Abstract
This study was designed to test the hypotheses that furosemide directly causes relaxation in human fetal airway and that delivery of loop diuretics to either the adventitial or epithelial surface of newborn mouse airway results in equivalent relaxation. Isometric tension changes were measured in human fetal (11–16 wk) trachea and mainstem bronchus rings exposed to furosemide (300 μM) or saline after acetylcholine or leukotriene D4 constriction. Significant decreases in isometric tension to furosemide were demonstrated after constriction with acetylcholine or leukotriene D4. To examine the site of effect and mimic aerosolized and systemic administration, furosemide (3–300 μM) and bumetanide (0.3–30 μM) were applied separately to epithelial and adventitial surfaces of newborn mouse airways. No differences in airway diameter changes to epithelial or adventitial furosemide or bumetanide were observed, but a 10-fold difference in potency was found. In summary, human fetal airway relaxed to furosemide when constricted with either neurotransmitter or inflammatory mediator in vitro. Further, no differences in relaxation to equimolar epithelial and adventitial furosemide were observed in isolated newborn mouse airway. Taken together, this provides evidence that furosemide has a direct, nonepithelial-dependent effect on airway smooth muscle tone.
Similar content being viewed by others
Log in or create a free account to read this content
Gain free access to this article, as well as selected content from this journal and more on nature.com
or
Abbreviations
- LTD4:
-
leukotriene D4
- EC50:
-
effective concentration to produce 50% of maximal response
References
Kao LC, Warburton D, Sargent CW, Platzker ACG, Keens TG 1983 Furosemide acutely decreases airways resistance in chronic bronchopulmonary dysplasia. J Pediatr 103: 624–629
Najak ZD, Harris EM, Lazzara A Jr, Pritt AW 1983 Pulmonary effect of furosemide in preterm infants with lung disease. J Pediatr 102: 758–763
Chinn T, Franchi L, Nussbaum E 1994 Reversal of bronchial obstruction in children with mild stable asthma by aerosolized furosemide. Pediatr Pulmonol 18: 93–98
Bianco S, Vaghi A, Robuschi M, Pasargiklian M 1988 Prevention of exercise induced bronchoconstriction by inhaled furosemide. Lancet 2: 252–255
Nichol GM, Alton EWFW, Nix A, Geddes DM, Chung KF, Barnes PJ 1990 Effect of inhaled furosemide on metabisulfite- and methacholine-induced bronchoconstriction and nasal potential difference in asthmatic subjects. Am Rev Respir Dis 142: 576–580
Stevens EL, Uyehara CFT, Southgate WM, Nakamura KT 1992 Furosemide differentially relaxes airway and vascular smooth muscle in fetal, newborn, and adult guinea pigs. Am Rev Respir Dis 146: 1192–1197
Iwamoto LM, Wilson VL, Lavallee SL, Fujiwara N, Ayau EL, Nakamura KT 1996 Tachyphylaxis to furosemide in isolated airways of guinea pigs. Life Sci 59: 1015–1024
Almirall JJ, Dolman CS, Eidelman DH 1997 Furosemide-induced bronchodilation in the rat bronchus: evidence of a role for prostaglandins. Lung 175: 155–163
Rastogi A, Luayon M, Ajayi OA, Pildes RS 1994 Nebulized furosemide therapy in infants with BPD. J Pediatr 125: 976–979
Kugelman A, Durand M, Garg M 1997 Pulmonary effect of inhaled furosemide in ventilated infants with severe bronchopulmonary dysplasia. Pediatrics 99: 71–75
Corboz MR, Ballard ST, Inglis SK, Taylor AE 1997 Dilatory effect of furosemide on rat tracheal arterioles and venules. Am J Respir Crit Care Med 156: 478–483
Christ MJ, Iwamoto LM, de Silva A, Lavallee SL, Nakamura KT 1998 Amiloride-induced contraction of isolated guinea pig, mouse, and human fetal airways. Am J Physiol 274: R209–R213
Halpern W, Kelley M 1991 In vitro methodology for resistance arteries. Blood Vessels 28: 245–251
Raeburn D, Hay DWP, Farmer SG, Fedan JS 1987 Influence of cartilage on reactivity and on the effectiveness of verapamil in guinea pig isolated airway smooth muscle. J Pharmacol Exp Ther 242: 450–454
Van Neuten JM 1980 Comparison of isotonic and isometric measurements in isolated arterial tissues. In: Bevan JA, Godfraind T, Maxwell RA, Vanhoutte PM (eds) Vascular Neuroeffector Mechanisms. Raven Press, New York, pp 37–39
de Jongste JC, Van Strik R, Bonta IL, Kerrebijn KF 1985 Measurement of human small airway smooth muscle function in vitro with the bronchiolar strip preparation. J Pharmacol Methods 14: 111–118
Aranda JV, Perez J, Sitar DS, Collinge J, Portuguez-Malavasi A, Duffy B, Dupont C 1978 Pharmacokinetic disposition and protein binding of furosemide in newborn infants. J Pediatr 93: 507–511
Roberts RJ 1984 Drug Therapy in Infants: Pharmacological Principles and Clinical Experience. WB Saunders, Philadelphia, pp 226–249
Drazen JM, Gaston B, Shore SA 1995 Chemical regulation of pulmonary airway tone. Annu Rev Physiol 57: 151–170
Stenmark KR, James SL, Voelkel NF, Toews WH, Reeves JT, Murphy RC 1983 Leukotriene C4 and D4 in neonates with hypoxemia and pulmonary hypertension. N Engl J Med 309: 77–80
Mirro R, Armstead W, Leffler C 1990 Increased airway leukotriene levels in infants with severe bronchopulmonary dysplasia. Am J Dis Child 144: 160–161
Jobe AH, Ikegami M 1998 Mechanisms initiating lung injury in the preterm. Early Hum Dev 53: 81–94
Iriarte CF, Pascual R, Villanueva MM, Roman M, Cortijo J, Morcillo EJ 1990 Role of epithelium in agonist-induced contractile responses of guinea-pig trachealis: influence of the surface through which drug enters the tissue. Br J Pharmacol 101: 257–262
Sparrow MP, Mitchell HW 1991 Modulation by the epithelium of the extent of bronchial narrowing produced by substances perfused through the lumen. Br J Pharmacol 103: 1160–1164
Sparrow MP, McFawn PK, Omari TI, Mitchell HW 1992 Activation of smooth muscle in the airway wall, force production, and airway narrowing. Can J Physiol Pharmacol 70: 607–614
Galens S, Munoz NM, Rabe KF, Herrnreiter A, Mayer D, Morton B, McAllister K, Leff AR 1995 Assessment of agonist- and cell-mediated responses in airway microsections by computerized videomicrometry. Am J Physiol 268: L519–L525
Rhoden KJ, Douglas JS 1995 Evidence of Na-K-Cl cotransport in airway smooth muscle. Am J Physiol 268: L551–L557
Owen NE, Prastein ML 1985 Na/K/Cl cotransport in cultured human fibroblasts. J Biol Chem 260: 1445–1451
Lavallee SL, Iwamoto LM, Claybaugh JR, Dressel MVC, Sato AK, Nakamura KT 1997 Furosemide-induced airway relaxation in guinea pigs: Relation to Na-K-2Cl cotransporter function. Am J Physiol 273: L211–L216
Acknowledgements
The authors thank Drs. David Easa and John Claybaugh for their advcice and Naomi Fujiwara and Asoka DeSilva for their technical support. Human tissue used for this research was obtained from the Central Laboratory for Human Embryology, University of Washington, supported by National Institutes of Health Grant HD 00836 to Dr. Alan Fantel.
Author information
Authors and Affiliations
Corresponding author
Additional information
The opinions or assertions contained herein are the private views of the authors and are not to be considered as official or as reflecting the views of the Department of the Army or the Department of Defense.
Supported by Kapi'olani Health Research Institute, the US Army Health Service Command, a Leahi Fund Grant of the Hawai'i Community Foundation, and Research Centers in Minority Institutions awards, U54 RR14607 and P20 RR11091, from the National Center for Research Resources, NIH.
Rights and permissions
About this article
Cite this article
Iwamoto, L., Gries, D. & Nakamura, K. Loop Diuretics and In Vitro Relaxation of Human Fetal and Newborn Mouse Airways. Pediatr Res 50, 273–276 (2001). https://doi.org/10.1203/00006450-200108000-00018
Received:
Accepted:
Issue date:
DOI: https://doi.org/10.1203/00006450-200108000-00018
This article is cited by
-
Expression of Na+-K+-2Cl− Cotransporter 1 Is Epigenetically Regulated During Postnatal Development of Hypertension
American Journal of Hypertension (2011)