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Arch Dis Child Fetal Neonatal Ed 1998;78:F204-F208 ( May )

Effect of dexamethasone on endothelial nitric oxide synthase in experimental congenital diaphragmatic hernia

Bruce O Okoye,a Paul D Losty,a Michael J Fisher,b Irene Wilmott,a David A Lloyda

a Department of Paediatric Surgery Institute of Child Health Alder Hey Children's Hospital, Liverpool, b Department of Biochemistry, University of Liverpool

Correspondence to: Mr Paul Losty Institute of Child Health Alder Hey Children's Hospital Eaton Road, Liverpool L12 2AP.


Accepted 14 January 1998

AIMS---To study the effect of prenatal glucocorticoid treatment on endothelial nitric oxide synthase (eNOS) expression in rats with congenital diaphragmatic hernia (CDH).
METHODS---CDH was induced in fetal rats by the maternal administration of nitrofen on day 9.5 of gestation. Dexamethasone was administered on days 18.5 and 19.5 before delivery of the fetuses on days 20.5 and 21.5. Pulmonary eNOS protein expression was studied by western immunoblotting and immunohistochemistry.
RESULTS---On day 20.5, eNOS expression was significantly reduced in CDH pups compared with normal control rats. Dexamethasone treated CDH pups had eNOS concentrations equivalent to those of normal animals. By day 21.5, however, there was no detectable difference in eNOS expression between the experimental groups.
CONCLUSIONS---eNOS is deficient in near term (day 20.5) CDH rats. Dexamethasone restores eNOS expression in these animals to that seen in normal rat lungs. At term, the precise role of eNOS in the pathophysiology of CDH remains uncertain.

Keywords: congenital diaphragmatic hernia; endothelial nitric oxide synthase; glucocorticoids; nitrofen


© 1998 by Archives of Disease in Childhood



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