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American Physiological Society, American Journal of Physiology - Regulatory, Integrative and Comparative Physiology, 2(282), p. R390-R399

DOI: 10.1152/ajpregu.00270.2001

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Reduced endothelial NO-cGMP vascular relaxation pathway during TNF-α-induced hypertension in pregnant rats

This paper was not found in any repository, but could be made available legally by the author.
This paper was not found in any repository, but could be made available legally by the author.

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Abstract

Placental ischemia during pregnancy is thought to release cytokines such as tumor necrosis factor-α (TNF-α), which may contribute to the increased vascular resistance associated with pregnancy-induced hypertension. We have reported that a chronic twofold elevation in plasma TNF-α increases blood pressure in pregnant but not in virgin rats; however, the vascular mechanisms are unclear. We tested the hypothesis that increasing plasma TNF-α during pregnancy impairs endothelium-dependent vascular relaxation and enhances vascular reactivity. Active stress was measured in aortic strips of virgin and late-pregnant Sprague-Dawley rats untreated or infused with TNF-α (200 ng · kg−1 · day−1 for 5 days) to increase plasma level twofold. Phenylephrine (Phe) increased active stress to a maximum of 4.2 ± 0.4 × 103and 9.9 ± 0.7 × 103 N/m2 in control pregnant and TNF-α-infused pregnant rats, respectively. Removal of the endothelium enhanced Phe-induced stress in control but not in TNF-α-infused pregnant rats. In endothelium-intact strips, ACh caused greater relaxation of Phe contraction in control than in TNF-α-infused pregnant rats. Basal and ACh-induced nitrite/nitrate production was less in TNF-α-infused than in control pregnant rats. Pretreatment of vascular strips with 100 μM N G-nitro-l-arginine methyl ester, to inhibit nitric oxide (NO) synthase, or 1 μM 1 H-[1,2,4]oxadiazolo[4,3-]quinoxalin-1-one, to inhibit cGMP production in smooth muscle, inhibited ACh-induced relaxation and enhanced Phe-induced stress in control but not in TNF-α-infused pregnant rats. Phe contraction and ACh relaxation were not significantly different between control and TNF-α-infused virgin rats. Thus an endothelium-dependent NO-cGMP-mediated vascular relaxation pathway is inhibited in late-pregnant rats infused with TNF-α. The results support a role for TNF-α as one possible mediator of the increased vascular resistance associated with pregnancy-induced hypertension.