Decreased myogenic reactivity in skeletal muscle arterioles after hypothermic cardiopulmonary bypass

J Surg Res. 1997 Apr;69(1):40-4. doi: 10.1006/jsre.1997.5020.

Abstract

Cardiopulmonary bypass (CPB) is associated with a generalized defect in the intrinsic control of vascular smooth muscle. To determine if myogenic reactivity of skeletal muscle arterioles was altered by CPB, sheep (n = 7) were placed on hypothermic CPB (27 degrees C) for 90 min and hearts were arrested by cold blood cardioplegia ([K+] = 25 mM) for 60 min. Arterioles (70-180 microns) were isolated from the gracilis muscle before (control) and 15 min after CPB. In vitro arteriolar responses were studied with video-microscopy. Myogenic reactivity was examined to stepwise increases in intraluminal pressure from 10 to 100 mm Hg. Mean arterial pressure was decreased from 80 +/- 15 prior to CPB to 55 +/- 4 mm Hg (P < 0.01) 15 min after CPB. Myogenic contraction was observed in control vessels and was markedly attenuated by the protein kinase C inhibitor staurosporine (P < 0.01). CPB decreased myogenic contraction and shifted the pressure-diameter relation upward, suggesting a decrease in the intrinsic tone (both P < 0.05 vs control). CPB reduced contractile responses to the alpha 1-adrenoceptor agonist phenylephrine from -43 +/- 7% to -23 +/- 5% (P < 0.01) and the protein kinase C activator 12-deoxyphorbol 13-isobutyrate 20-acetate (phorbol ester) from -64 +/- 6% to -38 +/- 16% (P < 0.01). CPB-associated decrease in myogenic reactivity of skeletal muscle arterioles is likely due to alterations in protein kinase C and/or downstream signal transduction. This may account in part for reduction in systemic vascular resistance and hypotension associated with CPB.

Publication types

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

MeSH terms

  • Adrenergic alpha-Agonists / pharmacology
  • Animals
  • Arterioles / drug effects
  • Arterioles / growth & development
  • Arterioles / physiopathology
  • Coronary Artery Bypass*
  • Enzyme Activation
  • Enzyme Inhibitors / pharmacology
  • Female
  • Hypothermia, Induced*
  • In Vitro Techniques
  • Muscle Development*
  • Muscle, Skeletal / blood supply*
  • Muscle, Smooth, Vascular / drug effects
  • Muscle, Smooth, Vascular / growth & development*
  • Muscle, Smooth, Vascular / physiopathology
  • Phenylephrine / pharmacology
  • Phorbol Esters / pharmacology
  • Protein Kinase C / antagonists & inhibitors
  • Protein Kinase C / drug effects
  • Protein Kinase C / metabolism
  • Sheep
  • Staurosporine / pharmacology
  • Vasoconstriction

Substances

  • Adrenergic alpha-Agonists
  • Enzyme Inhibitors
  • Phorbol Esters
  • Phenylephrine
  • 12-deoxyphorbol-13-isobutyrate-20-acetate
  • Protein Kinase C
  • Staurosporine