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Role of dopamine and selective dopamine receptor agonists on mouse ductus arteriosus tone and responsiveness

PEDIATRIC RESEARCH(2019)

Cited 4|Views31
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Abstract
Background Indomethacin treatment for patent ductus arteriosus (PDA) is associated with acute kidney injury (AKI). Fenoldopam, a dopamine (DA) DA 1 -like receptor agonist dilates the renal vasculature and may preserve renal function during indomethacin treatment. However, limited information exists on DA receptor-mediated signaling in the ductus and fenoldopam may prevent ductus closure given its vasodilatory nature. Methods DA receptor expression in CD-1 mouse vessels was analyzed by qPCR and immunohistochemistry. Concentration−response curves were established using pressure myography. Pretreatment with SCH23390 (DA 1 -like receptor antagonist), phentolamine (α -adrenergic receptor antagonist) or indomethacin addressed mechanisms for DA-induced changes. Fenoldopam’s effects on postnatal ductus closure were evaluated in vivo. Results DA 1 receptors were expressed equally in ductus and aorta. High-dose DA induced modest vasoconstriction under newborn O 2 conditions. Phentolamine inhibited DA-induced constriction, while SCH23390 augmented constriction, consistent with a vasodilatory role for DA 1 receptors. Despite this, fenoldopam had little effect on ductus tone nor indomethacin- or O 2 -induced constriction and did not impair postnatal closure in vivo. Conclusion(s) DA receptors are present in the ductus but have limited physiologic effects. DA-induced ductus vasoconstriction is mediated via α-adrenergic pathways. The absence of DA 1 -mediated impairment of ductus closure supports the study of potential role for fenoldopam during PDA treatment.
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Key words
Medicine/Public Health,general,Pediatrics,Pediatric Surgery
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