Oxygen-tension-dependent pulmonary vascular responses to vasoactive agents

Abstract

There have been recent indications that oxygen may nonspecirically oppose pulmonary vasoconstriction induced by a few vasoactive agents. Therefore, we examined the effect of four inspired oxygen tensions on the pulmonary vascular responses to exogenous prostaglandin F_2α (PGF_2α), serotonin (5-HT), 2-methylhistamine (2-MeH) (an H₁-receptor agonist), histamine (after H₂-receptor blockade with metiamide), and prostaglandin E₁ (PGE₁) in anesthetized dogs. An oxygen tension dependency on the pulmonary vascular responses to these vasoactive agents was observed, with each agent exhibiting maximal responses at different ranges of oxygen tension. PGF_2α and PGE₁ were most effective during hypoxia, while 5-HT, histamine, and 2-MeH produced maximal responses during normoxia. A comparison of dose–response curves for PGF_2α during breathing of two inspired oxygen tensions indicated a decreased sensitivity, but not decreased reactivity, with the higher oxygen tension. The action of variable oxygen tensions on pulmonary vascular responsiveness to vasoactive agents suggests another role for oxygen in the control of the pulmonary circulation. It is not clear if oxygen acts non-specifically on the vascular smooth muscle, or if it alters the metabolic mechanisms of vasoactive agent action.