyme Techniques
  • Lipopolysaccharides
  • Male
  • Myocardial Contraction / drug effects*
  • Myocardium / enzymology
  • Myocardium / metabolism*
  • NG-Nitroarginine Methyl Ester
  • Nitric Oxide / metabolism
  • Nitric Oxide Synthase / antagonists & inhibitors*
  • Shock, Septic / chemically induced
  • Shock, Septic / metabolism
  • Shock, Septic / physiopathology*
  • omega-N-Methylarginine

Substances

  • Enzyme Inhibitors
  • Guanidines
  • Lipopolysaccharides
  • omega-N-Methylarginine
  • Nitric Oxide
  • Arginine
  • Nitric Oxide Synthase
  • pimagedine
  • NG-Nitroarginine Methyl Ester