Pulmonary vascular and hemodynamic effects of prostaglandin E1 in unanesthetized sheep. 1984

M L Ogletree, and K L Brigham

We prepared fully instrumented sheep with chronic lung lymph fistulas and measured lung lymph and hemodynamic responses to intravenous infusions of prostaglandin (PG) E1. PGE1 decreased lung lymph flow from 8.0 +/- 0.8 S.E.M. ml/h during baseline to 6.5 +/- 0.7 ml/h (p less than 0.05) and 5.4 +/- 0.8 ml/h (p less than 0.05) at 50 and 250 micrograms/min, respectively. Lymph to plasma protein concentration ratio (L/P) did not change during PGE1 infusion and increased after PGE1 was stopped. Systemic and pulmonary vascular pressures decreased without producing reflex tachycardia. PGE1 consistently caused hypoxemia and hemoconcentration. Multiple indicator dilution studies showed consistent decreases in the 14C-urea permeability surface area product (PS urea) during PGE1 infusion. To distinguish effects of PGE1 on perfused lung vascular surface area from effects on vascular permeability, we mechanically increased lung vascular pressures, achieved a steady state lung lymph response, and infused PGE1 (50 micrograms/min) while maintaining constant left atrial pressure. PGE1 decreased lung lymph flow from 14.1 +/- 2.0 ml/h to 10.0 +/- 1.8 ml/h (p less than 0.05). Systemic and pulmonary arterial pressures fell. Cardiac output did not change and heart rate decreased. L/P increased significantly, indicating that the decrease in lymph flow could be attributed to decreased lung microvascular pressure without obligate change in microvascular permeability. During increased lung vascular permeability caused by E. coli endotoxin, PGE1 (250 micrograms/min) decreased lung lymph flow, and systemic and pulmonary vascular pressures fell. Although PGE1 decreased lymph protein clearance, L/P did not change. Decreased lymph flow with PGE1 could be attributed to decreased lung vascular pressure, decreased exchanging vessel surface area, or both.

UI MeSH Term Description Entries
D008196 Lymph The interstitial fluid that is in the LYMPHATIC SYSTEM. Lymphs
D011652 Pulmonary Circulation The circulation of the BLOOD through the LUNGS. Pulmonary Blood Flow,Respiratory Circulation,Circulation, Pulmonary,Circulation, Respiratory,Blood Flow, Pulmonary,Flow, Pulmonary Blood,Pulmonary Blood Flows
D012018 Reflex An involuntary movement or exercise of function in a part, excited in response to a stimulus applied to the periphery and transmitted to the brain or spinal cord.
D001798 Blood Proteins Proteins that are present in blood serum, including SERUM ALBUMIN; BLOOD COAGULATION FACTORS; and many other types of proteins. Blood Protein,Plasma Protein,Plasma Proteins,Serum Protein,Serum Proteins,Protein, Blood,Protein, Plasma,Protein, Serum,Proteins, Blood,Proteins, Plasma,Proteins, Serum
D002199 Capillary Permeability The property of blood capillary ENDOTHELIUM that allows for the selective exchange of substances between the blood and surrounding tissues and through membranous barriers such as the BLOOD-AIR BARRIER; BLOOD-AQUEOUS BARRIER; BLOOD-BRAIN BARRIER; BLOOD-NERVE BARRIER; BLOOD-RETINAL BARRIER; and BLOOD-TESTIS BARRIER. Small lipid-soluble molecules such as carbon dioxide and oxygen move freely by diffusion. Water and water-soluble molecules cannot pass through the endothelial walls and are dependent on microscopic pores. These pores show narrow areas (TIGHT JUNCTIONS) which may limit large molecule movement. Microvascular Permeability,Permeability, Capillary,Permeability, Microvascular,Vascular Permeability,Capillary Permeabilities,Microvascular Permeabilities,Permeabilities, Capillary,Permeabilities, Microvascular,Permeabilities, Vascular,Permeability, Vascular,Vascular Permeabilities
D004731 Endotoxins Toxins closely associated with the living cytoplasm or cell wall of certain microorganisms, which do not readily diffuse into the culture medium, but are released upon lysis of the cells. Endotoxin
D006439 Hemodynamics The movement and the forces involved in the movement of the blood through the CARDIOVASCULAR SYSTEM. Hemodynamic
D000527 Alprostadil A potent vasodilator agent that increases peripheral blood flow. PGE1,Prostaglandin E1,Caverject,Edex,Lipo-PGE1,Minprog,Muse,PGE1alpha,Prostaglandin E1alpha,Prostavasin,Prostin VR,Prostine VR,Sugiran,Vasaprostan,Viridal,Lipo PGE1
D000818 Animals Unicellular or multicellular, heterotrophic organisms, that have sensation and the power of voluntary movement. Under the older five kingdom paradigm, Animalia was one of the kingdoms. Under the modern three domain model, Animalia represents one of the many groups in the domain EUKARYOTA. Animal,Metazoa,Animalia
D012756 Sheep Any of the ruminant mammals with curved horns in the genus Ovis, family Bovidae. They possess lachrymal grooves and interdigital glands, which are absent in GOATS. Ovis,Sheep, Dall,Dall Sheep,Ovis dalli

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