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Published on: June 11, 2017
Hepatic injury induced by thioacetamide causes aortic endothelial dysfunction by a cyclooxygenase-dependent mechanism
M Nascimento1, R Piran1, R M Da Costa2
1Institute of Health Science, Federal University of Mato Grosso, Sinop, MT, Brazil.
Insights
Liver cirrhosis causes vascular hyporesponsiveness via cyclooxygenase (COX) activation, not nitric oxide (NO). This study in thioacetamide-induced liver injury reveals COX-2
Area of Science:
- Cardiovascular Physiology
- Hepatology
- Pharmacology
Background:
- Liver cirrhosis is linked to cardiovascular abnormalities like hyperdynamic circulation and cirrhotic cardiomyopathy.
- Vascular dysregulations are key pathogenic mechanisms contributing to these cardiovascular changes.
Purpose of the Study:
- To investigate if systemic vascular hyporesponsiveness in thioacetamide (TAA)-induced liver injury is mediated by nitric oxide (NO) or cyclooxygenase (COX) derivatives.
- To elucidate the role of NO and COX pathways in vascular dysfunction associated with liver injury.
Main Methods:
- Wistar rats were administered TAA for eight weeks to establish a liver injury model.
- Aortic contractile responses to phenylephrine were assessed with and without endothelium, L-NAME, and indomethacin.
- Protein expression of COX-2 and inducible nitric oxide synthase (iNOS) was analyzed.
Main Results:
- TAA-induced liver injury reduced maximal contractile response to phenylephrine in rat aorta, dependent on the endothelium.
- Impaired nitric oxide (NO) synthesis was observed, but NO pathways did not explain the reduced contractile response.
- Cyclooxygenase (COX) inhibition with indomethacin normalized the contractile response, indicating a COX-dependent mechanism.
- Increased protein expression of COX-2 and iNOS was found in the aorta of TAA-treated rats.
- Systolic blood pressure was reduced in TAA-treated animals.
Conclusions:
- Cyclooxygenase-2 (COX-2) activation significantly contributes to extra-hepatic vascular dysfunction in TAA-induced cirrhosis.
- Inflammatory processes, evidenced by increased COX-2 and iNOS expression, are present in the aorta of rats with liver injury.
Abstract:
Liver cirrhosis is associated with a wide range of cardiovascular abnormalities including hyperdynamic circulation and cirrhotic cardiomyopathy. The pathogenic mechanisms of these cardiovascular changes are multifactorial and include vascular dysregulations.
Aim:
The present study tested the hypothesis that the systemic vascular hyporesponsiveness in thioacetamide (TAA)-induced liver injury model is dependent on nitric oxide (NO) and cyclooxygenase (COX) derivatives.
Main Methods:
Wistar rats were treated with TAA for eight weeks to induce liver injury.
Key Findings:
The maximal contractile response in concentration-effect curves to phenylephrine was decreased in aorta from TAA-treated rats, but no differences were found in aorta without endothelium, suggesting an endothelium-dependent mechanism in decreased contractile response. There was no difference in the contractile response with and without L-NAME (N(ω)-nitro-l-arginine methyl ester) in rats with liver injury, showing that the TAA treatment impairs NO synthesis. Pre-incubation of the aorta with indomethacin, a COX-inhibitor, normalized the reduced contractile response to phenylephrine in arteries from TAA group. Also, COX-2 and iNOS (inducible nitric oxide syntase) protein expression was increased in aorta from TAA group compared to control group. Animals submitted to TAA treatment had a reduction in systolic blood pressure. Our findings demonstrated that liver injury induced by TAA caused a decrease in aortic contractile response by a COX-dependent mechanism but not by NO release. Also, it was demonstrated an inflammatory process in the aorta of TAA-treated rats by increased expression of COX-2 and iNOS.
Significance:
Therefore, there is an essential contribution of COX-2 activation in extra-hepatic vascular dysfunction and inflammation present in cirrhosis induced by TAA.
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