Key result
Bradykinin infused into the hepatic artery elicited a calcium-dependent portal hypertensive response and a calcium-independent arterial hypertensive response, with an average hepatic extraction of 8%.
Bradykinin modulates sinusoidal microvasculature tonus in the rat liver via B2 receptors, with distinct pathways for portal and arterial routes.
Bradykinin effects on rat hepatic vessels appear route- and calcium-specific; leaves open translation to human portal hypertension.
BACKGROUND AND AIM: Bradykinin (BK) infused into the portal vein elicits a hypertensive response via the B2 receptor (B2R) and is efficiently hydrolyzed by the liver. Our purpose was to characterize the mechanism of interaction between BK and the liver. METHOD: BK, HOE-140 (a B2R antagonist), des-R(9)-BK (a B1R agonist) and enzyme inhibitors were used in monovascular or bivascular perfusions and in isolated liver cell assays. RESULTS: Des-R(9)-BK did not elicit a portal hypertensive response (PHR); BK infused into the hepatic artery elicited a calcium-dependent PHR and a calcium-independent arterial hypertensive response (HAHR), with the latter being almost abolished by naproxen. BK has a predominant distribution in the extracellular space and an average hepatic extraction of 8% in the steady state. Hydrolysis products of infused BK (R(1)-F(5) and R(1)-P(7)) did not elicit PHR. Angiotensin converting enzyme (ACE) is concentrated in the perivenous region and B2R in the periportal region. Microphysiometry showed that BK (and not a B1 agonist) interacts with stellate cells and the endothelial sinusoidal/Kupffer cell fraction. This effect was inhibited by the B2R antagonist. CONCLUSIONS: Events can be summarized as: the hypertensive action of BK on sinusoidal cells of the periportal region is followed by its hydrolysis by ACE which is primarily present in the perivenous region; there is no functional B1R in the normal liver; BK induces HAHR via eicosanoid release and PHR by a distinct pathway on the B2R. Our data suggest that BK may participate in the modulation of sinusoidal microvasculature tonus both in the portal and the arterial routes.
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Gioli‐Pereira et al. (2005) studied this question. Bradykinin was evaluated on Hypertensive response and hepatic extraction. Bradykinin infused into the hepatic artery elicited a calcium-dependent portal hypertensive response and a calcium-independent arterial hypertensive response, with an average hepatic extraction of 8%.
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