Role of tachykinins in airway responses to ozone in rats

Previousstudies that used neonatal capsaicin (Cap) treatment toablate C fibers indicate that C fibers act to inhibit lung damage andairway hyperresponsiveness after ozone(O₃) exposure in rats. Thepurpose of this study was to determine1) the role of tachykinins in theseprotective effects and 2) whetherdifferences in minute ventilation (E)during O₃ exposure might accountfor the effect of Cap. In the first study, male Sprague-Dawley rats were exposed to 1 part/million O₃or air for 3 h. Four hours later, a bronchoalveolar lavage (BAL) wasperformed or airway responsiveness was measured. Rats were treated withCP-99994 and SR-48968, selective neurokinin-1- and -2-receptorantagonists, respectively, or with vehicle (Veh).O₃ caused an increase in thenumber of neutrophils recovered from BAL fluid in both the Veh-treatedand tachykinin-receptor antagonist (TKRA)-treated rats, but the numberof neutrophils was approximately twofold greater in the TKRA-treatedrats. In contrast, TKRA treatment had no effect on baseline pulmonarymechanics or airway responsiveness. AfterO₃ exposure, the number ofneutrophils in BAL fluid was also greater in Cap- than in Veh-treatedrats. O₃ reducedE in both Veh- and Cap-treated rats,but the response was greater (reduction of 44.7 ± 3.7 vs. 27.8 ± 6.8%) and occurred earlier (10 vs. 70 min) in Cap- than inVeh-treated rats (P < 0.02). Theseresults suggest that tachykinins mediate protective effects of C fibersagainst O₃-induced lunginflammation. The results also indicate that the more pronounced effectof O₃ on BAL neutrophils inCap-treated rats is not the result of a greater inhaled dose ofO₃ resulting from greaterE.

     

Mast cell activation is not required for induction of airway hyperresponsiveness by ozone in mice

Exposure to ambient ozone(O₃) is associated withincreased exacerbations of asthma. We sought to determine whether mastcell degranulation is induced by in vivo exposure toO₃ in mice and whether mast cellsplay an essential role in the development of pulmonarypathophysiological alterations induced byO₃. For this we exposed mastcell-deficientWBB6F₁-kit^W/kit^W-v(kit^W/kit^W-v)mice and the congenic normalWBB6F₁ (+/+) mice to air or to 1 or 3 parts/million O₃ for 4 h andstudied them at different intervals from 4 to 72 h later. We foundevidence of O₃-induced cutaneous,as well as bronchial, mast cell degranulation. Polymorphonuclear cellinflux into the pulmonary parenchyma was observed after exposure to 1 part/milllion O₃ only in mice thatpossessed mast cells. Airway hyperresponsiveness to intravenousmethacholine measured in vivo under pentobarbital anesthesia wasobserved in bothkit^W/kit^W-vand +/+ mice after exposure to O₃.Thus, although mast cells are activated in vivo byO₃ and participate inO₃-induced polymorphonuclear cellinfiltration into the pulmonary parenchyma, they do not participate detectably in the development ofO₃-induced airwayhyperresponsiveness in mice.

     

Chronic exposure to ozone causes tolerance to airway hyperresponsiveness in guinea pigs: lack of SOD role

Tolerance torespiratory effects of O₃ has beendemonstrated for anatomic and functional changes, but information abouttolerance to O₃-induced airwayhyperresponsiveness (AHR) is scarce. In guinea pigs exposed to air orO₃ (0.3 parts/million, 4 h/day,for 1, 3, 6, 12, 24, or 48 days, studied 16-18 h later), pulmonaryinsufflation pressure changes induced by intravenous substance P (SP,0.032-3.2 µg/kg) were measured, then the animals were subjectedto bronchoalveolar lavage (BAL). Bronchial rings with or withoutphosphoramidon were also evaluated 3 h after air or a singleO₃ exposure.O₃ caused in vivo AHR (increasedsensitivity) to SP after 1, 3, 6, 12, and 24 days of exposure comparedwith control. However, after 48 days of exposure,O₃ no longer caused AHR. Totalcell, macrophage, neutrophil, and eosinophil counts in BAL wereincreased in most O₃-exposedgroups. When data from all animals were pooled, we found a highlysignificant correlation between degree of airway responsiveness andtotal cells (r = 0.55), macrophages(r = 0.54), neutrophils(r = 0.47), and eosinophils(r = 0.53), suggesting that airwayinflammation is involved in development of AHR to SP. Superoxidedismutase (SOD) levels in BAL fluids were increased (P < 0.05) after 1, 3, 6, and 12 days of O₃ exposure and returned to basal levels after 24 and 48 days of exposure.O₃ failed to inducehyperresponsiveness to SP in bronchial rings, and phosphoramidon increased responses to SP in air- andO₃-exposed groups, suggesting thatneutral endopeptidase inactivation was not involved inO₃-induced AHR to SP in vivo. Weconclude that chronic exposure to 0.3 ppm O₃, a concentration found inhighly polluted cities, resulted in tolerance to AHR to SP in guineapigs by an SOD-independent mechanism.

     

Ozone-induced pulmonary inflammation and epithelial proliferation are partially mediated by PAF

Ozone(O₃) exposure stimulates airwayinflammation and epithelial sloughing in a number of species, includingmice. Platelet-activating factor (PAF) is a lipid mediator released byactivated mast cells, macrophages, and epithelial cells and causespulmonary inflammation and hyperpermeability. We hypothesized that theactivation of PAF receptors is central to the development ofinflammation and epithelial injury induced by acuteO₃ exposure in mice. To test thishypothesis, O₃-susceptibleC57BL/6J mice were treated with a PAF-receptor antagonist, UK-74505, orvehicle either before or immediately after 3-h exposure toO₃ (2 parts/million) or filtered air. Bronchoalveolar lavage (BAL) fluids were collected 6 and 24 hafter exposure. Differential cell counts and protein content of thelavage were used as indicators of inflammation in the airways. O₃-induced epithelial injury wasassessed by light microscopy, and DNA synthesis in epithelium ofterminal bronchioles was estimated by using abromodeoxyuridine-labeling index. Intercellular adhesion molecule 1 (ICAM-1) expression was also examined in the lung by immunohistochemical localization.O₃ caused significant increases inpolymorphonuclear leukocytes and protein in the BAL fluid, increasedpulmonary epithelial proliferation, and increased epithelial expressionof ICAM-1 compared with air-exposed, vehicle-treated control mice.Relative to O₃-exposed,vehicle-treated control mice, UK-74505 before exposure significantly(P < 0.05) decreased BAL protein,polymorphonuclear leukocytes, and epithelial cells. O₃-induced inflammation wassimilarly attenuated in mice treated with UK-74505 after exposure.These experiments thus support the hypothesis thatO₃-induced airways inflammationand epithelial damage in mice are partially mediated by activation ofPAF receptors, possibly through modulation of ICAM-1 expression.

     

Ozone toxicity in the rat. III. Effect of changes in ambient temperature on pulmonary parameters

Wiester, Mildred J., William P. Watkinson, Daniel L. Costa,Kay M. Crissman, Judy H. Richards, Darrell W. Winsett, and Jerry W. Highfill. Ozone toxicity in the rat. III. Effect of changes inambient temperature on pulmonary parameters. J. Appl.Physiol. 81(4): 1691-1700, 1996.Pulmonarytoxicity of ozone (O₃) wasexamined in adult male Fischer 344 rats exposed to 0.5 parts/millionO₃ for either 6 or 23 h/day over 5 days while maintained at an ambient temperature(T_a) of either 10, 22, or34°C. Toxicity was evaluated by using changes in lung volumes andthe concentrations of constituents of bronchoalveolar lavage fluid thatsignal lung injury and/or inflammation. Results indicated thattoxicity increased as T_adecreased. Exposures conducted at 10°C were associated with thegreatest decreases in body weight and total lung capacity and thegreatest increases in lavageable protein, lysozyme, alkaline phosphatase activity, and percent neutrophils.O₃ effects not modified byT_a included increases in residualvolume and lavageable potassium, glucose, urea, and ascorbic acid.There was a progressive decrease in lavageable uric acid with exposureat 34°C. Most effects were attenuated during the 5 exposure daysand/or returned to normal levels after 7 air recovery days,regardless of prior O₃ exposure orT_a. It is possible thatT_a-induced changes in metabolic rate may have altered ventilation and, therefore, theO₃ doses among rats exposed at thethree different T_a levels.

     

ET-1-induced bronchoconstriction is mediated via ETB receptor in mice

Nagase, Takahide, Tomoko Aoki, Teruaki Oka, YoshinosukeFukuchi, and Yasuyoshi Ouchi. ET-1-induced bronchoconstriction ismediated via ET_B receptor in mice.J. Appl. Physiol. 83(1): 46-51, 1997.Endothelin (ET)-1 is one of the most potent agonists of airwaysmooth muscle and can act via two different ET receptor subtypes, i.e.,ET_A andET_B. To determine the effects ofET-1 on in vivo pulmonary function and which ET receptors are involved in murine lungs, we investigated 1)the effects of ET and sarafotoxin S6c (S6c), a selectiveET_B agonist, on pulmonary functionand 2) the effects of BQ-123 andBQ-788, specific ET_A- andET_B-receptor antagonists, onET-1-induced bronchoconstriction. ICR mice were anesthetized and mechanically ventilated (frequency = 2.5 Hz, tidalvolume = 8 ml/kg, positive end-expiratory pressure = 3 cmH₂O). Intravenous ET-1, ET-2,and ET-3 increased lung resistance similarly and equipotently, whereasS6c elicited a greater degree of bronchoconstriction. Mice were thenpretreated with saline (Sal), BQ-123 (0.2, 1, and 5 mg/kg), or BQ-788(0.2, 1, and 5 mg/kg) before administration of ET-1(10⁷ mol/kg iv). No dose ofBQ-123 blocked ET-1-induced constriction, whereas pretreatment witheach dose of BQ-788 significantly inhibited ET-1-induced responses.There were significant differences in morphometrically assessed airwayconstriction between Sal and BQ-788 and between BQ-123 and BQ-788,whereas no significant difference was observed between Sal and BQ-123.There were no significant morphometric differences in the airway wallarea among the three groups. These observations suggest that theET_B- but notET_A-receptor subtype may mediatethe changes in murine pulmonary function in response to ET-1. Inaddition, the ET_B-receptorantagonist reduces ET-1-induced airway narrowing by affecting airwaysmooth muscle contraction in mice.

     

Longitudinal distribution of O3 absorption in the lung: gender differences and intersubject variability

Bush, Michele L., Patrick T. Asplund, Kristen A. Miles,Abdellaziz Ben-Jebria, and James S. Ultman. Longitudinaldistribution of O₃ absorption inthe lung: gender differences and intersubject variability.J. Appl. Physiol. 81(4):1651-1657, 1996.Because the National Ambient Air QualityStandard for ozone (O₃) isintended to protect the most sensitive individuals in the generalpopulation, it is necessary to identify sources of intersubjectvariation in the exposure-dose-response cascade. We hypothesize thatdifferences in lung anatomy can modulate exposure-dose relationshipsbetween individuals, and this results in differences between theirresponsiveness to O₃ at a fixedexposure condition. During quiet breathing, the conducting airwaysremove the majority of inhaled O₃,so the volume of this region should have an important impact onO₃ dose distribution. Employingthe bolus inhalation method, we measured the distribution ofO₃ absorption with respect topenetration volume (V_P), and using the Fowler single-breath N₂washout method, we determined the dead space volume(VD) in the lungs of 10 menand 10 women at a fixed respiratory flow of 250 ml/s. On average, thewomen absorbed O₃ at smallerV_P than the men, and the women hadsmaller VD than the men. Whenexpressed in terms ofV_P/ VD,the absorption distribution of the men and women was indistinguishable.Moreover, an interpretation of theO₃ distribution in terms of anintrinsic mass transfer parameter(Ka) indicated that differencesbetween the O₃ dosimetry in allsubjects, whether men or women, could be explained by a uniquecorrelation with anatomic dead space: Ka (ins¹) = 610 VD^1.05(in ml). Application of this result to measurements ofO₃ exposure response indicatedthat previously reported gender differences may be due to a failure inproperly accounting for tissue surface within the conducting airways.

     

Diaphragm thickening during inspiration

Cohn, David, Joshua O. Benditt, Scott Eveloff, and F. DennisMcCool. Diaphragm thickening during inspiration.J. Appl. Physiol. 83(1): 291-296, 1997.Ultrasound has been used to measure diaphragm thickness(T_di) in thearea where the diaphragm abuts the rib cage (zone of apposition).However, the degree of diaphragm thickening during inspiration reportedas obtained by one-dimensional M-mode ultrasound was greater than thatpredicted by using other radiographic techniques. Becausetwo-dimensional (2-D) ultrasound provides greater anatomic definitionof the diaphragm and neighboring structures, we used this technique toreevaluate the relationship between lung volume andT_di. We firstestablished the accuracy and reproducibility of 2-D ultrasound bymeasuring T_diwith a 7.5-MHz transducer in 26 cadavers. We found thatT_di measured byultrasound correlated significantly with that measured by ruler (R² = 0.89), withthe slope of this relationship approximating a line of identity(y = 0.89x + 0.04 mm). The relationship between lung volume andT_di was thenstudied in nine subjects by obtaining diaphragm images at the fivetarget lung volumes [25% increments from residual volume (RV) tototal lung capacity (TLC)]. Plots ofT_di vs. lungvolume demonstrated that the diaphragm thickened as lung volumeincreased, with a more rapid rate of thickening at the higher lungvolumes[T_di = 1.74 vital capacity (VC)² + 0.26 VC + 2.7 mm] (R² = 0.99; P < 0.001) where lung volumeis expressed as a fraction of VC. The mean increase inT_di between RVand TLC for the group was 54% (range 42-78%). We conclude that2-D ultrasound can accurately measureT_di and that theaverage thickening of the diaphragm when a subject is inhaling from RVto TLC using this technique is in the range of what would be predictedfrom a 35% shortening of the diaphragm.

     

Parallel airways inhomogeneity and lung tissue mechanics in transition to constricted state in rabbits

Toinvestigate whether changes of tissue resistance (Rti) duringmethacholine (MCh)-induced constriction correspond to an intrinsicmechanism or are an artifact of increased airways inhomogeneity, rabbits were studied after exposure to air(n = 7) or 1.5 parts/million O₃(n = 6). Animals were anesthetized andmechanically ventilated. Tracheal flow and pressure (Ptr) and fouralveolar capsule pressures (Pcap) were measured during 3 min afteradministration of an intrajugular bolus of 0.8 mg/ml MCh. By adjustmentof the equation of motion [P(t) = E · V(t) + R · dV(t)/dt + P₀] [whereP(t), V(t), and dV(t)/dt are pressure, volume, and flow as a function of time, respectively, Eis elastance, R is resistance, and P₀ is end-expiratorypressure] to Ptr, lung resistance(RL) and dynamic elastance(EL) were determined breath bybreath. Rti and airways resistance (Raw) were determined from Pcap in phase with rate of change of pulmonary expansion. Hysteresivity () was calculated. Parallel inhomogeneity wasestimated from the coefficients of variation (CV) of every Pcap at endinspiration and end expiration. Increase in CV significantly laggedRti, RL, and . A linearrelationship between EL and Rawwas observed. Our results suggest that changes in tissue mechanicsduring the transition to the constricted state are not artifactual.

     

Optical measurement of isolated canine lung filtration coefficients at normal hematocrits

Klaesner, Joseph W., N. Adrienne Pou, Richard E. Parker,Charlene Finney, and Robert J. Roselli. Optical measurement ofisolated canine lung filtration coefficients at normal hematocrits. J. Appl. Physiol. 83(6):1976-1985, 1997.In this study, lung filtration coefficient(K_fc) valueswere measured in eight isolated canine lung preparations at normalhematocrit values using three methods: gravimetric, blood-correctedgravimetric, and optical. The lungs were kept in zone 3 conditions andsubjected to an average venous pressure increase of 10.24 ± 0.27 (SE) cmH₂O. The resulting K_fc(ml · min¹ · cmH₂O¹ · 100 g dry lung wt¹) measuredwith the gravimetric technique was 0.420 ± 0.017, which wasstatistically different from theK_fc measured bythe blood-corrected gravimetric method (0.273 ± 0.018) or theproduct of the reflection coefficient(_f) andK_fc measuredoptically (0.272 ± 0.018). The optical method involved the use of aCellco filter cartridge to separate red blood cells from plasma, whichallowed measurement of the concentration of the tracer in plasma atnormal hematocrits (34 ± 1.5). The permeability-surface areaproduct was measured using radioactive multiple indicator-dilutionmethods before, during, and after venous pressure elevations. Resultsshowed that the surface area of the lung did not change significantlyduring the measurement ofK_fc. Thesestudies suggest that_fK_fccan be measured optically at normal hematocrits, that this measurement is not influenced by blood volume changes that occur during the measurement, and that the optical_fK_fcagrees with theK_fc obtained viathe blood-corrected gravimetric method.

     

Phosphocreatine hydrolysis during submaximal exercise: the effect of FIO2

There isevidence that the concentration of the high-energy phosphatemetabolites may be altered during steady-state submaximal exerciseby the breathing of different fractions of inspiredO₂ (FI_O2). Whereasit has been suggested that these changes may be the result ofdifferences in time taken to achieve steady-state O₂ uptake(O₂) at differentFI_O2 values, we postulated that they are due to a direct effect ofO₂ tension. We used³¹P-magnetic resonancespectroscopy during constant-load, steady-state submaximal exercise todetermine 1) whether changes inhigh-energy phosphates do occur at the sameO₂ with variedFI_O2 and2) that these changes are not due todifferences in O₂onset kinetics. Six male subjects performed steady-state submaximal plantar flexion exercise [7.2 ± 0.6 (SE) W] for 10 minwhile lying supine in a 1.5-T clinical scanner. Magnetic resonancespectroscopy data were collected continuously for 2 min beforeexercise, 10 min during exercise, and 6 min during recovery. Subjectsperformed three different exercise bouts at constant load with theFI_O2 switched after 5 min ofthe 10-min exercise bout. The three exercise treatments were1)FI_O2 of 0.1 switched to0.21, 2)FI_O2 of 0.1 switched to1.00, and 3)FI_O2 of 1.00 switched to0.1. For all three treatments, theFI_O2 switch significantly (P  0.05) altered phosphocreatine:1) 55.5 ± 4.8 to 67.8 ± 4.9% (%rest); 2) 59.0 ± 4.3 to72.3 ± 5.1%; and 3) 72.6 ± 3.1 to 64.2 ± 3.4%, respectively. There were no significantdifferences in intracellular pH for the three treatments. The resultsdemonstrate that the differences in phosphocreatine concentration withvaried FI_O2 are not theresult of different O₂onset kinetics, as this was eliminated by the experimental design.These data also demonstrate that changes in intracellular oxygenation,at the same work intensity, result in significant changes in cell homeostasis and thereby suggest a role for metabolic control by O₂ even during submaximalexercise.

     

Scaling of submaximal oxygen uptake with body mass and combined mass during uphill treadmill bicycling

This study examined the scaling relationships ofnet O₂ uptake [O_2(net) = O₂  restingO₂] to body mass(M_B) andcombined mass (M_C = M_B + bicycle)during uphill treadmill bicycling. It was hypothesized thatO_2(net)(l/min) would scale proportionally withM_C [i.e.,O_2(net)  M^1.0_C] and less than proportionally withM_B [i.e.,O_2(net)  M_B].Twenty-five competitive cyclists [73.9 ± 8.8 and 85.0 ± 9.0 (SD) kg forM_B andM_C,respectively] rode their bicycles on a treadmill at 3.46 m/s andgrades of 1.7, 3.5, 5.2, and 7.0% whileO₂ was measured. Multiplelog-linear regression procedures were applied to the pooledO_2(net)data to determine the exponents forM_C andM_B afterstatistically controlling for differences in treadmill grade anddynamic friction. The regression models were highly significant (R² = 0.95, P < 0.001). Exponents forM_C (0.99, 95%confidence interval = 0.80-1.18) andM_B (0.89, 95%confidence interval = 0.72-1.07) did not differ significantly fromeach other or 1.0. It was concluded that the 0.99 M_C exponent wasdue to gravitational resistance, whereas theM_B exponent was<1.0 because the bicycles were relatively lighter for heaviercyclists.

     

Letters to the Editor

The following are the abstracts of the articles discussed inthe subsequent letter:

  Huang, Yuh-Chin T., Aneysa C. Sane, Steven G. Simonson, Thomas A. Fawcett, Richard E. Moon,Philip J. Fracica, Margaret G. Menache, Claude A. Piantadosi, andStephen L. Young. Artificial surfactant attenuates hyperoxic lunginjury in primates. I. Physiology and biochemistry. J. Appl.Physiol. 78(5): 1816-1822, 1995.Prolonged exposure toO₂ causes diffuse alveolar damage and surfactantdysfunction that contribute to the pathophysiology of hyperoxic lunginjury. We hypothesized that exogenous surfactant would improve lungfunction during O₂ exposure in primates. Sixteen healthymale baboons (10-15 kg) were anesthetized and mechanically ventilated for 96 h. The animals received either 100% O₂(n = 6) or 100% O₂ plus aerosolized artificialsurfactant (Exosurf; n = 5). A third group of animals(n = 5) was ventilated with an inspired fraction ofO₂ of 0.21 to control for the effects of sedation andmechanical ventilation. Hemodynamic parameters were obtained every 12 h, and ventilation-perfusion distribution(_A/) was measureddaily using a multiple inert-gas elimination technique. Positive end-expiratory pressure was kept at 2.5 cmH₂O andwas intermittently raised to 10 cmH₂O for 30 minto obtain additional measurements of_A/. After theexperiments, lungs were obtained for biochemical and histologicalassessment of injury. O₂ exposures altered hemodynamics,progressively worsened_A/, altered lung phospholipid composition, and produced severe lung edema. Artificial surfactant therapy significantly increased disaturatedphosphatidylcholine in lavage fluid and improved intrapulmonary shunt,arterial PO₂, and lung edema. Surfactant alsoenhanced the shunt-reducing effect of positive end-expiratory pressure.We conclude that an aerosolized protein-free surfactant decreased theprogression of pulmonary O₂ toxicity in baboons.

     

Nitric oxide regulates oxygen uptake and hydrogen peroxide release by the isolated beating rat heart

Isolated rat heart perfused with 1.5-7.5µM NO solutions or bradykinin, which activates endothelial NOsynthase, showed a dose-dependent decrease in myocardial O₂uptake from 3.2 ± 0.3 to 1.6 ± 0.1 (7.5 µM NO, n = 18,P < 0.05) and to 1.2 ± 0.1 µM O₂ · min¹ · gtissue¹ (10 µM bradykinin, n = 10,P < 0.05). Perfused NO concentrations correlated with aninduced release of hydrogen peroxide (H₂O₂) inthe effluent (r = 0.99, P < 0.01). NO markedlydecreased the O₂ uptake of isolated rat heart mitochondria(50% inhibition at 0.4 µM NO, r = 0.99,P < 0.001). Cytochrome spectra in NO-treated submitochondrial particles showed a double inhibition of electron transfer at cytochrome oxidase and between cytochrome b andcytochrome c, which accounts for the effects in O₂uptake and H₂O₂ release. Most NO was bound tomyoglobin; this fact is consistent with NO steady-state concentrationsof 0.1-0.3 µM, which affect mitochondria. In the intact heart,finely adjusted NO concentrations regulate mitochondrial O₂uptake and superoxide anion production (reflected byH₂O₂), which in turn contributes to thephysiological clearance of NO through peroxynitrite formation.

     

"Living high-training low": effect of moderate-altitude acclimatization with low-altitude training on performance

Levine, Benjamin D., and James Stray-Gundersen."Living high-training low": effect of moderate-altitudeacclimatization with low-altitude training on performance.J. Appl. Physiol. 83(1): 102-112, 1997.The principal objective of this study was to test the hypothesisthat acclimatization to moderate altitude (2,500 m) plus training atlow altitude (1,250 m), "living high-training low," improvessea-level performance in well-trained runners more than an equivalentsea-level or altitude control. Thirty-nine competitive runners (27 men,12 women) completed 1) a 2-wklead-in phase, followed by 2) 4 wkof supervised training at sea level; and3) 4 wk of field training camprandomized to three groups: "high-low"(n = 13), living at moderate altitude(2,500 m) and training at low altitude (1,250 m); "high-high"(n = 13), living and training atmoderate altitude (2,500 m); or "low-low"(n = 13), living and training in amountain environment at sea level (150 m). A 5,000-m time trial was theprimary measure of performance; laboratory outcomes included maximalO₂ uptake(O_{2 max}), anaerobic capacity (accumulated O₂ deficit),maximal steady state (MSS; ventilatory threshold), running economy,velocity at O_{2 max}, and blood compartment volumes. Both altitude groups significantly increased O_{2 max}(5%) in direct proportion to an increase in red cell mass volume(9%; r = 0.37, P < 0.05), neither of which changedin the control. Five-kilometer time was improved by the field trainingcamp only in the high-low group (13.4 ± 10 s), in directproportion to the increase inO_{2 max}(r = 0.65, P < 0.01). Velocity atO_{2 max} andMSS also improved only in the high-low group. Four weeks of livinghigh-training low improves sea-level running performance in trainedrunners due to altitude acclimatization (increase in red cell massvolume and O_{2 max}) and maintenance of sea-level training velocities, mostlikely accounting for the increase in velocity atO_{2 max} and MSS.

     

Cardiopulmonary effects of inhaled nitric oxide in normal dogs and during E.coli pneumonia and sepsis

Quezado, Zenaide M. N., Charles Natanson, WaheedullahKarzai, Robert L. Danner, Cezar A. Koev, Yvonne Fitz, Donald P. Dolan, Steven Richmond, Steven M. Banks, Laura Wilson, and Peter Q. Eichacker. Cardiopulmonary effects of inhaled nitric oxide in normal dogs andduring E. coli pneumonia and sepsis.J. Appl. Physiol. 84(1): 107-115, 1998.We investigated the effect of inhaled nitric oxide (NO) atincreasing fractional inspired O₂concentrations (FI_O2) onhemodynamic and pulmonary function during Escherichia coli pneumonia. Thirty-eight conscious,spontaneously breathing, tracheotomized 2-yr-old beagles hadintrabronchial inoculation with either 0.75 or 1.5 × 10¹⁰ colony-forming units/kg ofE. coli 0111:B4(infected) or 0.9% saline (noninfected) in one or four pulmonarylobes. We found that neither the severity nor distribution (lobar vs.diffuse) of bacterial pneumonia altered the effects of NO. However, in infected animals, with increasingFI_O2 (0.08, 0.21, 0.50, and0.85), NO (80 parts/million) progressively increased arterial PO₂ [0.3 ± 0.6, 3 ± 1, 13 ± 4, 10 ± 9 (mean ± SE) Torr, respectively] and decreased the mean arterial-alveolarO₂ gradient (0.5 ± 0.3, 4 ± 2, 8 ± 7, 10 ± 9 Torr, respectively). Incontrast, in noninfected animals, the effect of NO was significantlydifferent and opposite; NO progressively decreased meanPO₂ with increasingFI_O2 (2 ± 1, 5 ± 3, 2 ± 3, and 12 ± 5 Torr, respectively;P < 0.05 compared with infectedanimals) and increased mean arterial-alveolarO₂ gradient (0.3 ± 0.04, 2 ± 2, 1 ± 3, 11 ± 5 Torr; P < 0.05 compared with infected animals). In normal and infectedanimals alike, only at FI_O20.21 did NO significantly lower mean pulmonary artery pressure,pulmonary artery occlusion pressure, and pulmonary vascular resistanceindex (all P < 0.01).However, inhaled NO had no significant effect on increases in meanpulmonay artery pressure associated with bacterial pneumonia. Thus,during bacterial pneumonia, inhaled NO had only modest effects onoxygenation dependent on highFI_O2 and did not affectsepsis-induced pulmonary hypertension. These data do not support a rolefor inhaled NO in bacterial pneumonia. Further studies are necessary todetermine whether, in combination with ventilatory support, NO may havemore pronounced effects.

     

Human ventilatory response to CO2 after 8h of isocapnic or poikilocapnic hypoxia

Duringventilatory acclimatization to hypoxia (VAH), the relationship betweenventilation (E) and end-tidalPCO₂ (PET_CO2) changes.This study was designed to determine 1) whether these changes can be seenearly in VAH and 2) if these changesare present, whether the responses differ between isocapnic andpoikilocapnic exposures. Ten healthy volunteers were studied by usingthree 8-h exposures: 1) isocapnichypoxia (IH), end-tidal PO₂(PET_O2) = 55 Torr andPET_CO2 held at thesubject's normal prehypoxic value;2) poikilocapnic hypoxia (PH),PET_O2 = 55 Torr; and3) control (C), air breathing. TheE-PET_CO2relationship was determined in hyperoxia (PET_O2 = 200 Torr) beforeand after the exposures. We found a significant increase in theslopes ofE-PET_CO2 relationship after both hypoxic exposures compared with control (IH vs.C, P < 0.01; PH vs. C,P < 0.001; analysis of covariance with pairwise comparisons). This increase was not significantly different between protocols IH andPH. No significant changes in theintercept were detected. We conclude that 8 h of hypoxia, whetherisocapnic or poikilocapnic, increases the sensitivity of the hyperoxicchemoreflex response to CO₂.

     

Oxygen transport in conscious newborn dogs during hypoxic hypometabolism

We questioned whether the decrease inO₂ consumption(O₂) during hypoxia innewborns is a regulated response or reflects a limitation inO₂ availability. Experiments wereconducted on previously instrumented conscious newborn dogs.O₂ was measured at a warmambient temperature (30°C, n = 7)or in the cold (20°C, n = 6),while the animals breathed air or were sequentially exposed to 15 minof fractional inspired O₂(FI_O2): 21, 18, 15, 12, 10, 8, and 6%. In normoxia,O₂ averaged 15 ± 1 (SE)and 25 ± 1 ml · kg¹ · min¹in warm and cold conditions, respectively. In the warmcondition, hypometabolism (i.e., hypoxicO₂ < normoxicO₂) occurred at FI_O2 10%, whereas in thecold condition, hypometabolism occurred atFI_O2 12%. The sameresults were obtained in a separate group(n = 14) of noninstrumented puppies.For all levels of FI_O2 withhypometabolism, the relationships between measures ofO₂ availability (arterialO₂ saturation or content, venousPO₂ or saturation,x-axis) vs.O₂(y-axis) had lower slopes in warm than in coldconditions. Hence, O₂ during hypometabolism in the warm condition was not the maximal attainable for the level of oxygenation. The results do not support thepossibility that the hypoxic drop inO₂ in the newborn reflects a limitation in O₂availability. The results are compatible with the ideathat the phenomenon is one of "regulated conformism" tohypoxia.

     

Atrial natriuretic peptide levels and plasma volume contraction in acute alveolar hypoxia

Albert, T. S. E., V. L. Tucker, and E. M. Renkin.Atrial natriuretic peptide levels and plasma volume contraction in acute alveolar hypoxia. J. Appl.Physiol. 82(1): 102-110, 1997.Arterial oxygentensions (Pa_O2), atrial natriureticpeptide (ANP) concentrations, and circulating plasma volumes (PV) weremeasured in anesthetized rats ventilated with room air or 15, 10, or8% O₂(n = 5-7). After 10 min ofventilation, Pa_O2 values were 80 ± 3, 46 ± 1, 32 ± 1, and 35 ± 1 Torrand plasma immunoreactive ANP (irANP) levels were 211 ± 29, 229 ± 28, 911 ± 205, and 4,374 ± 961 pg/ml, respectively. AtPa_O2 40 Torr, irANP responses weremore closely related to inspiredO₂(P = 0.014) than toPa_O2 (P = 0.168). PV was 36.3 ± 0.5 µl/g in controls but 8.5 and9.9% lower (P  0.05) for10 and 8% O₂, respectively.Proportional increases in hematocrit were observed in animals withreduced PV; however, plasma protein concentrations were not differentfrom control. Between 10 and 50 min of hypoxia, small increases (+40%)in irANP occurred in 15% O₂;however, there was no further change in PV, hematocrit, plasma protein,or irANP levels in the lower O₂groups. Urine output tended to fall during hypoxia but was notsignificantly different among groups. These findings are compatiblewith a role for ANP in mediating PV contraction during acute alveolarhypoxia.

     

Mechanisms of P(i) regulation of the skeletal muscle SR Ca(2+) release channel

Inorganic phosphate(P_i) accumulates in the fibers of actively working musclewhere it acts at various sites to modulate contraction. To characterizethe role of P_i as a regulator of the sarcoplasmic reticulum(SR) calcium (Ca²⁺) release channel, we examined the actionof P_i on purified SR Ca²⁺ release channels,isolated SR vesicles, and skinned skeletal muscle fibers. In singlechannel studies, addition of P_i to the cis chamberincreased single channel open probability (P_o;0.079 ± 0.020 in 0 P_i, 0.157 ± 0.034 in 20 mMP_i) by decreasing mean channel closed time; mean channelopen times were unaffected. In contrast, the ATP analog,,-methyleneadenosine 5'-triphosphate (AMP-PCP), enhancedP_o by increasing single channel open time anddecreasing channel closed time. P_i stimulation of[³H]ryanodine binding by SR vesicles wassimilar at all concentrations of AMP-PCP, suggesting P_i andadenine nucleotides act via independent sites. In skinned musclefibers, 40 mM P_i enhanced Ca²⁺-inducedCa²⁺ release, suggesting an in situ stimulation ofthe release channel by high concentrations of P_i. Ourresults support the hypothesis that P_i may be an importantendogenous modulator of the skeletal muscle SR Ca²⁺ releasechannel under fatiguing conditions in vivo, acting via a mechanismdistinct from adenine nucleotides.