AJP Regulatory Integrative and Comparative Physiology,
Journal Year:
2013,
Volume and Issue:
305(6), P. R592 - R603
Published: June 27, 2013
H2S
derived
from
organic
thiol
metabolism
has
been
proposed
serve
as
an
oxygen
sensor
in
a
variety
of
systems
because
its
susceptibility
to
oxidation
and
ability
mimic
hypoxic
responses
numerous
oxygen-sensing
tissues.
Thiosulfate,
intermediate
oxidative
can
alternatively
be
reduced
regenerate
H2S.
We
propose
that
this
contributes
the
H2S-mediated
mechanism.
formation
thiosulfate
buffers
mammalian
tissues
lamprey
dorsal
aorta
was
examined
real
time
using
polarographic
sensor.
Inferences
intracellular
production
were
made
by
examining
pulmonary
vasoconstriction
(HPV)
bovine
arteries
under
conditions
which
increased
would
expected
mouse
rat
aortas,
where
reducing
should
mediate
vasorelaxation.
In
Krebs-Henseleit
(mammalian)
Cortland
(lamprey)
buffers,
generated
presence
exogenous
agent,
DTT,
or
endogenous
reductant
dihydrolipoic
acid
(DHLA).
Both
magnitude
rate
greatly
these
reductants
tissue,
with
most
notable
effects
occurring
liver.
only
observed
when
hypoxic;
exposure
room
air,
injecting
inhibited
resulted
net
consumption.
DTT
DHLA
augmented
HPV,
dose-dependently
relaxed
precontracted
aortas.
These
results
indicate
contribute
signaling
is
not
ready
source
but
also
serves
means
recycling
sulfur
thereby
conserving
biologically
relevant
thiols.
European Respiratory Journal,
Journal Year:
2015,
Volume and Issue:
47(1), P. 288 - 303
Published: Oct. 22, 2015
Hypoxic
pulmonary
vasoconstriction
(HPV),
also
known
as
the
von
Euler-Liljestrand
mechanism,
is
an
essential
response
of
vasculature
to
acute
and
sustained
alveolar
hypoxia.
During
local
hypoxia,
HPV
matches
perfusion
ventilation
maintain
optimal
arterial
oxygenation.
In
contrast,
during
global
leads
hypertension.
The
oxygen
sensing
signal
transduction
machinery
located
in
smooth
muscle
cells
(PASMCs)
pre-capillary
vessels,
albeit
physiological
may
be
modulated
vivo
by
endothelium.
While
factors
such
nitric
oxide
modulate
HPV,
reactive
species
(ROS)
have
been
suggested
act
mediators
HPV.
ROS
originate
from
mitochondria
and/or
NADPH
oxidases
but
exact
mechanisms,
well
question
whether
increased
or
decreased
cause
are
under
debate.
induce
intracellular
calcium
increase
subsequent
contraction
PASMCs
via
direct
indirect
interactions
with
protein
kinases,
phospholipases,
sarcoplasmic
channels,
transient
receptor
potential
voltage-dependent
potassium
channels
L-type
whose
relevance
vary
different
experimental
conditions.
Successful
identification
regulating
allow
development
novel
therapeutic
approaches
for
conditions
disturbed
Critical Care Medicine,
Journal Year:
2015,
Volume and Issue:
43(7), P. 1477 - 1497
Published: May 9, 2015
Cardiac
surgery,
including
coronary
artery
bypass,
cardiac
valve,
and
aortic
procedures,
is
among
the
most
common
surgical
procedures
performed
in
United
States.
Successful
outcomes
after
surgery
depend
on
optimum
postoperative
critical
care.
The
intensivist
must
have
a
comprehensive
understanding
of
cardiopulmonary
physiology
sequelae
bypass.
In
this
concise
review,
targeted
at
intensivists
surgeons,
we
discuss
routine
management
patient.Narrative
review
relevant
English-language
peer-reviewed
medical
literature.Critical
care
patient
complex
dynamic
endeavor.
Adequate
fluid
resuscitation,
appropriate
inotropic
support,
attention
to
rewarming,
ventilator
are
key
components.
Patient
safety
enhanced
by
experienced
personnel,
structured
handover
between
operating
room
ICU
teams,
transfusion
strategies.