Hypotension- and endotoxin-induced alterations in calcitonin gene-related peptide: modulation by dexamethasone

Plasma levels of calcitonin gene-related peptide (CGRP) were studied in anesthetized rats during and after recovery from hemorrhagic hypotension as well as following administration of bacterial endotoxin. Hypotension of 35-40 mmHg maintained for 2 hr resulted in significant (P less than .05) elevation of plasma CGRP levels. Plasma levels at 120 min of hypotension were 49.5 +/- 5.9 pg/ml, over 4-fold above average control levels (11.1 +/- 1.1 pg/ml). Plasma CGRP levels at 90 min of hypotension (20.2 +/- 2.4 pg/ml) or before were not more than 2.5-fold above control levels. Ninety minutes after the return of shed blood in the 30 min group, blood pressure (83 +/- 3 mmHg) and CGRP (17.2 +/- 2.2 pg/ml) were not different from saline controls (88 +/- 3 mmHg and 15.1 +/- 1.7 pg/ml CGRP). However, if hypotension was maintained for 120 min before the return of shed blood, blood pressure following 90 min recovery was significantly lower (59 +/- 5 mmHg) and CGRP levels significantly higher (39.2 +/- 5.6 pg/ml) than saline control values (82 +/- 5 mmHg and 19.5 +/- 2.7 pg/ml). Dexamethasone treatment of the 120 min hypotension group when shed blood was returned resulted in CGRP values not different from saline treated, but hypotension persisted. Administration of bacterial endotoxin (16.7 mg/kg) to anesthetized rats caused significant elevations (P less than .05 vs. saline treatment at 3 hr) in plasma CGRP levels from aorta (82.2 +/- 5.0 pg/ml), vena cava (79.4 +/- 12.9), and portal vein (117.7 +/- 29 pg/ml) compared to levels in saline-treated control rats.(ABSTRACT TRUNCATED AT 250 WORDS)