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Vasodilator effects of dehydroepiandrosterone (DHEA) on fetal pulmonary circulation: An experimental study in pregnant sheep
Persistent pulmonary hypertension (PPHN) remains a severe complication of the transition to extra-uterine life with significant morbidity and mortality in the newborns. Dehydroepiandrosterone (DHEA) represents a new pharmacological agent with vascular effects, including improvement of PPHN in severa...
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Published in: | PloS one 2018-06, Vol.13 (6), p.e0198778 |
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description | Persistent pulmonary hypertension (PPHN) remains a severe complication of the transition to extra-uterine life with significant morbidity and mortality in the newborns. Dehydroepiandrosterone (DHEA) represents a new pharmacological agent with vascular effects, including improvement of PPHN in several animal models. We hypothesized that DHEA could decrease pulmonary vascular resistance (PVR) in the pulmonary circulation of fetal sheep. We studied the effect of intravenous infusion of DHEA in fetal lambs using chronically instrumented sheep at 128 days of gestation. PVR was computed before and after intravenous infusion of increasing doses of DHEA. We assessed pre-treatment by L-nitroarginine, an inhibitor of NO production. Blood gases and doses of DHEA were measured in both sheep and fetus before/after DHEA infusion. Intravenous infusion of DHEA had a vasodilator effect with a significant decrease in PVR (respectively -11%, -14% and -36% after infusion of 6, 12 and 24 mg DHEA, p |
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Dehydroepiandrosterone (DHEA) represents a new pharmacological agent with vascular effects, including improvement of PPHN in several animal models. We hypothesized that DHEA could decrease pulmonary vascular resistance (PVR) in the pulmonary circulation of fetal sheep. We studied the effect of intravenous infusion of DHEA in fetal lambs using chronically instrumented sheep at 128 days of gestation. PVR was computed before and after intravenous infusion of increasing doses of DHEA. We assessed pre-treatment by L-nitroarginine, an inhibitor of NO production. Blood gases and doses of DHEA were measured in both sheep and fetus before/after DHEA infusion. Intravenous infusion of DHEA had a vasodilator effect with a significant decrease in PVR (respectively -11%, -14% and -36% after infusion of 6, 12 and 24 mg DHEA, p<0.01) without damaging effects on systemic circulation or on blood gases. The inhibitory effect of pre-treatment with L-nitroarginine resulted in a significant increase in PVR. We demonstrated a potent vasodilator effect of DHEA on fetal pulmonary circulation without deleterious effects. DHEA might represent a new treatment for PPHN.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0198778</identifier><identifier>PMID: 29949623</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Animal models ; Animals ; Biology and Life Sciences ; Blood ; Blood circulation ; Chronic obstructive pulmonary disease ; Dehydroepiandrosterone ; Dehydroepiandrosterone - pharmacology ; Disease ; Dose-Response Relationship, Drug ; Female ; Fetal development ; Fetus - blood supply ; Fetuses ; Gases ; Gestation ; Gynecology ; Health aspects ; Hospitals ; Hypertension ; Intravenous administration ; Intravenous infusion ; Measurement ; Medicine and Health Sciences ; Morbidity ; Neonates ; Nitric oxide ; Obstetrics ; Ostomy ; Ovis aries ; Pediatrics ; Pharmacology ; Physical Sciences ; Physiology ; Pregnancy ; Pulmonary arteries ; Pulmonary circulation ; Pulmonary Circulation - drug effects ; Pulmonary hypertension ; Sheep ; Studies ; Surgery ; Testing ; Time Factors ; Uterus ; Vasodilator Agents - pharmacology ; Veins & arteries</subject><ispartof>PloS one, 2018-06, Vol.13 (6), p.e0198778</ispartof><rights>COPYRIGHT 2018 Public Library of Science</rights><rights>2018 Sharma et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2018 Sharma et al 2018 Sharma et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c593t-f7cc2f53d6d17183de0f68d2ed8318d55efc7165d6a8f6731acd84847f6319803</citedby><cites>FETCH-LOGICAL-c593t-f7cc2f53d6d17183de0f68d2ed8318d55efc7165d6a8f6731acd84847f6319803</cites><orcidid>0000-0001-6752-8123</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.proquest.com/docview/2060855402/fulltextPDF?pq-origsite=primo$$EPDF$$P50$$Gproquest$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/2060855402?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,25753,27924,27925,37012,44590,53791,53793,75126</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29949623$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Ashton, Nick</contributor><creatorcontrib>Sharma, Dyuti</creatorcontrib><creatorcontrib>Coridon, Hélène</creatorcontrib><creatorcontrib>Aubry, Estelle</creatorcontrib><creatorcontrib>Houeijeh, Ali</creatorcontrib><creatorcontrib>Houfflin-Debarge, Véronique</creatorcontrib><creatorcontrib>Besson, Rémi</creatorcontrib><creatorcontrib>Deruelle, Philippe</creatorcontrib><creatorcontrib>Storme, Laurent</creatorcontrib><title>Vasodilator effects of dehydroepiandrosterone (DHEA) on fetal pulmonary circulation: An experimental study in pregnant sheep</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>Persistent pulmonary hypertension (PPHN) remains a severe complication of the transition to extra-uterine life with significant morbidity and mortality in the newborns. Dehydroepiandrosterone (DHEA) represents a new pharmacological agent with vascular effects, including improvement of PPHN in several animal models. We hypothesized that DHEA could decrease pulmonary vascular resistance (PVR) in the pulmonary circulation of fetal sheep. We studied the effect of intravenous infusion of DHEA in fetal lambs using chronically instrumented sheep at 128 days of gestation. PVR was computed before and after intravenous infusion of increasing doses of DHEA. We assessed pre-treatment by L-nitroarginine, an inhibitor of NO production. Blood gases and doses of DHEA were measured in both sheep and fetus before/after DHEA infusion. Intravenous infusion of DHEA had a vasodilator effect with a significant decrease in PVR (respectively -11%, -14% and -36% after infusion of 6, 12 and 24 mg DHEA, p<0.01) without damaging effects on systemic circulation or on blood gases. 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DHEA might represent a new treatment for PPHN.</description><subject>Animal models</subject><subject>Animals</subject><subject>Biology and Life Sciences</subject><subject>Blood</subject><subject>Blood circulation</subject><subject>Chronic obstructive pulmonary disease</subject><subject>Dehydroepiandrosterone</subject><subject>Dehydroepiandrosterone - pharmacology</subject><subject>Disease</subject><subject>Dose-Response Relationship, Drug</subject><subject>Female</subject><subject>Fetal development</subject><subject>Fetus - blood supply</subject><subject>Fetuses</subject><subject>Gases</subject><subject>Gestation</subject><subject>Gynecology</subject><subject>Health aspects</subject><subject>Hospitals</subject><subject>Hypertension</subject><subject>Intravenous administration</subject><subject>Intravenous infusion</subject><subject>Measurement</subject><subject>Medicine and Health Sciences</subject><subject>Morbidity</subject><subject>Neonates</subject><subject>Nitric oxide</subject><subject>Obstetrics</subject><subject>Ostomy</subject><subject>Ovis aries</subject><subject>Pediatrics</subject><subject>Pharmacology</subject><subject>Physical Sciences</subject><subject>Physiology</subject><subject>Pregnancy</subject><subject>Pulmonary arteries</subject><subject>Pulmonary circulation</subject><subject>Pulmonary Circulation - drug effects</subject><subject>Pulmonary hypertension</subject><subject>Sheep</subject><subject>Studies</subject><subject>Surgery</subject><subject>Testing</subject><subject>Time Factors</subject><subject>Uterus</subject><subject>Vasodilator Agents - pharmacology</subject><subject>Veins & arteries</subject><issn>1932-6203</issn><issn>1932-6203</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>PIMPY</sourceid><sourceid>DOA</sourceid><recordid>eNp1Uk1v1DAQjRCIlsI_QGCJCxx2seP4Iz0grUqhlSpxAa6Wa493vcrawU4QK_Hjcdi06kogH8Yav3nzZvyq6iXBS0IFeb-NYwq6W_YxwBKTVgohH1WnpKX1gteYPn5wP6me5bzFmFHJ-dPqpG7bpuU1Pa1-f9c5Wt_pISYEzoEZMooOWdjsbYrQex1KzAOk0ge9_Xh1uXqHYkAOBt2hfux2Mei0R8YnMxYaH8M5WgUEv3pIfgdhguVhtHvkA-oTrIMOA8obgP559cTpLsOLOZ5V3z5dfr24Wtx8-Xx9sbpZGNbSYeGEMbVj1HJLBJHUAnZc2hqspERaxsAZQTizXEvHBSXaWNnIRjhOy14wPateH3j7LmY1Ly6rGnMsGWtwXRDXB4SNeqv6IrzMpKL26m8iprXSafCmAyXahjiubzW30LREayCE0NowTajTYur2Ye423u7AmrKCpLsj0uOX4DdqHX8qjmuCG1oI3swEKf4YIQ__kTyj1rqo8sHFQmZ2Phu1Yo2QDZZ0Qi3_gSrHws6b8qXOl_xRQXMoMOXXcwJ3L5xgNRnvToyajKdm45WyVw-Hvi-6cxr9AzM818Y</recordid><startdate>20180627</startdate><enddate>20180627</enddate><creator>Sharma, Dyuti</creator><creator>Coridon, Hélène</creator><creator>Aubry, Estelle</creator><creator>Houeijeh, Ali</creator><creator>Houfflin-Debarge, Véronique</creator><creator>Besson, Rémi</creator><creator>Deruelle, Philippe</creator><creator>Storme, Laurent</creator><general>Public Library of Science</general><general>Public Library of Science (PLoS)</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QG</scope><scope>7QL</scope><scope>7QO</scope><scope>7RV</scope><scope>7SN</scope><scope>7SS</scope><scope>7T5</scope><scope>7TG</scope><scope>7TM</scope><scope>7U9</scope><scope>7X2</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABJCF</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>D1I</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB.</scope><scope>KB0</scope><scope>KL.</scope><scope>L6V</scope><scope>LK8</scope><scope>M0K</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>M7P</scope><scope>M7S</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>P64</scope><scope>PATMY</scope><scope>PDBOC</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PTHSS</scope><scope>PYCSY</scope><scope>RC3</scope><scope>5PM</scope><scope>DOA</scope><orcidid>https://orcid.org/0000-0001-6752-8123</orcidid></search><sort><creationdate>20180627</creationdate><title>Vasodilator effects of dehydroepiandrosterone (DHEA) on fetal pulmonary circulation: An experimental study in pregnant sheep</title><author>Sharma, Dyuti ; Coridon, Hélène ; Aubry, Estelle ; Houeijeh, Ali ; Houfflin-Debarge, Véronique ; Besson, Rémi ; Deruelle, Philippe ; Storme, Laurent</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c593t-f7cc2f53d6d17183de0f68d2ed8318d55efc7165d6a8f6731acd84847f6319803</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Animal models</topic><topic>Animals</topic><topic>Biology and Life Sciences</topic><topic>Blood</topic><topic>Blood circulation</topic><topic>Chronic obstructive pulmonary disease</topic><topic>Dehydroepiandrosterone</topic><topic>Dehydroepiandrosterone - 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Dehydroepiandrosterone (DHEA) represents a new pharmacological agent with vascular effects, including improvement of PPHN in several animal models. We hypothesized that DHEA could decrease pulmonary vascular resistance (PVR) in the pulmonary circulation of fetal sheep. We studied the effect of intravenous infusion of DHEA in fetal lambs using chronically instrumented sheep at 128 days of gestation. PVR was computed before and after intravenous infusion of increasing doses of DHEA. We assessed pre-treatment by L-nitroarginine, an inhibitor of NO production. Blood gases and doses of DHEA were measured in both sheep and fetus before/after DHEA infusion. Intravenous infusion of DHEA had a vasodilator effect with a significant decrease in PVR (respectively -11%, -14% and -36% after infusion of 6, 12 and 24 mg DHEA, p<0.01) without damaging effects on systemic circulation or on blood gases. The inhibitory effect of pre-treatment with L-nitroarginine resulted in a significant increase in PVR. We demonstrated a potent vasodilator effect of DHEA on fetal pulmonary circulation without deleterious effects. DHEA might represent a new treatment for PPHN.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>29949623</pmid><doi>10.1371/journal.pone.0198778</doi><orcidid>https://orcid.org/0000-0001-6752-8123</orcidid><oa>free_for_read</oa></addata></record> |
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subjects | Animal models Animals Biology and Life Sciences Blood Blood circulation Chronic obstructive pulmonary disease Dehydroepiandrosterone Dehydroepiandrosterone - pharmacology Disease Dose-Response Relationship, Drug Female Fetal development Fetus - blood supply Fetuses Gases Gestation Gynecology Health aspects Hospitals Hypertension Intravenous administration Intravenous infusion Measurement Medicine and Health Sciences Morbidity Neonates Nitric oxide Obstetrics Ostomy Ovis aries Pediatrics Pharmacology Physical Sciences Physiology Pregnancy Pulmonary arteries Pulmonary circulation Pulmonary Circulation - drug effects Pulmonary hypertension Sheep Studies Surgery Testing Time Factors Uterus Vasodilator Agents - pharmacology Veins & arteries |
title | Vasodilator effects of dehydroepiandrosterone (DHEA) on fetal pulmonary circulation: An experimental study in pregnant sheep |
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