. Interaction between endothelial heme oxygenase-2 and endothelin-1 in altered aortic reactivity after hypoxia in rats. Am J Physiol Heart Circ Physiol 288: H962-H970, 2005. First published October 14, 2004; doi:10.1152/ajpheart. 01218.2003.-The aim of this study was to determine whether increased expression of heme oxygenase (HO) contributes to impairment of aortic contractile responses after hypoxia through effects on reactivity to endothelin-1 (ET-1). Thoracic aortas from normoxic rats and rats exposed to hypoxia (10% O2) for 16 or 48 h were mounted in organ bath myographs for contractile studies, fixed in paraformaldehyde, or frozen in liquid nitrogen for protein extraction. In rings from normoxic rats, the HO inhibitor tin protoporphyrin IX (SnPP IX, 10 M) did not alter the response to phenylephrine or ET-1. In rings from rats exposed to 16-h hypoxia, maximum tension generated in response to these agonists was higher in endothelium-intact but not -denuded rings in the presence of SnPP IX. In rings from rats exposed to 48-h hypoxia SnPP IX increased contraction in endothelium-intact but not -denuded rings. In endothelium-intact aortic rings from rats exposed to 16-h hypoxia incubated with endothelin A receptorspecific antagonist BQ-123 (10 Ϫ7 M), SnPP IX did not alter phenylephrine-induced contraction. Aortic ET-1 protein levels, measured by radioimmunoassay, were increased in rats exposed to hypoxia for 16 and 48 h. Western blotting showed that HO-1 and HO-2 protein were increased after 16 h of hypoxia and returned to near-control levels after 48 h. Increase in HO-1 protein was detected in endotheliumintact and -denuded rings. Removal of endothelium abolished the increase in HO-2 immunoreactivity. Immunohistochemistry localized expression of HO-1 protein to vascular smooth muscle, whereas HO-2 was only detected in endothelium. HO-2 is expressed by aortic endothelial cells early during hypoxic exposure and impairs ET-1-mediated potentiation of contraction to ␣-adrenoceptor stimulation. vascular reactivity; oxygen delivery; blood flow regulation THE ENDOTHELINS ARE POTENT vasoconstrictor peptides released by endothelial cells in response to a variety of stimuli. Hypoxia is a particularly potent activator of endothelin-1 (ET-1) production (19,47), and recent studies indicate that ET-1 plays a central role in adaptation to hypoxia, regulating peripheral chemoreceptor sensitivity (36) and potentiating the vascular responses that enhance pulmonary gas exchange and tissue oxygen extraction (5, 34, 48, 52). Given the need to balance these important functions with the potential for exacerbation of ischemic injury through excessive vasoconstriction (6), it is not surprising that mechanisms have evolved to modulate the local bioavailability and potency of ET-1 to preserve the relationship between regional oxygen delivery and metabolic demand (20, 46). Heme oxygenase (HO), the rate-limiting enzyme in the heme catabolic pathway that yields bilirubin as the final product, catalyzes the formation of biliverdin through th...