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Circulation Research. 1995;76:269-275

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(Circulation Research. 1995;76:269-275.)
© 1995 American Heart Association, Inc.


Articles

Role of Extracellular and Intracellular Acidosis for Hypercapnia-Induced Inhibition of Tension of Isolated Rat Cerebral Arteries

Rong Tian, Pia Vogel, Niels A. Lassen, Michael J. Mulvany, Frederik Andreasen, Christian Aalkjær

From the Department of Pharmacology, University of Aarhus (Denmark), and the Department of Clinical Physiology (N.A.L.), Bispebjerg Hospital, Copenhagen, Denmark.

Correspondence to Dr Christian Aalkjær, Department of Pharmacology, University of Aarhus, 8000 Aarhus C, Denmark.


*    Abstract
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*Abstract
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Abstract The importance of smooth muscle cell pHi and pHo for the hypercapnic vasodilation of rat cerebral arteries was evaluated in vitro. Vessel segments were mounted in a myograph for isometric tension recording; pHi was measured by loading the smooth muscle cells with the fluorescent dye BCECF, and pHo was measured with a glass electrode. In all studies, Ca2+-dependent basal tension (in the absence of any agonist) and tension in the presence of arginine vasopressin were investigated. Control solution was physiological saline bubbled with 5% CO2 and containing 25 mmol/L HCO3- (pH 7.45 to 7.50). Induction of hypercapnic acidosis (10% CO2) or normocapnic acidosis (15 mmol/L HCO3-) caused significant inhibition of smooth muscle tension, and both conditions reduced pHi as well as pHo. N-Nitro-L-arginine significantly inhibited the relaxation to hypercapnic acidosis but had no significant effect on relaxation to normocapnic acidosis. Predominant extracellular acidosis, induced by reducing [HCO3-] from 25 to 9 mmol/L and CO2 from 5% to 2.5%, also caused inhibition of tension in steady state. By contrast, predominant intracellular acidosis, induced by increasing [HCO3-] from 25 to 65 mmol/L and CO2 from 5% to 15%, induced a small increase of basal tension and a small decrease of tension in the presence of arginine vasopressin. The responses to predominant intracellular or extracellular acidosis were qualitatively similar in the presence and absence of endothelium and in the presence and absence of N-nitro-L-arginine. It is concluded that the extracellular acidosis and not smooth muscle intracellular acidosis is responsible for the relaxation to hypercapnic acidosis.


Key Words: cerebral arteries • pH • hypercapnia • nitric oxide


*    Introduction
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up arrowAbstract
*Introduction
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It is well known that hypercapnic acidosis dilates cerebral vessels through a direct effect on the vessels.1 2 3 It has further been documented that the decrease of pH is necessary for the relaxation of the smooth muscles.4 5 6 7 However, whether the relaxation is mediated through reduction of pHo or pHi has never been clarified.8 9 10 For vascular smooth muscle in general, the role of pHi is controversial. It has been suggested by a number of investigators that reduction of pHi may be of importance for vasodilation,3 11 12 13 14 15 but it has also been suggested that pHo may be the dominant mechanism responsible for relaxation.1 2 3 16 Interestingly, in several vascular beds an acute intracellular acidification with a maintained pHo leads to force development,17 18 19 which is caused by an increase in [Ca2+]i.18 Whether, in steady state, reduction of pHi also causes force development has not been investigated. Part of the reason that this question has not been clarified is because it has not previously been possible to measure pHi in vascular smooth muscles, and much of the confusion alluded to above reflects the fact that the discussion has been based on assumptions concerning changes in pHi. However, with the ability to measure pHi and force simultaneously in small arteries,20 it has become possible to address this problem in a more direct way and provide new information.

In the present study, we have investigated the effect of changes in pHi and pHo on both basal isometric tension (tension seen in the absence of any agonist and dependent on [Ca2+]i) and isometric tension induced by arginine vasopressin (AVP). The reason for studying both types of tension was that pH might have different effects on different types of tension.

Since it has recently been demonstrated that N-nitro-L-arginine (l-NNA), an inhibitor of nitric oxide (NO) synthase, causes a significant attenuation of the cerebrovasodilation induced by hypercapnia in vivo,21 22 we found it important also to evaluate the effect of the endothelium and of l-NNA for the responses to changes in pHi and pHo.

The results of the present study indicate that the reduction of pHo can explain the vasodilation to hypercapnic acidosis, whereas the concomitant reduction of smooth muscle pHi is of little or no importance for the effect.


*    Materials and Methods
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*Materials and Methods
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Preparation
Male Wistar rats (12 to 16 weeks old) were killed with CO2. The brain was taken out, and a branch of the middle cerebral artery (internal diameter, {approx}250 µm) was dissected out.

Setup
The arteries were mounted as ring preparations in a myograph for isometric force development by threading them on two stainless steel wires.23 The internal diameter was set to an internal circumference on the basis of the passive tension–length curve, which was equal to 0.9 times L100, where L100 is the circumference the vessel would have when exposed to a transmural pressure of 100 mm Hg in vivo.

pHi was measured with BCECF, as described previously.20 Vessels mounted on the myograph were loaded at 37°C with 5 µmol/L BCECF-AM (the membrane-permeable acetoxymethylester form of BCECF) for 60 minutes. The vessels were then excited alternately with light at 450 and 495 nm provided by a 75-W xenon lamp, which fed into a monochromator. The emission from the preparation passed through a bandpass filter (515 to 560 nm) and a <720-nm cutoff filter and was, via the photomultiplier, fed into the computer, where the ratio of emission at the two different excitation wavelengths was calculated after subtraction of background fluorescence. A ratio measurement was obtained every 30 seconds in these experiments. The ratio was calibrated in terms of pHi with nigericin.20 24 When the vessels are loaded with BCECF-AM in this way, removal of the endothelium does not affect the amount of fluorescence. In 14 experiments, the fluorescence in arbitrary units was 0.59±0.03 before and 0.56±0.05 after removal of the endothelium with excitation at 450 nm and 3.04±0.27 before and 3.43±0.40 after removal of the endothelium with excitation at 495 nm (functional removal was achieved [Table 1Down] by rubbing the luminal surface with a human hair25 ). None of these differences were statistically significant. Furthermore, with confocal microscopy, a uniform loading of the smooth muscle cells is seen, whereas no fluorescence from endothelial cells can be detected (G. Daly and I. McGrath, Glasgow, Scotland, personal communication), indicating that the fluorescence is reflecting pHi of the smooth muscle cells. pHo in the bath was measured continuously with a pH microelectrode (Ingold).


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Table 1. Effect of Removal of Endothelium on pH, Tension Development, and Relaxation to 3x10-6 mol/L Bradykinin in Isolated Rat Cerebral Small Arteries

To assess the relation between basal isometric tension and [Ca2+]i in the cerebral small arteries, [Ca2+]i was measured in three experiments as described previously with fura 2,26 27 and the fluorescent signal was calibrated as described by Grynkiewicz et al28 by using a Kd for the fura 2–Ca2+ complex of 342 nmol/L.29 As seen in Fig 1Down, the basal tension of the cerebral arteries was dependent on the presence of extracellular Ca2+, and omission of extracellular Ca2+ caused a reduction of [Ca2+]i and a concomitant reduction of tension. When AVP was added, both [Ca2+]i and tension increased. In the experiment shown, l-NNA was present, but the same pattern was seen in the absence of l-NNA.



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Figure 1. Tracings from an experiment in which [Ca2+]i (upper tracing) and isometric force (lower tracing) were measured simultaneously in an isolated rat cerebral artery. Where indicated, Ca2+ was omitted from the bathing medium, or 2 U/L arginine vasopressin (AVP) was added. In this experiment, 10-5 mol/L N-nitro-L-arginine was present throughout.

Protocol
The protocol used in all experiments in which pHi was measured is outlined in Fig 2Down, where tracings of pHi, pHo, and force are shown in response to different solutions and substances. In all experiments, the vessel segments were activated with AVP (1 or 2 U/L). The importance of pHi and pHo for the tension was studied in five different solutions: a control physiological saline solution (PSS) and test solutions A, B, C, and D.



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Figure 2. Tracings from an experiment in which the effect of hypercapnic and normocapnic acidification on tension of an isolated rat cerebral artery was assessed. The vessel was bathed in physiological salt solution gassed with 5% CO2 and containing 25 mmol/L HCO3-. Where indicated, CO2 was increased to 10%, or [HCO-]3- was reduced to 15 mmol/L. The vessel was activated with 2 U/L arginine vasopressin (AVP), and to test endothelial function, 10-6 mol/L bradykinin (BK) was added after AVP activation.

PSS had the following composition (mmol/L): NaCl 119, KCl 4.7, KH2PO4 1.18, MgSO4 1.17, NaHCO3 25, CaCl2 2.5, EDTA 0.026, HEPES 5, and D-glucose 5.5. The pH of this solution was 7.45 to 7.50 when gassed with 5% CO2/95% O2. In the Ca2+-free PSS, CaCl2 was omitted and 0.1 mmol/L EGTA was added.

Solutions A through D were as follows: solution A, hypercapnic acidosis (PSS, 10% CO2, pH {approx}7.25); solution B, normocapnic acidosis (PSS containing 15 mmol/L HCO3-, 5% CO2, pH {approx}7.25); solution C, extracellular acidosis (PSS containing 9 mmol/L HCO3-, 2.5% CO2, pH {approx}7.35); and solution D, intracellular acidosis (PSS containing 65 mmol/L HCO3-, 15% CO2, pH {approx}7.45). In solutions C and D, chloride was added or removed to keep the sum of chloride and bicarbonate concentrations constant.

The purpose of changing CO2 and [HCO3-] in the test solutions was to obtain different levels of pHi and pHo in steady state. The pH values obtained in the experiments are given in Figs 3Down and 4Down. These pH values refer to values in the absence of AVP. Addition of AVP did not significantly affect these values. Fig 3Down shows values for pHi and pHo in control solution and in solutions A and B. Both solutions are seen to induce significant reductions in pHo as well as pHi. pHo was reduced to a similar extent in the two solutions, but pHi was reduced significantly more in solution A (0.15±0.02 pH units) than in solution B (0.10±0.02 pH units, n=8, P=.002). Fig 4Down shows values for the reductions of pHi and pHo in solutions C and D. Solution C is seen to induce a predominant extracellular acidosis, whereas solution D is seen to induce a predominant intracellular acidosis. In solution C, pHo is significantly more reduced than pHi; in solution D, pHi is significantly more reduced than pHo.



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Figure 3. Bar graph showing mean values for pHo and pHi from eight experiments similar to the one shown in Fig 2Up. The error bars indicate SEM. *P<.05 compared with control by paired two-tailed t test.



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Figure 4. Bar graph showing mean values for reduction of pHo and pHi from control solution (5% CO2 and 25 mmol/L HCO3-) to solutions in which [HCO3-] was reduced to 9 mmol/L and CO2 was reduced to 2.5% (solution C) to get predominant extracellular acidification or to solutions in which [HCO3-] was increased to 65 mmol/L and CO2 was increased to 15% (solution D) to get predominant intracellular acidification. pHi and pHo values in control solution were 7.27±0.02 and 7.48±0.00, respectively, for solution C and 7.28±0.02 and 7.48±0.00, respectively, for solution D. Each bar represents the mean of 33 experiments, and the error bars indicate SEM. *Significantly different (P<.05) from zero.

The tension development at the different values for pHi and pHo were studied in the following six series of experiments: (1) control versus solution A and control versus solution B, (2) as in series 1, but in the presence of l-NNA (10-5 and 10-4 mol/L for solution A and 10-5 mol/L for solution B), (3) control versus solution C and control versus solution D, (4) as in series 3, with subsequent repeat of the experiments after removal of the endothelium, (5) as in series 3, with subsequent repeat of the experiments after removal of the endothelium and in the presence of 10-6 mol/L sodium nitroprusside (SNP), and (6) as in series 3, with subsequent repeat of the experiments in the presence of 10-5 mol/L l-NNA. The sequence of application of test solutions was randomized.

To evaluate the importance of endothelial function for the vasodilator responses to acidification, the effect of endothelial removal, l-NNA, and SNP were assessed as detailed above. The influence of applying these drugs or procedures on the basal characteristics of the vessels is summarized in Table 1Up. Table 1Up shows that pHo and pHi in the control solution were unaffected by removal of the endothelium. The increase in basal tension did not reach statistical significance, but the bradykinin (BRK)-induced relaxation (both transient and sustained; see Fig 2Up) was abolished. Table 2Down shows the effect of l-NNA in the control solution. pHo and pHi were not affected, but the basal tension was increased, and the relaxant response to 10-6 mol/L BRK was decreased. The values for BRK-induced relaxation refer to the sustained relaxation. The transient BRK-induced relaxation was unaffected by l-NNA. Table 2Down also shows that the relaxation to SNP is significantly increased by l-NNA. pHi and pHo were not significantly affected by the presence of SNP in control solution or in solutions C and D (data not shown).


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Table 2. Effect of N-Nitro-L-arginine on pH, Tension, and Relaxation With 10-6 mol/L Bradykinin and 10-5 mol/L Sodium Nitroprusside in Isolated Rat Cerebral Small Arteries

Chemicals
Other chemicals used were BCECF-AM (Molecular Probes); SNP, bradykinin, nigericin, and l-NNA (Sigma Chemical Co); and AVP (Sandoz).

Data Analysis
In the text, values are mean±SEM. To assess the effect of the four different test solutions, the tension in test solution was compared with the mean tension in control solution immediately before and after the test (see Fig 2Up). Unless otherwise stated, mean values were compared with a paired two-tailed t test. A value of P<.05 was considered significant. The numbers in parentheses indicate the number of arteries, one artery per rat. In figures, force development is shown as tension development. Tension development is the tension (force divided by two times segment length) at a specified time during the experiment minus the minimal tension recorded during the experiment (after setting the internal circumference of the vessels to 0.9 · L100).


*    Results
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*Results
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Effect of Hypercapnic and Normocapnic pH Reduction on Vessel Tension
Fig 5Down shows the result of the first series of experiments, in which the effects of solution A (hypercapnic acidosis) and solution B (normocapnic acidosis) were studied as outlined in Fig 2Up. The basal tension was not reduced significantly by either of the two acidification procedures, but the tension in the presence of 2 U/L AVP was significantly reduced by solution A as well as solution B. Both solutions also reduced the tension in the presence of 10-5 mol/L l-NNA. For solution A, this reduction (9±1%) was significantly smaller than the reduction produced by solution A when l-NNA was absent (24±4%). For solution B, there was no significant difference between reductions observed in the presence (29±5%) and absence (33±4%) of l-NNA. To assess whether further inhibition of the vasodilatory response to acidification could be obtained with a higher concentration of l-NNA, the effect of 10-5 and 10-4 mol/L l-NNA was compared in a separate series of seven experiments. The basal tension in control solution was 0.59±0.15 N/m in the presence of 10-5 mol/L l-NNA and 0.50±0.13 N/m in the presence of 10-4 mol/L l-NNA. This difference was not significantly different. Furthermore, the reduction of tension (with 1 U/L AVP) in solution A was 30±5% and 44±4% with 10-5 and 10-4 mol/L l-NNA, respectively, and this difference was not significantly different.



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Figure 5. Graph showing values for basal tension (open symbols) and developed tension (closed symbols) in experiments similar to the one shown in Fig 2Up. Control responses are connected to the corresponding responses in solution A or solution B as indicated. Asterisk indicates mean values; vertical bars, SEM. P values are based on comparison by paired two-tailed t test.

Effect of Reductions of pHo or pHi on Vessel Tension
Fig 6Down, top left, shows that with predominant reduction of pHo (solution C), both the basal tension and the tension development with 1 and 2 U/L AVP were significantly reduced. In contrast, when pHi was decreased (solution D), the basal tension was slightly but significantly increased, whereas there was no significant change in tension development in the presence of 2 U/L AVP and a small although significant reduction with 1 U/L AVP. In addition, the attenuation of tension development to both 1 and 2 U/L AVP was significantly greater in solution C compared with solution D.



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Figure 6. Bar graphs showing mean values for tension in control solution (Con; at 5% CO2 and 25 mmol/L HCO3-) and in acidifying solution C (at 2.5% CO2 and 9 mmol/L HCO3-) or D (at 15% CO2 and 65 mmol/L HCO3-). The bars indicate tension in the presence of arginine vasopressin (AVP); the hatched part of the bars indicates basal tension. The open bars marked Diff. indicate the difference between the bars marked Con and C or D; the hatched bars marked Diff. indicate the difference in basal tension. Top left, Endothelium-intact vessels with 1 U/L (n=26) or 2 U/L (n=7) AVP as indicated. Top right, Vessels with endothelium removed (n=6). Bottom left, Vessels with endothelium removed but presence of 10-6 mol/L sodium nitroprusside (n=8). *Significantly different (P<.05) from zero.

To assess whether the reduction of tension seen with solution C (extracellular acidosis) and the generally small effect of solution D (intracellular acidosis) were reflecting characteristics of the smooth muscles, the experiments with solutions C and D were repeated in the absence of a functional endothelium (Fig 6Up, top right). Extracellular acidosis (solution C) was associated with a reduction of both basal tension and tension in the presence of 1 U/L AVP. Although the reduction in tension tended to be smaller in the absence of the endothelium compared with the endothelium-intact preparation (25±5% and 32±5%, respectively), this difference did not reach statistical significance. With intracellular acidosis (solution D), a small but significant increase in basal tension was seen, whereas the small reduction in tension in the presence of 1 U/L AVP did not reach statistical significance. These responses to solution D were qualitatively similar to the responses in the endothelium-intact preparation.

In the next series of experiments (Fig 6Up, bottom left), the responses to solutions C and D were assessed after removal of the endothelium but in the presence of a constant source of NO provided by SNP. In eight experiments, the responses to solutions C and D were first obtained in intact vessels, after which the endothelium was removed, 10-6 mol/L SNP was added, and new responses to solutions C and D were obtained. In the absence of endothelium but presence of SNP, extracellular acidosis (solution C) again caused a significant reduction of both basal tension and tension in the presence of 1 U/L AVP, whereas intracellular acidosis (solution D) caused a small increase of basal tension and a small reduction of tension in the presence of AVP, although neither response achieved statistical significance. The reduction in tension in solution C (13±4%) was not significantly different from the relaxation in the presence of endothelium (20±4%).

In the last series of experiments, the effect of 10-5 mol/L l-NNA was assessed. Selective reduction of pHi (solution D) did not significantly affect tension in the presence of 2 U/L AVP (1.53±0.20 and 1.47±0.20 N/m for the control solution and solution D, respectively; P=NS, n=5) or basal tension (0.44±0.15 and 0.48±0.12 N/m for control solution and solution D, respectively; P=NS, n=5), whereas selective reduction of pHo (solution C) significantly reduced tension development in the presence of 2 U/L AVP (1.55±0.21 and 1.47±0.20 N/m for control solution and solution C, respectively; P=.04, n=5) as well as basal tension (0.43±0.14 and 0.34±0.15 N/m for control solution and solution C, respectively; P=.03, n=5).


*    Discussion
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*Discussion
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In the present study, the aim was to evaluate the relative importance of pHo and smooth muscle pHi for tension in small cerebral arteries. We investigated the cerebral small arteries because this is a vascular bed, where pH is known to play an important physiological role in the control of blood flow.16 To achieve this, we measured pHo, pHi of the smooth muscles, and force simultaneously in isolated cerebral small arteries under conditions in which PCO2 and [HCO3-] were changed.

It is probable that the effect of pHi and pHo may depend on the type of tension that is present. For that reason, we studied the effect of pHi and pHo on both the AVP-induced tension and the tension that is present in the absence of any agonist, which we showed to be dependent on extracellular Ca2+ through an effect on [Ca2+]i and therefore to be a spontaneous active tone. Although the importance of vascular smooth muscle pHi for vascular tone is an old question, the problem has not previously been approached on the basis of direct measurements of steady state changes in vascular smooth muscle pHi.

Hypercapnic and Normocapnic Reductions of pH
As expected, hypercapnic acidosis (solution A) was associated with attenuated tension development to AVP, confirming several previous reports showing that high PCO2 induces cerebrovasodilation through a direct effect on the vascular wall.1 2 3 Furthermore, reduction of [HCO3-] to 15 mmol/L with a maintained PCO2 (solution B), which decreased pHo to the same extent as the high PCO2, also reduced tension development in the presence of AVP. This observation is consistent with the idea that reduction of pH is of importance for the vasodilation induced by hypercapnia,1 2 3 16 although it obviously does not exclude the possibility that a direct effect of molecular CO2 adds to the vasodilation (eg, see Reference 33 ). On the other hand, the small effect on tension of solution D, which was gassed with 15% CO2 gives further support to the notion that molecular CO2 per se probably has little effect on cerebral vascular tone. It is likely that NO plays a role in the response to hypercapnic acidosis, since both 10-4 and 10-5 mol/L l-NNA reduced this response, although without abolishing it. l-NNA also enhanced basal tension (as previously reported30 31 ) and inhibited the relaxation to BRK, confirming an important role of NO for the function of cerebral arteries. To substantiate this conclusion, the specificity of l-NNA was assessed by evaluating the effect of l-NNA on the response to SNP. Interestingly, the relaxing effect of SNP was enhanced in the presence of l-NNA (Table 2Up), in contrast to the reduction of the relaxation to hypercapnic acidosis and to BRK. This shows that l-NNA does not cause an unspecific inhibition of the ability of the vessels to relax. The enhanced relaxant effect of SNP induced by l-NNA may suggest that under control conditions the level of NO and cGMP is so high that the addition of an NO donor (SNP) has only a small effect on tension (11% reduction of tension, Table 2Up), which is enhanced (28% reduction of tension, Table 2Up) after inhibition of endogenous NO production.

The fact that the inhibitory effect of l-NNA on the response to hypercapnic acidosis in AVP-activated vessels was only partial is consistent with recent in vivo data suggesting that NO is partly responsible for the increase of cerebral blood flow during hypercapnia.21 22 The finding is further consistent with the suggestion21 22 that a significant part of the response to hypercapnic acidosis is NO independent. Furthermore, normocapnic acidosis induced the same relaxations in the presence and absence of l-NNA, suggesting that normocapnic acidosis also induces relaxation that is NO independent.

Predominant Reductions of pHo or pHi
Both the increase of PCO2 in solution A and the decrease of [HCO3-] in solution B were associated with a reduction of pHi, although the reduction was slightly but significantly more pronounced when PCO2 was increased than when [HCO3-] was decreased. Previously, the vasodilation caused by reduction of [HCO3-] with maintained PCO2 was taken as evidence for a minor role of pHi for the vasodilation, because it was assumed32 that the membrane was impermeable to protons and HCO3- and that pHi therefore was not affected by the reduction of [HCO3-]. However, the finding of the present experiments, ie, that a reduction of [HCO3-] also reduces pHi, questions this argument. Thus, it is difficult to evaluate the relative importance of pHo and pHi by comparing the vasodilator effect of hypercapnic and normocapnic acidosis. On the other hand, the differential effect of a normocapnic and a hypercapnic acidosis on pHi suggested that a combination of low PCO2 and [HCO3-] might result in a decreased pHo with a maintained pHi and that high PCO2 and [HCO3-] might result in a decreased pHi with a maintained pHo in steady state.

Although this was not entirely achieved, near-selective reductions of pHo or pHi in steady state were achieved for the combinations of PCO2 and [HCO3-] in solutions C and D. Furthermore, the {approx}0.11–pH unit reduction of pHo in solution C and the 0.06–pH unit reduction of pHi in solution D are what might be expected for pHo and pHi during a moderate hypercapnic acidosis (C. Aalkjær, unpublished observation; compare also with the 0.25–pH unit reduction of pHo and the 0.15–pH unit reduction of pHi in the more severe hypercapnic acidosis of solution A). With solutions C and D, we have therefore isolated these changes in pHo and pHi, respectively, which gave us the opportunity to evaluate their relative importance. When pHo was reduced (with minimal changes in pHi), it was a consistent finding that both basal tension and tension in the presence of AVP were reduced. This observation suggests that a reduction of pHo can account for the attenuation of tension during hypercapnia and also suggests that the pHo-induced reduction of tension is a generalized phenomenon not only confined to agonist-induced tension. This was also the case after inhibition of NO production by either removal of the endothelium or by l-NNA, strongly suggesting that reduction of pHo reduces tension by a direct effect on the smooth muscles. This conclusion regarding the importance of pHo in cerebral vascular tone agrees with the conclusion reached by West et al,9 who used a completely different approach. In voltage-clamped vascular smooth muscle cells isolated from the cerebral arteries, these authors found that reduction of pHo (with pHi maintained by having 10 mmol/L HEPES in the patch pipette) caused a reduction of Ca2+ current, and this could account for the vasodilation we demonstrated.

The conclusion was further substantiated by our experiments with SNP. These experiments were made to assess the possibility that the differential response to solutions C and D could be obtained under conditions of a constant supply of NO. The results were consistent with the interpretation of the previous experiments and suggest that extracellular acidosis can cause relaxation via a direct effect on the smooth muscle cells under conditions with a constant supply of NO. Thus, the role of endothelium-derived NO could be permissive and may not necessarily increase during extracellular acidosis. This possibility would be consistent with recent data showing that cGMP in the isolated rat basilar artery is not increased by hypercapnic acidosis.33

In contrast to the consistent reduction of tension with extracellular acidosis, reduction of pHi, with an only minimal reduction of pHo (solution D), had only a small effect on tension, and the effect seemed different for basal tension and tension in the presence of AVP. In the four series of experiments with intracellular acidification (solution D), the basal tension was always enhanced relative to the control value, although this did only reach statistical significance in the presence of endothelium (Fig 6Up, top left) and in the absence of endothelium without SNP (Fig 6Up, top right). In the experiments with l-NNA and with SNP, the apparent increase in basal tension just failed to reach statistical significance. This may suggest that a steady state intracellular acidosis induces a small enhancement of basal tension in these arteries. This interpretation is consistent with the observation that an acute decrease of pHi in several vascular beds (including cerebral small arteries [C. Aalkjær, unpublished observation]) is associated with force development.17 18 19 34 It is also consistent with another recent observation indicating that the metabolically produced acid during hypoxia does not contribute to the inhibition of tension during hypoxia in cerebral small arteries.27 Whether the increase of steady state tension reflects a change in the buffering of intracellular Ca2+ by the increased proton concentration, as has been suggested for the acute effect of intracellular acidification,18 remains to be seen. In contrast to the effect of intracellular acidification on basal tension, the tension in the presence of AVP may be slightly reduced by intracellular acidification. Although this was only significant in the presence of endothelium, the trend was seen both in the absence of endothelium and in the presence of l-NNA. Therefore, it cannot be excluded that intracellular acidification may inhibit one or more steps in the excitation-contraction coupling for AVP, and this may counteract the potentiating effect of acidification on basal tension with a resultant small relaxation.

Conclusion
In summary, we made simultaneous measurements of smooth muscle pHi, pHo and both basal tension and tension in the presence of AVP in isolated cerebral arteries. These were made to obtain new information on the relative importance of pHi and pHo for the steady state vasodilation seen during hypercapnic acidosis. The results point to a dominant direct effect of pHo on both basal tension and tension in the presence of AVP, whereas reduction of smooth muscle pHi may only be of minor importance for the relaxation. Indeed, a reduction of pHi seemed to increase basal tension, whereas the effect in the presence of AVP was possibly a small decrease, suggesting that the effect of pHi may depend on the type of tension present. In addition, the results are consistent with the possibility that part of vasodilation to hypercapnic acidosis is dependent on NO released from the vascular wall, probably from the endothelium, although the mechanism responsible for this effect of NO is unknown.


*    Acknowledgments
 
This study was supported by the Danish Medical Research Council and the Danish Heart Foundation.

Received February 16, 1994; accepted October 7, 1994.


*    References
up arrowTop
up arrowAbstract
up arrowIntroduction
up arrowMaterials and Methods
up arrowResults
up arrowDiscussion
*References
 
1. Lassen NA. Brain extracellular pH: the main factor controlling cerebral blood flow. Scand J Clin Lab Invest. 1968;22:247-251. [Medline] [Order article via Infotrieve]

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