Temporal increase in the reactivity of pulmonary vasculature to substance P in chronically hypoxic rats. Am J Physiol Regulatory Integrative Comp Physiol 282: R858-R864, 2002; 10.1152 10. /ajpregu.00429.2001ously demonstrated that the pulmonary vascular response to substance P (SP) increased in chronically hypoxic rats. This study explored the temporal increase in reactivity of the pulmonary vascular response to SP and its underlying mechanisms. First, young female Wistar rats were exposed to sea level (SL) or simulated high altitude (HA) for 15 h/day for 3 days, 1 wk, 2 wk, and 4 wk. Lungs were isolated and perfused with 4% bovine serum albumin in Krebs-Henseleit buffer solution. SP (1.5 ϫ 10 Ϫ4 M) induced significant increases in pulmonary arterial pressure (P pa), venous pressure (Pv), capillary pressure (P c), arterial resistance (Ra), and filtration coefficient (K fc) in SL lungs. Increases in Ppa and Ra were significantly augmented in HA lungs, with a temporal increase trend peaking at 2 wk of HA exposure. The selective neurokinin (NK) type 1 (NK 1) receptor antagonist SR-14033 significantly attenuated SP-induced increases in P pa, Pv, Pc, R a, and Kfc in SL lungs. In lungs exposed to HA for 2 wk, SR-14033 suppressed the effect of SP on P pa. Also, chronic hypoxia induced significant increases in NK 1 receptors and NK 1 receptor mRNA, with a temporal trend. We conclude that chronic hypoxia temporally augments SP-induced vascular responses, which are closely associated with increases in NK 1 receptors and gene expression. pulmonary hypertension; tachykinins; gene expression WE PREVIOUSLY DEMONSTRATED in vivo that pulmonary hypertension in chronic hypoxia was closely associated with activation of neurokinin (NK) type 1 (NK 1 ) receptors and that the pulmonary vascular response to substance P (SP) markedly increased in chronically hypoxic rats (2). SP is a member of the tachykinin family, and its action is mediated mainly via the NK 1 receptor and much less via the NK type 2 (NK 2 ) receptor (15). The time course and mechanism(s) of the enhanced pulmonary vascular reactivity to SP during chronic hypoxia are not clear.Therefore, this study was carried out, first, to investigate, using isolated perfused lungs, the temporal trend of this increased pulmonary vascular reactivity to SP in chronically hypoxic rats. In addition, we tested whether the NK 1 receptor antagonist SR-14033 (7) and the NK 2 receptor antagonist SR-48968 (6) prevent the increased vascular reactivity. Finally, we explored whether the NK 1 receptor and its gene expression are altered during the course of hypoxic exposure.
MATERIALS AND METHODSThis study was performed in three parts. Part 1 was carried out to explore temporal changes in pulmonary vascular reactivity to SP in chronically hypoxic rats. Part 2 was performed using the antagonist of SP. In part 3, we analyzed the NK 1 receptor and NK1 receptor gene expression.Animal preparation. In part 1, 29 young female Wistar rats weighing 219 Ϯ 3 g were divided into five groups: sea level (SL; n...