Nebivolol treatment increases splanchnic blood flow and portal pressure in cirrhotic rats via modulation of nitric oxide signalling
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Nebivolol treatment increases splanchnic blood flow and portal pressure in cirrhotic rats via modulation of nitric oxide signalling. / Reiberger, Thomas; Payer, Berit Anna; Schwabl, Philipp; Hayden, Hubert; Horvatits, Thomas; Jäger, Bernhard; Hummel, Thomas; Mitterhauser, Markus; Trauner, Michael; Fuhrmann, Valentin; Angermayr, Bernhard; Peck-Radosavljevic, Markus; Vienna Hepatic Hemodynamic Lab.
In: LIVER INT, Vol. 33, No. 4, 01.04.2013, p. 561-8.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - Nebivolol treatment increases splanchnic blood flow and portal pressure in cirrhotic rats via modulation of nitric oxide signalling
AU - Reiberger, Thomas
AU - Payer, Berit Anna
AU - Schwabl, Philipp
AU - Hayden, Hubert
AU - Horvatits, Thomas
AU - Jäger, Bernhard
AU - Hummel, Thomas
AU - Mitterhauser, Markus
AU - Trauner, Michael
AU - Fuhrmann, Valentin
AU - Angermayr, Bernhard
AU - Peck-Radosavljevic, Markus
AU - Vienna Hepatic Hemodynamic Lab
N1 - © 2012 John Wiley & Sons A/S.
PY - 2013/4/1
Y1 - 2013/4/1
N2 - BACKGROUND: We evaluated the effects of nebivolol, a third generation beta-blocker capable of increasing NO-bioavailability on portal pressure, and on splachnic and systemic haemodynamics in a cirrhotic portal hypertensive rat model.METHODS: Male Sprague-Dawley rats underwent sham operation (SO) or bile duct ligation (BDL). When cirrhosis was fully developed, the animals were orally treated with low-dose (5 mg/kg) or high-dose (10 mg/kg) nebivolol (NEBI) or vehicle (VEH) for 7 days. Heart rate (HR), mean arterial pressure (MAP), portal pressure (PP) and superior mesenteric artery blood flow (SMABF) were measured. Portosystemic collateral blood flow (PSCBF) was quantified using radioactive microspheres. Hepatic and splanchnic NOx levels and GSH/GSSG ratios (RedOx state) were determined using commercially available kits.RESULTS: BDL-VEH rats showed increased HR, PP and PSCBF, whereas MAP was decreased compared to SO-VEH rats. Nebivolol significantly reduced HR both in SO (P < 0.001) and BDL (P < 0.001) rats. BDL-NEBI animals had significantly higher PP (15.5 vs. 12.6 mmHg; P = 0.006) and SMABF (5.3 vs. 3.7 ml/min/100g; P = 0.016) than BDL-VEH animals. The increase in PP and SMABF was noted both in low-dose and high-dose BDL-NEBI rats. While no beneficial effects on hepatic RedOx state were observed, splanchnic NOx levels were significantly increased by NEBI treatment in a dose-dependent manner. Nebivolol treatment did not affect PSCBF in SO and BDL animals.CONCLUSION: Nebivolol increases portal pressure in cirrhotic animals by increasing splanchnic blood flow via modulation of NO signalling. Portosystemic collateral blood flow remained unchanged. These data do not support the use of nebivolol for treatment of cirrhotic patients with portal hypertension.
AB - BACKGROUND: We evaluated the effects of nebivolol, a third generation beta-blocker capable of increasing NO-bioavailability on portal pressure, and on splachnic and systemic haemodynamics in a cirrhotic portal hypertensive rat model.METHODS: Male Sprague-Dawley rats underwent sham operation (SO) or bile duct ligation (BDL). When cirrhosis was fully developed, the animals were orally treated with low-dose (5 mg/kg) or high-dose (10 mg/kg) nebivolol (NEBI) or vehicle (VEH) for 7 days. Heart rate (HR), mean arterial pressure (MAP), portal pressure (PP) and superior mesenteric artery blood flow (SMABF) were measured. Portosystemic collateral blood flow (PSCBF) was quantified using radioactive microspheres. Hepatic and splanchnic NOx levels and GSH/GSSG ratios (RedOx state) were determined using commercially available kits.RESULTS: BDL-VEH rats showed increased HR, PP and PSCBF, whereas MAP was decreased compared to SO-VEH rats. Nebivolol significantly reduced HR both in SO (P < 0.001) and BDL (P < 0.001) rats. BDL-NEBI animals had significantly higher PP (15.5 vs. 12.6 mmHg; P = 0.006) and SMABF (5.3 vs. 3.7 ml/min/100g; P = 0.016) than BDL-VEH animals. The increase in PP and SMABF was noted both in low-dose and high-dose BDL-NEBI rats. While no beneficial effects on hepatic RedOx state were observed, splanchnic NOx levels were significantly increased by NEBI treatment in a dose-dependent manner. Nebivolol treatment did not affect PSCBF in SO and BDL animals.CONCLUSION: Nebivolol increases portal pressure in cirrhotic animals by increasing splanchnic blood flow via modulation of NO signalling. Portosystemic collateral blood flow remained unchanged. These data do not support the use of nebivolol for treatment of cirrhotic patients with portal hypertension.
KW - Administration, Oral
KW - Adrenergic beta-Antagonists
KW - Animals
KW - Benzopyrans
KW - Blood Flow Velocity
KW - Collateral Circulation
KW - Common Bile Duct
KW - Dose-Response Relationship, Drug
KW - Ethanolamines
KW - Glutathione
KW - Heart Rate
KW - Hypertension, Portal
KW - Ligation
KW - Liver
KW - Liver Circulation
KW - Liver Cirrhosis, Experimental
KW - Male
KW - Mesenteric Artery, Superior
KW - Nitric Oxide
KW - Oxidation-Reduction
KW - Portal Pressure
KW - Rats
KW - Rats, Sprague-Dawley
KW - Signal Transduction
KW - Splanchnic Circulation
KW - Up-Regulation
U2 - 10.1111/liv.12101
DO - 10.1111/liv.12101
M3 - SCORING: Journal article
C2 - 23331709
VL - 33
SP - 561
EP - 568
JO - LIVER INT
JF - LIVER INT
SN - 1478-3223
IS - 4
ER -