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Target Concepts:
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Query: UMLS:C0012739 (
disseminated intravascular coagulation
)
8,673
document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)
We investigated the relationship between endothelin, a potent vasoconstrictor peptide, and the pathophysiology of
disseminated intravascular coagulation
(
DIC
), using two models of
DIC
. Experimental
DIC
was induced by sustained infusion of 50 mg/kg lipopolysaccharide (LPS), or 3.75 U/kg thromboplastin, for 4 h via the rat tail vein. The effect of administration of a non-selective endothelin receptor antagonist (
TAK
-044) (2, 10, or 50 mg/kg, from -0.5 to 4 h) on thromboplastin-induced
DIC
was not significant. However, LPS-induced elevation of alanine aminotransferase, creatinine and glomerular fibrin deposition was significantly suppressed by co-administration of
TAK
-044 in a dose-dependent manner, although no effect of
TAK
-044 was observed on the platelet count, fibrinogen concentration or the level of thrombin-antithrombin complex. Moreover, plasma levels of D-dimer, which reflect the grade of fibrinolysis of cross-linked fibrin, were significantly increased by co-administration of each dose of
TAK
-044 in the LPS-induced
DIC
model in rats. Our results suggest that vasoconstriction, as well as depressed fibrinolysis, contribute to severe organ dysfunction in LPS-induced, but not thromboplastin-induced,
DIC
, and that endothelin plays a role in the development of organ injury in LPS-induced
DIC
in rats.
...
PMID:Relationship between endothelin and the pathophysiology of tissue factor-induced and lipopolysaccharide-induced disseminated intravascular coagulation in rats: a study examining the effect of an endothelin receptor antagonist. 1538 27