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SURFACE RNPLICAS OF PULMONARY ENDOTHELIAL Cti1.LS
IN CULTURE
Although numerous enzymes are known to esisl on the surface of pul-
monary endolhelial cells, their topographical d'utribution is unknown. De-
scribcd here is a simple method which uses an unmodified critical point drying
apparatus and a high vacuum freczestch unit to prepare surface rcplicas of
pulmonary endothelial cells. Thin lechsiqu, should be applicable to all eelis
in monolayer culture. F-ndothelial eeW Srowe on cover slips or Slass slides
were washed free of the culture medium, dted, dehydrated, and critical point
dried. A 8alzer s freeze-etch unit wu used to prepare surface replicas. These
have certain advantages over other types of preparations in Iha1 they can be
examined with the resolving power of Ihe transmission electron microscope
d and they can be used to esamine the aurfaw of whole cells. This technique
may prove to be particularly useful for mapping specific enzyn.es, reccplors,
and cell surface factors with the aid of markers attached either to specific
antibodies or to subslances such as /ecliss that bind specifically to surface
Rroups The ppearance of pulmonary endothelial cells in surface replicas is
dc:cribed as a first step toward establishing a basis for such studies.
Hart, M. A. and Ryan, U. S.
TiUfue 6 ('.ll 1l)()):441-449, 1978.
Other support: U. S. Public Health Service and the John A. Hartford
Foundation, Inc.
From the Department of Medicine. I/nivenily of Miami School of Medicine,
Miami, Fla.
SPECIFIC METAHOI IC ACTIVITIPS OF PULMONARY
ENI)4)TTIELIAI. CELLS
This brkf overview of lung metabolism focuses on interactions of the
lung with circulating substances that ue processed actively by pulmonary
endothelial cells. It is now knows that Lhe lunp are capable of sekclively
processing a large number of subslasces of very different chemical types, in-
eluding biogenic amines, adenine nucleotides, proslaglandins, polypeptides,
drup, and lipids. Furthermore, pulmonary endothelium may contain enzymes
and other agents active in coagulation and antiooagulation reactions. One
enzyme of 1he pulmonary endothelial celis, angiotensintonverting enzyme, is
capable of Inactivating bradykinin and of forming angiolensins 11 and 111. In
addition to their specific metabolic ac/ivities. Ihese cells may also Iwsseu en-
cymes Inhibitors such as .,-macrokarbulin. Although endolhelium of other
vascular beds has similar or ldenlical properties, the pulmonary crKlothelium
is uniquely silualed, between the central venous and systemic artrria/ circu-
laliun., to affect specific functions of the lungs and specific functions of dis-
lant organs. Thus, kinins and some pro.laglandins and biogenic amines do
not survive passage through the lungs and do not enter systemic arteria( blood.
In contrast. the quantities of angiotensins 11 and III which reach peripheral
organs and glands via the systemic arterial circulation are probahly primarily
dclcrmined by pulmonary endothelium.
Rr'ln, 11 S and Ryan, I W.
I
In: S.nden, C. L. er d. (eds.): pulmowary ALrrooAase and E'ltheled CeQr
(16th Ann. Hanford Biol. Symp.), National Technical Information Center,
Energy Research A Devetoprnest Administration Seriea 43. U.S. Dept. of
Commerce, Springfkld, Va., 1977, pp. 11S-14s0.
Other awp'ort: U. S. Public Health Serviee, Hartford Foundation and the
Heart Assocutan of Palm Beach Couoty; Fla.
From the Papanicolaou Cancer Research Institute and Deparlment of Modicine.
University of Miami School of Medieim, Miami, Fla.
PULMONARY EtNI>ryfllF.l.IAL CELLS: KININASL311 AND OTIINR
PL'PTIDB HYDROLASP. ENZYMES
The present study was started /o (ocus attention on the fact that kinisrs
11 is not the only peplide invdved (n the processing of circulating bradykinis
and angiotensin I by intacl lungs. While aniliolerria I aod bradykinin disappear
during a single passage through the pulmonary eirculstion, these polypeptide
Iwrmones are not lakea up by the lungs but are hydrolyzed by enzymes on or
near the luminal surface of the pulmonary endothelial cells. Kininase 11
(aniliotensintonverting eszyme), a dipeptidyl earboaypeplidaae with tM
capacity of inactivating bradykinin and of converting anRiotcnsis I to ila
potent lower homoloRtrc, selliotensia 11, is described in detail here. Ilowever,
the lungs contain other enzymes that sre capable of inactivating bradykisia
and of metabolizing anpolensin I to yield products other than angiotensin 11.
These also are likely to be situated on the lumissl surface of endothelial ulls.
Two of the eszymes are capable of removing the N-terminal amino acid
reaidues of bradykinin and angioteosin 1. For bradykinin, the removal of the
N-terminal residue yields biologically inactive products. However, the removal
of the aapartyl residue of ansiolessis I yidda a precursor of anRioleosM 11/.
Interestingly esuubh, close observation of kininoe 11 shows that this enzyme
eae aho convert des-Asp'-angioknsis I to angiolensin 111, a compound aves
more active thas angiotessin 11 is stimulating the secretion of aldosteroae. la
wmmary, this p.per. In adefNios to considering the apernative tates of theas
polypeplides, attempts to n.ssess the selectivity of action of kiainaae 11. Thi,
enzyme while acting as a dipeptidyl carboaypeptid..e can, in fad, hydrolyze
a wide variety of polypeptide substrates. However, the relative aflinity of the
enzyme for different substrates varies enorsnously, suggesting Iha/ this type
of selective action may be of physiological importasoe.
Ryan,1. W., Rym, U. S. sod Chiu, A. T.
Is: Sanden, C. 1.. et a/. (eds ): rrlnwnory M.rropbage, .nd EOlr11e7Jaf Crlb
(16th Ann. Hanford Ilial. Symp.)t National Technical Information C<oter,
Energy Research & Developrnent Administration Series 4), U. S. Dept. of
C.ommeree, Spriagfield, Va., 1977, pp. 141-14e.
OtRsr arp'orrr U. S. Public Health Servioe, Ilarttord Foundation and the
Heart Association of Palm Beach County, Fla.
F om the P,panicolaou Cancer Research Institute; Ikpartment of Medkine.
University of Miami School of Medkine, Miami, Fla ; and the Medical ('olkge
of Virginia, Richmond.
38 39

11UMORAL CONTROL OF ARTERIAL BLOOD PRESSURE:
A ROI.@ FOR TH8 LUNG?
White the primary function of the hmp Is the eschante of tua. between
blood aod dr, the past 10 yean have nhorre that the lungs can sekclively
process a wide range of hortnonea, prohormooes, and other escitatory asents
that have direct or Indirect eRects on the trystank arterial blood pressure. It
is known now, for instance, bow bradylinie and antiolensin I are rm:tabolized
at the cellular, subcellular, and molecvlar Ieveh. More speciAcalty, recent
studies have defined in detail bow a.w Mmg enzyme, antiotemin-converting
enzyme, can participate in the diwieatb" of a hypoknsive hormore, brady-
tinin, while forming antiotensin 11, oea of the most polent hypertensone agents
known. Tris enzyme Is found along the hu+inat surface of the endothelid
cells lining both the larte pulnsonary vessels and Ihs capillaries. As blood
passes through the pulmonary vascular bed, aegioteosin<onverting enzyme is
washed with its owe aubslrates ia a cwntirNwrrly eowioR liquid phase, and the
reaction products are released direcdy Into tlt" systemic arterial clrculation.
The enzyme is found in vascular beda other due that of the lunp, but only
the lungs export the reaction product, angjolerssin 11, to the systemic ecrculation.
Also, the lungs cannot detrade angioleruie 11, which ie.ures its avail.biliry for
export. These features suggest a role for aediotensin<oevertint enzyme in
blood pressure homeostasis, but the detailed rehtiorohips of the luop to
humoral control of the arterial blood prsrurc remain to be defloed.
Ryae, /. W. and Ryew, U. S.
C.rdlovarcrfa. Aledk/ne 7:S)1-3)7 rr pactbn, 1971.
Other st.'p~rt: U. S. Public Ilcalth Service, John A. Hartford Foundatioo,
American Ileart Association, and Ileart Association of Palm Beach County.
Fla.
From the Department of Modkine. University of Miami School of Medicine,
Miami, Fla.
NEW SUBSTRATES FOR TIIE RADIOASSAY OF ANGIOTENSIN
CONVERTING ENZYME OF ENDOTHF.LIAL CELLS IN CULTURE
Three simple acylated tripeptidea were synthesized as substrates for
angiotensin converting enzyme in order to provide the meaos to measure Its
activity in cultured endothelial ee0s. Specifically, these preparations were
p-I'Hlhenroyl-Pro-Phe-Art-OI( (11), p-1H/benzoyl-Phe-Ala-Pro-OII (1) and
p-I'Hlbennoyl-0Iy-His-Ltu-OH (111). Substrate I haa the lowest Km (12.5 rM)
and is the most sensitive for assay. The angiolensie converting enzyme content
of 10' cells can be measured afler a)0-minute Incubation period al )7' C. TLe
rad'aactive reaction product (s separated from the substrate by estraction of
the acidified reaction misture with an organic solvent. Tlrc rate of product
formation is then quantified by liquid scintillation counting of the organic
phase. Substrate 111 can also be used for this aaay, but requires longer in-
cubalion OJ MNns/ and high uit concentrations (0.75 M Na,SO.). Sub-
suate 11 is rwrt y.ec rfic and rs hydrolyzed by more than one aufothelial cell
enrymc
Ryan. J. W., Chung, A., Martio, L C., and Ryan. U. S.
Tiuue d Cell 10( )):335-362, 1971.
From the Department of Medicine. University of Miami Schoo( of Medkin.,
Miami, Fla.
A SIMPLE RADIOASSAY FOR ANOIOTENSIN-CONVERTINO
ENZYME
This paper describea a radio.s..y method in which p-/stllbenzoy/gly-
cylRlycyltlycine ('11-labeled hippuMtlycyltlycine) is used as substrate for
aegiolensiotonvertind enzyme. Since enzyme activity is measured in lerms
of the rate of release of 'H-labcled hippurate, prior di.lysis of serum sueplea
and Iiaue homoteeatn is not rcquired. TUe product in separable from the
wrbsurate by eatrauion of acidified Kaction mislurea with ethyl acetate. Tbis
way was used to measure angiotensin<onverting enzyme activity In sera of
mae, rat and guinea pig, and in homogenates of rat kidney and guinea pig
bn=. To further test the specificity of the assay, serum samples (from healthy
vdunteen, p.tients with active aareoidosis and guinea pip) were examined for
their ability to form radioactive products other than hippursic. In each
esperiment, all radioactivity was associated with hippurate and unhydrolysed
substrate. The major advantages of this assay over those used previously are
simplicity and rapidity. For eaneple assay results for human serum anSio-
leesiatonvertieR enzyme can be obtained withi. 1.5 hour. of receipt of
serum samples. Within the limits /ested here, the assay appears to be
specific. llowever, interference by hitherto unrecognized enzymes of abnormal
sera must be ruled out.
I
Ryaa, ). W. et J. (Ryae, U. S.)
dloc/kndrd lournal 167:S01-SW, 1977.
From tbe Department of Medkine. University of Miami School of Medkin.,
Minol, Fla.
111. Ne.rt .nd CJrcul.Hon
PURIFICATION AND CIIARACTP.RITATTON OF
1.ECfININ:CIfO1.P.STP.RO1. ACYI.TRANSFERASP.
The purification of kcithin:chokaterol acyllraederase has previously been
reported. The newer method described here, however, yields a preparalion
purified 16,000-fold and free of high density lipoprotein and albumin. In coo-
trast with the product previously obtained in this laboratory, which was only
hdf as pure and contained two maior proteins, the one obtained by this newer
technique showed on/y one band upon polyacrylamide tc) electrophoresis. SDS-
uree polyacrylamale tel electrophoresis and ialKlectr/c f.x:using, and one arc
in immuoodiRusion against a toat anliserum preparatioo. The enzyme was
40 41

determined to be a tlycoprolein with a molecular weight of about 70,D00 and
a pl of ).7-1.0.
Oustow, E., Varma, K. Q, and Soloo, L. A.
Scandlnovian lorrnd o/ Clinkd 1 LaAorarory Investigation )6(Sltppl 150) :1-S,
1978.
OtAer.rpportr U.S. Public Health Service.
From the 11pid Rexarcb Laboratory. Department of Medicine, Temple Uoi-
versity Ilealth Scknces Center, Philadelpbh.
RPLATIONSIIIP BITiWIiPN 111011 DENSITY LIPOPROTEINS AND 111P.
RAl EOP fN VITRO SERUM CNOLESTEROL ESfI?RIFICATION
Mounting evidence suggests that the Incidence of coronary heart disease
is inversely relaled to the concentration of high densily lipoprolein cholesterol
(IIDLl'). Also, the plasma concentration of HDL-C is foveraely related to the
body pool of cholesterol suggesting that HDL protects against the development
of coronary heart disease by transporting tissue cholesterol to other ortane
(liver) for escretion. In addition, HDL has been shown to be the substrate of
choice for kcilhinchokslerol acyllransferase (LCAT), the enzyme responsible
for the esterilkation of human plasma cholesterol. This study of geriatric aub-
tects attempts to determine any relationships between LCAT. NDL-C and the
rate of esterifkation which might indicate /hat the enzyme i activity is one of
the factors involved in IIDL's supposed antialherosclerotie effect. The rate of
cholesterol eslerifkalioo and the IIDL-C concentrations were measured in vitro
in serum samples from nine men and 18 women whose age ranged from 74
to 95. 7he resulls clearly show Ihat asymptomalic geriatric subjects can have
lower HD1.C levels than those considered normal in persons under 60. Un-
especledly, however, the biochemical data also reveal that the cholesterol
esteri(kation reaction rate is more rapid In sera containing ku than 40 mt/d)
Nl)1.-C than In samples with more than 40 mt/dl. No correlation appeared
between cholesterol eslerifkation and a proleia(s) which can produce an
immune tamma globulin Ihat completely inhibits in vitro serum cholesterol
e.terilkalion. These rewlts are discussed with reference to the presumed re-
lationships between HDI.C and atherosclerosis.
So1o0, L. A. sod Varma, K. O.
Standlnavian Journal of Cl/nkd Laboratory Fnvenltarion 38(Suppl. ISO):
7276, 1978.
OtAer support: t/ S. Public Health Service.
From Temple lloiversity Ilospital and School of Medicine. Philadelphia.
IMMUNI)t (N.1('AI 1VAI IlA t U)N t)P 1CA 1' 1)1'Fll'IFN('Y
Ibn saN1r aurmpu Io rv.lu.lt the nsture uf Ihc 1('A1 dcftciency en
c+.umcit.1 m i.. s.,b/c.is hy intan1 nf an immun,kIJlusion ud tmuronumhi
bition technique, utilj;int two different antibodiea obtaine;l from two diRereat
toats to test a highly purifled LCAT preparation against LCAT-0eOcknt sera
Tbe reaction of identily between normal aerum, defkient sera and purified
LCAT suggested the presence of a catalytically inactive en:ytne in the da-
lkient sera. In normal serum, excas antibody inhibi/ed 50% of the LCAT
activity. One of the antibodies faikd to inhibit the enzyme when the Wt
system contained escess deficient serum, seemingly supporting the above eon-
cluiwn. The other antibody preparation, however, inhibited LCAT activity
even in antigen escess. The precipitin lines observed in MnmunodiRwiqo do
oot seem to represent serum LCAT. In view, of the higher 1i1er of antibody
observed In immunoinhibilion esperimenta with this antibody, a question eow
arises as to whether immunoinhibiuon by the antibody will also be abdiahed
at lower ralios of antibody to defkienl serum.
,
Varma, K. (1., SofoQ, 1.. A. and Frohlkh, 1.
Scandlnavian Jorrrnal of Cqnkal d Laboratory Investigation )ti(Suppl. 1S0):
6-11, 1978.
From the Lipid Research Laboralories, Department of Medicine. Temple Uni-
versity. Philadelphia; sod the Dep.rtment of Palholoty. University of British
Columbia, Vancouver, Canada.
a
TNE INHIBITORY EFFECT OP 7-KETOCHOLESTEROL ON Tt1E
CHOLESTEROL UPTAKE BY THE ARTERIAL WALL
Previous esperimenls have ahown that 7-ketoehoksterol inhibits the up-
take of cholesterol by the artery in .itro, but In vlvo Inhibition proved difikvlt
to demonstrate. This report eaamina the mechanisms underlying this in-
hibilory action on cholesterol uptake by the arterial wall. The sorus of
hepaleclami:ed rabbits injected with sohrbilized 7-ketochokuerol failed to
show In vivo inhibition of choksterol uptake. Neither wu choksterol uptake
inhibited when rabbit carotid arteries were perfused /n vitro with pla.mm
pooled fronm hepaleclomizcd animals injecled with solubilited 7-ketochokslerol.
llowever, porcine coronary arteries demonstrated dgnifkant cholesterol uptake
inhibition when they were perfused wilh iaologoua plasma containing par-
ticulate 7-kelochoksterol. These resulta demonNrale that only the p.rticulate
fraction of 7-ketochoksterol inhibits cholesterol uptake by the arterial wall.
llrus. the possibility that the inhibition may not occur at the arterial wall but
results from a physical Inleraclion between particulate 7-kelochoksterol sod
e/wkslerul in the perfusale must be considered.
Sarma, 1. S. M. and elng, R, l.
Journal of Motecular and Cellular Cardiology 10:197-201, 1979.
Other support: lhe Hoover Foundation.
From the Iluntintlon Memorial Ilospilal and lluntinti.. Insthute of Applial
Medical Reseaich. ('alilmnia lnstilute of 'Iechnoluty, 1'asadcns, and the
University of Suulhern ('ablornia, I os Anteks.
42 43

1
l3FFHCT OF H1GH DENSITY LIPOPROTFJNS ON THE CHOI.PSI'(iROL
UPf AKN BY ISOI.ATED PIO CORONARY ARTERIES
In this series of eight esperimenu dealiog with the effect of added
high density lipoproteins (11D1.) on chokaterol uplake, pig coronary arteries
were perfused In vitro with isologous plasma containing sll-I,2-choksterol
with and without added 11D1. from the sarne species, and the cholesterol up-
take by the arteries was measured. Raulta showed that the arteries perfused
in the presence of added HOL took up sijaificantly kss cholesterol than did
the controls. Cholesterol uptake by Ihe cootrol group of arteries averaged
180 :t 34 n nwles/g, whereas tbe arteries pertused in the presence of added
Ill)1. took up only an average of Ilt :t 2 a rnoks/l. The difference between
the two values was significant (p<0.001). While one possible reason for this
observaNon may be that HDL direcdy inter(eres with the entry of chokstero)
intn the arterial t'ssue, a second possibility is that lID1. is able to promote
cmua of cholesterol from the tissue. There is some supporting evidence for
thia, and from this standpoint the results presented here, which co.nplement
epiJen,iological and cell culture uudies by olhen, seem to flt into the general
hyprwhesis that HDIL promotes efllux of cholesterol from tissue.
Sarma, 1. S. M.. Tschurtschenthakr, O. V. and Iint. R. l.
Artery 4()):214-22), 1978.
OOther support: Hoover Foundatioo.
Prom the Uoiversity of Southern California School of Medkine, 1d Angeles;
Huntington Memorial llospital, California Institute of Technology and the
Huntington Institute for Applied Medical Research. Pasadena.
('OMPARATTVEi E?FFE('iS UP ('HRONI(' FTIIANO1. AND
AC@TALUIiHYDII FXPl)SURP ON MY(X'ARUTAL FUNCIION
IN RATS
In order to develop an esperimental model that would permit separate
monitoring of the effects of ethanol and acelddehyde (one of its mclabolita)
on cardiac performance. two metabolic inhibilors, 4-methylpyrazok (4-MP)
and pargyline (PAR). were used to iodepeodently raise the blood levels of
ethanol and acetaldehyde respectively. Rats who received as much as 36% of
their total daily caloric supply (rom ethanol for a period o( three to (our
weeks were sacrificed after injection wilh eilher saline or one of the in-
hibiton. Blood samples were measured for their ethanol and acclaldehyde
kvels. Tbe milochondrial respiration. /n vJtro contractility of Rlycuinated
heart muscle fibers and myocardial protein synthesis were determined. Accord-
ing to the results, either 4-MP or PAR administered in addition to ethanol
damaged mitochrondrial respiration and myocardial protein synthesis more
severely than did akohol ingestion alone. These data illustrate that both
acetaWehyde and ethanol are capable of damaging the myocardium. and that
high concentrations of either substance can severely aflecl its metabolism.
Wei.haar, R, Bcrruglia, S, Ashikawa, K.. Sarma, 1. S M., and 8ins. R. I.
1'hr lourn,d o/C'Lni.ulPharnru,.rloRy 1R(R39):177 )R7, 1978.
44
Other support: U. S. Public Health Service and the Hoover Foundation.
From the tluolioglon Institute of Applied Medical Research and Iluetiogloa
Memorial Hoapital, Pnadena; the University of Southern Cali(oroia, Los
Angeles; and the California lmtitute of Technology. Pasadena.
CARDIAC INDEX AND INCIDENCE OF HEART FAILURB CBILS
Because there appears to be a relationship betweea pulmonary blood
(bw and the presence of iron-ladea macrophapn is bronchial washiop, the
percentage of these ulla was assessed in the apwurn of heart disease paticou
before their cardiac index was measured. An inverse relationship was found
between the percentage of these qcatkd heart failure cells ia aputura amcan
and the cardiac indes of the palienla, teprdkr of the (ype of cardiac illness.
The highest proprxlion (73%) of theae cells was found in association with the
lowest cardiac indes, or I Ii1er/min/aq m of body wr(aee area (BSA). In eoa-
trast, when the cardiac indes was around 3 liter/miNaq rrs BSA, less than 2%
of the macrophaRes contained iron, which is consistent with previous obaervr
/ions in healthy controls. However, widely scattered and seemingly uordaled
values were obtained at intermediate cardiac index kvels, presumably reflecting
individual variations in the degree of activity of the aubjects' reliculoendothelial
system.
I
Friedmao-Mor, Z., Cha(on, l., Turodor(, H. and Orkin. L R.
Archfrei oJ Pathology .nd lALporatory 1/edlclnne 102:41t-119, 1978.
From the Departmenu of Anesthaiology, Albert Einstein College of Mediciec,
The Brona, and New York Univenity Medical Center, New York.
TRACHEOBRONCIIIAL CYT'OLOOIC CIIANGES AND ABNORMAL
SERUM HEME PIGMENTS IN HEMORRIIA(7IC SHOCK
Among the pathophyaiologie and metabolie aberrations caused by hna-
onhajic ahock are lysis of erylhrocyles and degradation of free serum bemo-
Rlobin into abnormal heme piRmenls which are believed to be toxic. /1 had
previously been shown that significantly elevated numbers of iron-laden his-
tiocyta, as demonstrated by the Prussian-blue staining melhod, appear ia the
tracheobronchial secrelions of patients in hemorrhagic shock and, during
cardiopulmonary bypass, in those undergoing open-heart surgery. Because the
hisliocyles may ingest abnormal heeneyiRments as part of a defense mechanism,
this study altcmpu to correlate the percentage of iron-laden ulls in Ihe
tracheobronchial sccretions of patients in hemorrhagic shock with the presence
of hemoglobin degradalion products in their serum, as delermined by acanning
spectrophotometry. In general, there were fewer iron-laden hisliocytq when
hemoglobin de1gradatinn was advanced Ihan either In the absence of abKormal
heme pigrncnls or when Ihere were only minor degrees of dcRradatiun. Ihcse
observations demonstrate the presence of abnormal heme pigmcols in the act-um
45

I
I
of humans in hemorrhagic shock, and suggest that few of the degradation
products of hemoglobin remain in circulation when the degree of reticuloen-
dothelial response is high. lAus, the dala preaeoted here probably reflect the
reticuloendothelial prouss that eliminatea toxic products accumulated in the
circulation during low-flow sutea. It is also pouible, however, that the resulta
actually represent the liberation of myoglobin or of enzymes, such as cyto-
chromes, perosidase, catalase and othen, that incorporate heme molecules into
the circulation.
Friedman-Mot, 7.., CAalon, I., 7Lrsdorf, H., and Orkin, l.. R.
The Iournal of Trauma 17(11):/29-i31, 1977.
From the Departments of Anesthesiology of New York University Medical
('enter, New York, and of the Albert Plmteio College of Medicine, 'Ihe
Bronx. N. Y.
ABNORMAL Ifl?MP.PROTEIN PATTERNS IN HEMORRIIAGIC
SI(OCK
Abnormal heme pigments have been described earlier in the aera of animats
bled to hemorrhagic shock Ifere, electrophoretie studies have been run on the
sera of patients in hemorrhagic shock in an attempt to identify abnormal heme
pigments and to relate the appearance of some of these compounds to rnor-
tality rates. Subjects for this study included 10 consenting adults who were
suAerinR from hemorrhagic shock. In addition, blood umpka were obtained
from: (1) five hcalthy volunteers, (2) three 21-day-old specimens of bank
blood, and (3) two healthy patienu anesthetiud but not in shock. Results
showed that the accumulalion of inetabolilea, caused by the impedcd eircula-
tiun, degraded free hemoglobin into herne pigmeota, and their concen-
Iralion then reached a level that esceeded the normal henre<arryinR
capacity of aerum prolelna. All patienu In shock bad distinct bands e/ varying
iotensity in the benzidine-stained strip. Nina patients had haptoglohin-hemo-
globin bands, live patients also had a hemopeain-heme band, and four patients
had an additional melhemdbumin band. 'il+ere were no deaths associated with
the presence of haptoSlobin-hemo6lobia aloee In serum. However, as shock
deepened and mortality roae, hemope.in-heme and mcthemalbumin appeared.
The highest mortality rate (4 out of 3 cases) was found when bcah herno-
pe.in-heme and methemalbumin were present. 1t seems, therefore, that ad-
minntration of additional serum proteins to increase Ihe binding capacity of
the blood might reduce the toxic effect of heme.
Fricdman-Mot, Z., CAafon. I., Oorstein, P., Tbrndorf, It., ('huba, 1. V., and
Orkin, L. R:
TAe lor.rnal o/ Trauma 1s(2):104-107, 1978.
Wnm the Ikpartmtnts of Anesthesioluty and Pathnlaaty. New York llnivenity
f.lydu.l ('tater, New Yurt, and 1he 1)epartment of Anesthesiology. Albert
I.n.tr~n I~..Ilete al MrJia ~nt 1 ht Ilr.m N V
46
ROLE OF N1OH-f(IOI-ECUI.AR-WEIOHT KININOGFN IN
SURFACP,-BINDING AND ACTIVATION OF COAGULATION
FACTOR XI AND PREKALLIKREIN
It is known that high-moletular-weight (M,) kininolien is a cofactor for
the activation of Factor XI, prekallikrein and HaReman facwr, but several
hypothescs exist in explanation of Ihis functional role. This study demonatrata
that one mechanian by which high M, kininoRen acts as a cofactor for the
activation of both Factor XI and prekallikrein in plasma is to bind both
these molecules to the aurface where they are activated by surface-bound
activated Hageman /actor. Experimenlally, when rs'1-Fac/or XI and r'al-prc-
kallikrein were added 1o kaolin-activated nornril human plasma and plasmaa
deficient in high M, kininoRen ad IlaReman faetor, reaulta showed that high
M, kininotien was essential tor normal binding and cleavage of both Factor
XI and prekallikreia on the kaoli .urface, whereas Ilalleman factor was
eucntid tor the cleavage but not for the binding. In normal plaama, tiA% of
the activated Factor XI remained surface-bound, but 80% of the kallikreie
did not. These findings are consistent with the hypothesis that. In the initial
phase ol contact activation, high M, kininogen links both Factor XI and
prekallikrein to the esposed surface where they are activated by wr/ace-bound
activated Hageman factor. Once aetivated, the Factor XI molecules remain
localized at the aite of activation,-in contrast to the kallikrein mokcuks that
are found largely in the surrounding plasma.
Wiuin., R. C., Bouma, l!. N., CocAraose. C. Q., and Oriflin, 1. H.
proceedings of the National Academy of Sciences of the Unlted Srates of
Arneriea 74(10) :16)6-4610, 1977.
Ot/Ler .r pprt t National Instituta of Health.
From the Department of Immunopathobp, Scripps Clinic and Reaearci
Foundation, La 1o11a, Cal.
SURFACE AND FLUID PHASE ACTIVITIES OF TWO FORMS
OP A(?IVATED IIAOEMAN FACTOR PRODUCED DURIN(7
CONTACT ACTIVATION OF PLASMA
This report describes the ability of the two forms of activated Harsna,
factor (HF,) produced during contact activation of plasma to activate prf
kailikrein and lactor XI. The infhrence of the wrf.ce on the cleavage of lactor
XI and prekallikrein, and the distribution of these proteins between the sur-
face and fluid phase compartments before and after their interaction with
HF, were the particular fackm considered. In these e.periroenta, the 110,000
mokeular weight Iwo<hain enzyme'Ihat remains bound to Ihe sur/ace, termed
r1IF was capable of cleaving surface-bound prekallikrein and /actor XI.
Factor X/ remained bound to the wrfloce, while prekallikrein and kallikrein
rapidly entered the supernate. A 2e,000 molecular wei6ht single-chain mok-
eule released fu,m the surface dutinR contact activation, termed 0 IfP
split prekallikrein. Inrt nnt factor X1. 'lhis reaction occurred whlthcr the
substrate was surface brwrnd or in solution. lhcse data suggest that Intrinsic
coagulation resulting (rons the activation of (actor Xt is localized event thal
47

occurs at the site of contact activation and is caused by the action of a-HF,.
On the other hand, kinin generalioo and flbrinolysis resulting from the forma-
tion of kallikrein can be initiated either by r1117. at the contact activation site
or by fi-HFs throughout the plasma. Theae two activities are kuaranteed
further dissemination by kallikrein i rapid dissociation from the surface.
Revak, S. D., Cochrane, C. G.. Bouma, B. N., and Orifflo, l. H.
The lourrwi of Ei perimenrd Altdicinr 147:719-729. 1978.
Other auprortr U. S. Public lie.h6 Service.
From the tkpartment of Immunopatho{og,y, Scripps Clink and Research
Foundation. I.a lolla, C.I.
1111? INTI?RA(T1ON OF rs-I-PRO'iE1NASt31NHIBITOR
WI111 StrRINE PROi'EINASBS
About 10% by weight of the proteins ie human plasma are known to io-
bibit proteolytic enzymes. 7lrese proteim may have either a very narrow range
of inhibitory specificity or very little specificity. While the major plasma
pro/einax inhibitor. .-I-proteinase inhibilor (e-1-PI), previously known as
.-1-antitryp.in, has a broad range of speeificity, it cannot inactivate certain
enzymn. llws, in spite of the very high .-1-P) concentration in plasma. It
seems certain that ..2-macroglobulin is more significant in the regulation of
prnlcolysis by all types of enzymes of this clasa. 1lre potential role of ~t-PI
in the regulation ol the coagulation process hu been a controvcnial subject
for many years. If it were found to inhibit thrombin, it might have some
significance In the regulation of thrombin activity in vivo. Newer procedures
have made it possible to isolate .-1-PI from antithromlwn III activity and
have allowed several conclusions to be drawn. Although the tole of this
Inhibitor in eoagulation is probably minimal, based on its high concentration
In plasma, its concentration in the acute phase state aod its ability to inactivate
thrombin, a supporting role in Ihis process cannot be entirely dismisxd. 'ilre
development of powerful synthetic peptide iahNtors provides new methods
for studying the inhibitory activity of pluma proteiaues.
Trerls, !.. Matheaon, N. and lohaaon. D.
In: l.uodblad, R. L., Penlon, 1. W., 11. and Mann. K. 0. (ods.): CJrrmtnry
.nd eiolory of ThromAin, Ann Arbor, Michigan: Ann Arlwr Science Pub-
tlshers, 1977, pp. 431-440.
Ot6er support: Natiooat Institutes of Hedth.
From the Department of Biochemistry. TUe Univcnity of ()corgia, Athens.
CONTRIBITTION OF CARI)IOP111.MONARY BARORF.('EPTORti
' TO '1111'. ('ON IRI )I. O1' 77I1i K 11)NI!Y
The electrophysinlogic behavior of many of the eardiopulrnonary baro-
receplnrs /us bccn eslen.ively e.ammed and a sreat deal is knr.wn abrwt
48
I
the determinants of; their discharge frequency. However, their rok In the
orpnism is not aa well understood. Whik evidence indicatea tbat receptors
in the cardiopulmonary region ean, under certain eircumatances, eaert a pro-
found influence on renal sympalhetic nerve activity, renal vascular resistance
and renin rekase, it is difficult to prove etperimeotally that these receptors .r.
Involved in the cohtrol of blood volume. Hrrwever, the available evidence in-
dicatea that cardiopulmonary receptors with vagal aRerenta eaert a took
inhibilion on both renal nerve activity and on renin release. The magnitude o(
this inhibition appears directly related to changes in blood volume. Atriat r
well as ventricular receptors can infhacnce the aecretioa of renin. Cardio-
pulmonary receptors with vagal aRereota may also reAealy modulate renal
prostaglaodia secretiorr. There is preliminary evidence suggesting that cardio-
pulmonary receptors with .ympathelie aRerenta can inAuence renal nerve
acGvity. le this paper, the limitations of previous studiea are outlined and a
direction for future studies is suggested. PiaaRy, it is tooch.ded tbat alteratioe.
in cardiopulmonary vapl aAerenl input and tbe resulting chantea in renal nerve
activity and ie reain release are appropriate tot Iha maintenance of blood
volume bomeo.tasi..
TArner, A(. D.
Pe4radon rroceedi'nngs )7(S):1209-1217, 1978.
Other support: National ImtitWa of Health.
Prom the Department of Physiobsy and Biopbraica, Mayo Clink and Mayo
Foundation, Rochester, Mim.
IV. Neuroph.rntatology and Pky.iotosy
DISCRIMINATIVE STIMUI.US PROPERTIBS OP NIaOT1NE AND
NICOTINE-RELATED COMPOUNDS
Nicotine, one of the drup moat widely used by man, has been observed
to have very apecifk and sensitive discriminative stimulus (DS) properties
'The DS approach, which has been very useful in studying the mechanism of
action of nicotine, measures the subjects' response, oot to a specific effect of
the drug on behavior, but to the presence of the drug within the CNS. In thV
Investigation, a series of eaperimenta was Initiated which studied the See-
eraliralkm of the nicotine ()S to chemical analogues of nicoline arwl to
various eompounds purporaed to harAe similar behavinral effecta. Usinl the DS
behavioral paradigm, rats were trained to discriminate between the US eflecta
of nicotine (200 y.g/kg, s.c.) aod saline using a two-kver, food-reinforced
operant procedure (VI 15 sec.). Teo diQerent compounds were evaluated in
rats trained to discriminate nicotine over a wide ranje of doses and .cron
both subcutanern.s and intUavenlrieular routes of administration Oidy on.
w.npound. )-pyridytmdhylpyrrolwline, produced significant nicotinclike ac-
tivity and, although the experimental animals perceived this compound u it
49

they were given nicotine, it possessed only one-seventh the potency of nicotine.
The niccNine stimulus did not generalize to compounds such as lobeline,
colinine, or d amphctamine. One of the most striking results of these studies
was the specifkity of the nicotine DS. indicating that Ihis paradigm mav provide
a unique approach to studying the structure-aclivity relationships oC the be-
havioral eflecls of nicoline.
Rozt.-rans. l. A. er d.
In: Biittig, K. (ed ): Sellaviora/ EQects o/ Nfcodne, B..el: Karger, 9979. pp.
70-82.
From the Department of PhannacoloRy, Medical College of Virginia,
Richmond.
A('UMI'ARISON OF NI('OTINB AND STRUC7URAI.LY RCI.ATI'.f)
COMPUUNI)S AS UISCRIMINATIVE S71MUU
lhe discriminative cue produced by oiootine Injeetion seems to depend
upon the central rather than the peripheral effect of this agent, and recent
aludres have suggested that Ihis centrally produced cue occurs at N<holineraie
receptors hut not at muscarinic (M) reuplors. Thua, relatively specific stim-
ulus cflecls are involved Seven compounds were eaamined for generalization
to the nimulus effects of nicotine, in order to investigate whether structural
similarity elreru an analogous central cue and to elucidate the chemical con-
flguratron crucial to its pnxhrctnm Of the compounds lesled, only )-pyridyl-
mc/hylpyrndidine ( 1-PMI') generalized to the stimulus effect of nicotine.
Pquivaknt nkoline-like responscs were obtained with tlx) pg/kg. a dose ap-
prosimately four limes that used for the original nicotine discrimination. Tlre
IiD for )-PMP was atxwt five times that of nicotine. None of the carn-
pounds signifkantly blocked the nicotine cue. Nowever, the nicotine-like cue
produced by 800 pg of 3-PMP was effectively blocked by meeamylamine but
not by heaamethonium or by alrupine. llrerefore, 3-PMP appears to cause
generalization to the nicotine cue by acting on central nicotinic cholino
receplors, as was previously reported for the nieotine discriminative stimulus.
The I:D for the blocking action of ineesmylamine on the stimulus effects
of 3-PMP (s00 pg/kg) and of nicotine (200 M6/kg) was 0.32 and 0.20
mg/kIl, respec/ively. The use of this discrimination technique for comparing
structurally related compounds is an effective as well as speeifSe technique.
Chance, W. T.. Kallman, M. F)., Roseccauu, /. A., and Spencer. R. M.
Drkish lorrnaf o/ Phannaroloty 6):609 616, 1978.
From the Department of Pharmacolop, Medical College of Virginia. Rich-
mond.
A DESCRIPI-1t7N OF' TIIP. NI('OTINP, ST7MULl1S ANI) l I:STS OI' fIS
(ll?NIiRAI /IA fl()N 10 AMF'IIHa AMINN.
ihis aeries of c.pe+imenii was designed to investigate the discriroinalive
slirmdus prrqemes uf nwulrne and ro detcrmine the degree of kencraluatton
50
of he n'r.otine stime)lus effects to those of d-amphetamioe. In each of three
separate experiments, the subjoct's performance was assessed wioR a twokver
operant procedure with liquid food reinforcement. In the nrst study, rats wero
trained to discriminale between various dosea of nicotine (100, 200, or 400
pVkt) and saline under a VI-(S a schedule of reiniorcement. The second
study investigated the time-0urat'an parameter of the nicotine atimulus by
mooiloring discrimination between 40 pg/kg of nicotiae and saline under
three different schedules of reinforcement. Oeneraliralioo of the nicotine stim-
ulus (400 pg/kg) to the stimulue effects of several daes of d-amphctamioa
(60, 120, 210, 480. and 720 pg/kg) was investiRalod is the third study. Re-
wlts of /he dose-gencralisdion and Gmeduratios studies showed that the
sensitivity of the rats to the nicotine cue wr directly related to the training
dose under the VI-IS s scheduk. Allhoujh response ratta differed across the
scheduka of reinforcement, the rat: sensitivity to the stimulus eflects of nico-
tine was not aflected. l ack of complete Renerafaation of the nko/ine stimulus
to d-amphetaminc indicated that the rals did not perceive those two drup as
the same. In addition to these e.perimenlal findinp, this paper presenla sev-
eral techniques useful for proper evaluation of the stimulus properties of Iea1
compounds.
Chance, W. T., Murtin, D., Krynock, O. M., and Rorecranu, l. A.
psycAophnmardosr SS:19-26, 1977.
From the Department of Pharmacology, Medical College of Virginia, Rich-
mood.
I
CONVERSION BETWEEN CONFIGURATIONAL STATES OP THt3
MUSCARINIC RECEPTOR IN RAT BRAIN
AccordinR to these eaperimenh, reductive alkylalion of neural mem-
branes by N-ethyl makimide (NEM) converts muscarinic acetylcholine ro-
eeplors from a stale of low Io one of high aAinity for receptor allonists. This
treatment does not affect the inleractions of mu.carinie antagonists with Ihe
receptor. The NEM treatment also increases the proportion of rat tekncephaloa
high aRonisl aA'inily recepoa from 34.2 to 53.4% of the total receptor popu-
lalion; and it decreases the potential esrb.mykholine inhibition d)-quinu-
clidinyl benzilale binding from a K, of 1.2 a 10- to 6.9 a 10- . These re-
sults seem to support previously proposed theoretical rnodel, which suggests
the e.islence of two populalions of receplon with different aR~nities for agoo-
ists. In lhis model, the anlagonisls supposedly bind to either receptor with a
uniformly high a0inity, and the binding of a6onista and sulagr.niats is com-
pelilive arwf mutually esclusive. ,
Aronatam, R. S., Hosa, W. and Abood. f.. G.
European lournaf o/ PAarmocology 16:279-2l2, 1977.
Other support: U. S. Public Nealth Seryice. ~
From the Center (ur Brain Research, University of Rochesler Scfwr,t of Mcdi-
eino aod Dentistry. Rochester. N. Y.
SI

INFLUGNCE OP SUI-FIIYDRYL REAGENTS AND IIP.AVY METAIS
ON 111E ft1NCTIONAI. STATE OP TNE MUSCARINIC
ACE(1f1.CHOLINE RECEPTOR IN RAT BRAIN
Rat brain membranes contain several mobcular groups, )ocatei both
within and contiguous to the receptor bindinR aite, that react with wl!hydryl
reaaenls to influence muaearinic aeetykholine receptor binding. Oa! com-
pound, pahbromercuribensoate (PCMB), reacla with a group(s) wi hie or
under the allosteric control of the seeeptor binding aite to inhibit both atonist
and antagonist binding. Receptor lipsda (agoniats or antapnists) will protect
receptors from PCMB inactivation, but ths inhibitory process can r.lso be
reversed by subsequent Irea/ment with organic sulfhydryla. Through the re-
duclive alkylatioa of neurd membranes. Ndhy/makimide (NNM ) a n pre-
vent much of the antagonist binding inhibition by subsequent PCMB trei.tment,
but not that of the a4onist, suuestiaR that 11 la a mercuribenzoate, a ad not
an elhylmaleimide residue within the bindiol sNe that interferes with receptnr
binding. lfie NP.M treatment increases ajoeid binding by convertio` low
agonist af8nity receptors to a.tate of high a6onial affinity, while their high
dlinity for antagonists remains the same. The ability of NEM to Increase
agonist tfinity is enhanced by (he presence of agonins, but not anutonisu,
during the trealrnent. Low concentrationa of PCMB abolish the NPM ability
to suA.equenlly increase agonist biodinL even when concentrations of receptor
ligands sufficiently high to saturate the binding aites are included during Ihe
P('MB treatment so as to protect the binding site. This suggests that NPM
influences agonist binding through interaction with a group contiguous to the
receptor binding site. 1)ependin6 on their concentrations heavy metal ions
(Zn' , C'd , C'o" and Mn' ), which appear to interact with all of the
NIiM- and PCMB-reaclive moeities, either increase or decrease agonist bind-
ing, or decrease both agonist and antagonist binding. Different brain regiom
contain membrane receptors that vary in distribution from the high- and
low-atonist-a(finNy forms. The high-aflonist-afRnity muscarinic recepton are
more numerous in the brain atem than in the kkncephalon, which contains
more than the hippocampus. Roupton from different areas of the brain also
have differing af/initiea (or sul(hydryl reagents and heavy metals.
Aronstam, R. S.. Abood. L. G. and llow W.
A(olerular Pharwrerolosy 14:S7S-SR6,1978.
Other support: National Institutes of Health.
From the Center for Brain Research, University of Rochester School of Medi-
cine and Ikntatry, Rochester. N. Y.
FNIIAN('1?MFNf (H cIPIAfI? HINI)INCI BY VAR1OtIS MOI P.(-111 AR
1ORMti (NU/11OSPIIA I lt)YI 1FRINN ANI) INIIIBI I ION BY O1F11'R
lINM1UkAtl 1) 111'1115
Nrr.e h..ue n t6..oth1 1.. ..nr.m an opiate recelNot ealsUug as a prl+.
lem 41d 1h.yh.dq..J. mrud~.ur un.plca u( whwh phosphaedyherme. or
i
other acidic Iipid,'i. possibly an Integral component. Consequently, a wWe
variety o( saturated and unsaturated phospholipida and fatty acids were ex-
amined for their effect on the slereoepecifk opiate binding of rat brain Irynaptk
rnembrane preparations. In fact, addition of acidic pho.photipids aiginific.ntfy
enhanced opiate binding. Except for phosphatidyl.erine, "ic piwxpholipiaM
containing a polyunsaturated acyl group were actually inhibitory aa were neu-
tral pho.pholipids derived from brain. The CIe:0,22:6 form of phosphatidyl-
aerine derived (tom synaptic membranes enhanced opiate binding by as mueh
a 45%. Unsaturated fatty acids were highly inhibitory with tha degree of
Inhibition related to the degree of uns.turation. Pho.photipue A and C wera
inhibitory and the effect of A could not be prevented by albumin or overwme
by the addition of phosphatidylserine. The use of dinilrodilluorobeorene, a
eross-linkial agent, showed that the pho.phatidyLerine of synaptic roembranea
could be preferentially associated with membrane protein. lAe enhancing effect
of phosphatidylserine diminished with an increase is the degree of croas-linkiog.
A6ood,L.G.rtalA elochinrka rt 8loohy.lra Acra 466:31-62, 1977.
Other aupportr U. S. Public Health Service.
Prom the Center for Brain Research and the Department of BiochemWry.
University of Rochester Medical Center. Rochester, N. Y.
I
PHOSPNOI.IPID CNANOES IN SYNAPTIC MEMBRANES BY
LIPOLYTIC ENZYMFS AND SI/BSEQUENT RESTORATION OF
OPIATE BINDING WITN PIIOSPNATIDYLSERINE
This study of the role of phosphalMyl.erinu in the xterempeciflc opiale
binding to neural roembrana provides new evidel.oe in support of the thesis
that phoaphalidylserine b an important, it not srrential, component of the
opiate receptor. Among the signiflcant findings here .re the observations
that: (1) exposure of mernbranes to phosphatidyhterine decarboxylase dimis-
iahes opiate binding; (2) addition of phosphatidyberine following tredme.t
with either phospholipase A, or Triton X-100 (inhibitors) wiB partially n-
qore opiate binding: and (3) addition of phosphatidylserine following pptlal
inhibition of opiate binding by treatment with phosphatidylserine decarboxyl..s
will restore activity. lhe binding of 'It-naloxone, an opiate antagoniat, Is simi-
lar to that of agonists in iU behavior towards phoaphAipaaea and pho.phatidyl-
serine; however, binding of naltrexone, also an antagonisl, is far less respawr-
sive. It is concluded thal the phosQhalidylserine associaled with the opiate
receptor is the C1d:0,22:6 diacyl form, which is closely associated with protein.
Abood, L. 0. at a1.
eloch/mica er Stophy.ka Actts 3)0aS-46, 1975.
Other support: 11 . S Public Flcatth Service.
From the ('enter of Brain Research and Departmenl of Bwuhemistry. Unl-
versity of Rochester Medicd ('enter, Rochester. N. Y.
52 411

i
t
HUMAN PLACENTAI. CHOI.INP.RO)C SYSTEM : STIMULATION-
SECRETION COUPLINO FOR REI.EASE OP ACETYI.CHOl.INB
FROM ISOLATED PLACENTAL VILLUS
It has beta suggested that the permeability of the placental villus is coo-
trolkd by acetylcholine (M:'h). According to a working hypotheuis. A/:'h iu
released from the villu..timulating a eholinergk receptor on the nyncytiotro-
phobtast, which kad. Io changes Ia the permeability of the trophob utic mem-
braee; these changes are coupled to 1Se transport of nutrients acroas the
trophoblut. Here, tbe conditions under whki ACb is rekaaed from the iso-
lated placental villus were studied as a Anl step toward obtainiag evidence
for this working model of stimulatios-ACA aecretion-tranaport coupling. Tha
Molaled altus incubated Ie a muaele bath containing Kreb.-Ringer bkarbo-
eale bufler apontaneously released )3 pmol/R/min of ACh Into /'x medium
in a manner that was linear with 1ime. Tbere was no release ot .\('h In the
absence of Ca" from the medium. With an increase of buAa G' concen-
tration from 2.4 to 4.61 mM, or with the addition of L-okotine (ftl rM) to
the balh. Ihe rate of ACh release rose to 53 and 47 pmol/g/min, respectively.
In the absence of Ca", however, nicoline did sot have any effe:t on ACb
release. Atropine lowered both the rate of apootaneoui ACh rek ue and ib
aicotine-induoed one, u did coeaine, a Car antagonist; but d luhocurarioe
(30 rM) did not aRect either rate. Tha presence of depolariziag concentra-
tions of potassium In the medium (16-63 mM) also increased the nAe of ACh
release. According to these dala, (1) the release of ACh requires tirc presence
of ionic calcium in the ealernal medium; (2) Ca' ions funcliou n a link
between the stimulation of ACh and its Anal release; and (3) as ir.dicated by
the effect o( nicotine on the placental release of ACh. there is a muscarink
type of cholincrgic receptor in the ayncytiotrophoblast.
Olubadiwo,1. O. and Ssrrry, d. Y. R.
The Journal o/ rAornmroloty ond E, perLnentd Tl4eraperrlcs 204(2) :4l)-413,
1978.
Other er.rport: U. S. Public Health Service.
Prom the Dep.rtment of Pharmaooim, Vaaderbih University School of
Medicine, Nashvilk, Teea.
711E INFI.UENCI'. OF CHOLINP.ROIC e1.OCKADB ON T11E
UPfAK!? UF mAMINOI.SOHI('YRIC ACID BY ISULATI'.1)
HUMAN PIaCI'NTAI. VILLI
One of the major functions of placental trophoblast is nutrient transfer
from the maternal blood to the fetal circulation. In view of the location of
acetylcholine ( A('h )chnline acelyltransferase (('hA ) in the placenta and the
relea+e of A(-h into the maternal hkxxl, it has been suggested that A('h may
stimulate a cholinertrc receplor un the Iropht.bla.1 and nNdula/e the placental
tran.purt ut iom nd nutrienls In the e.periments dex'rihed here, n- 1"(-)
54
r
I
amiaoiaobrdyric aoid (AIS) wr used to aner the amino add uptak.e qnlnm
ia human placenta and to measure the tramport efficiency of this active up-
take system. Since it was not possible to obtain ACh-free human placer:ul
villus, the effects o( agents which block ACb at various typea of cholinergic
receptors and the effectc of antidroline.lerara on arnirw acid uptake by human
placental villu. were studied ia this attempt to exptaia their antiRrowth effects.
These studies inchded eholinergic bkockade by: (a) eaoeas e>togeaoua A(1,
(b) massive release of endogeeao ACh by dcotiae, and (c) sparing eado-
Renously released ACh by inhibitinR eholioeNer>t.e with pho.pholioe; also
studied were the cholioergic blockade of: (d) trw.carieic reeeptor using
atropine. (e) oiootink receptor of paRlionk type u.inR mecamylamioe, a.d
(f) nicotinic receptor of newonw.cular-iunctbn type uaiag d-tubocyrarise.
tinder all oondilioes eacept (a) and (t), Ih. AIB uptak. wr depressed by
cholioergic blockade. '(beae ob.ervatio.n imply thN eadogenoualy reka.ed
ACh eahibiu a mu.cariaic effect on placental villua and facilitates the tranr-
port of amino acids. Blockade of the muacarinic receptor resulu in a deprea-
lioo of the AIB uptake, a state which could, after a long period of lime,
produce a retardation of fetal Rrowth.
Rowep, P. P. aad Sartry, I. Y. R.
Toakolop and Applied rA.rnrardop 13:79-9), 1976.
O/her wrprtt U. S. Public Health Service.
Frorn the Department o1 Ph.rmaeoloRy, Vanderbilt University School of Medi-
~ cioe, Na.hville, Tem.
EFFECTS OF NICOTINE AND COCAINE ON THE RELEASE OF
ACETYLCHOLINB PROM ISOLATED HUMAN PLACENTAL VIW
The placental villu., which r devoid of neurnw.l innervation, w a.rw
as an information wruw about the prooa. of aoetykholina (ACJt) rekau
trom noA-nervou. Iitrues. With thi. In tnMtd, isolated human placental del
were .u.perded i. Kreb'a bicarbonate bu//er ud the ACh relea.ed into 68
medium was analysed by gas chromatography. 71u .pontanear release of
ACh into the medium was linear with time and was 35 pewl/R/min. Against
this base line, K', Ca's. oocaine, and akotine were investigated for their
inAuence on the pattera of ACh reka.e. Coeaiam In dwn of 290 and 560 rM
decreased the spontaneous reka.e of ACh to 23 and 17 pmol/R/min, respoo
tively. Raising the Ca' concentration ia /he Kreb'. bicarbonate buffer (rom
2.34 to 4.64 mM or adding niootiee (SR rM) to the balh. Increased the rau
of release of ACh to 53 and 47 pmol/R/min, respectively. Cocaine decreased
the rate of release of ACh even in the presence of Ca' or nicotine. Ilikh
concentrations of K increared A('h release in the presence of Ca bul It
had no effect on A('h release in the absence of Ca ; In fact,. A(lr was
never released when Ca" was absent in the medium. Nicoline, which ie-
creased both initial output and the rate of release of placental A('h, did not
stimulate release of placental ACh In the absence of eaternal Ca'. Cocaine
33

{
i
depressed both of the observed nkotine-induced increases. These observa-
lions indieale that (1) nkotine-ioduced increase in placental ACh is mediated
through mu.carinic receptors. (2) nicotine iocreases The release of ACh by
possibly facilitating the cell entry of external Ca', and (3) cocaine de-
pressa nkoline-induced incre..e in ACh rekue, possibly by depressing Ca
entry into the oeli-
Sanry, 0. V. lt., Olubadewo, l. O. and Boefirq, P. H.
Arch/res /nternatfonales dt pAarmarotjn.A7lk tf dt TAlraple 229(1) :23-36,
1977.
Oth...wpp.rt: U. S. Public Health larvb.,
From The Departmenb of Pharmaooiogy, and Obstetrics and Gynecology.
VanderbiU U.ivenity Scbool of Medicir, NnhrilM, Tenn.
HUMAN PI.ACENTAL CHOI.INB ACETYLTRANSFERASE. NATURE
AND MOLECULAR ASPP-CTS OP THE INHIBITION BY IODO- AND
BROMOACETYICHOLINFS
/lalogenaled acetykholioes and other cholins oqen owe their high serum
dtiolinnterase and nicotinic receptors aRinities so the eleclron dirplacement
uused by the (nfluence of an Nubflitucnt. Organic reactioo studics have
demonstrated that halogenalion produces sleric hindrance, and the s.me ef-
fecl has been shown to have a significant role (n the hydrolysis of halogenated
acy) groups by acelykholioesleraae and in their interaction at muacarinic re-
eep/on. Their structural similarity to acetyp"C)choline (A('h), a product
of the choline aoetyllransfer..e (ChA) reaction, mates the halogeru.acelyl-
cholioes' ability to inhibit ChA and the nature of their inhibitions par/kularly
important. The present inveqiption describes studies of halodenated acetyl-
cbolina as inhibitors of human placental ChA. The resulting data support The
formation of 1en.ry, inlermediates (CoA-ChAIACh or CoAChA BrACh),
during the reaction of placental ChA. The quaternary ammonium head and
the positive carbo.yk.rbon do appear to contribute to Ihe inhibition of ChA
by IACh and BrACh. An irreversible component of inhibitios (20-30%) ob-
tained with hatogea-subatituled aoolykholines or lodo- and bromoacetnles can
be explained by the possible: (1) formation of R<arbo><ymethylalyd t:'hA
(where R- -0-, -S- or -N-), which is less active than The original
ChA: (2) formation of Scarbotymethylated CoA, which is slowly released
from the enzyme surface; or ()) eowvenion of part of the enzyme 10 the
Inactive - N -earboaymethylated form.
Ilcndenon. O. 1. and Sarrry, d. V. R.
QloeAemkd tA.nnarolop 27:1331-1310, 197t<.
OtAwr supportr U S Public Health Service.
Nrt.m rhe lkparlmrnl of Nham.c.,luRy. Vanderbilt linivenity School of Medi
crne. N..hville, lenn
tt,
r
RELAT1ONSNIPS BETWEEN CHEMICAL STRUCTURE AND
INHIBITION OF HUMAN PLACENTAL CHLORINE ACETYL-
TRANSFERASE BY KETO ANALOOSOF ACETYLCHOLINE
The /n rlro syolhesis of aeetykhdine ia achieved through a coupled aysl.m
Involving an acetate-activatin6 entyme, aoelyl ooentryme A synlhetase, as,d
an ensyme, cholioe aeetyltranaferase, that couples the activated acelata to
choline. An inhibitor of the Anal step iu this synthetic pathway would, lherm-
fore, be a valuable qent for studying cholinergic mech.nirna. le this aeries
of esperiments, aeven teto analop of aoctykholine wero synthesized aed
evaluated as lnA/blto.s o/ hrtrnae p/rantd cllo4nr aceryirrnwr/erara. Also
tested was their capacity to inhibit horse serum dfolinesterasn aed to s14me late cholinergie
receptors in the longitudinal muscle of the psinca pig. Of
these aubNances, (2-bensoykthyl) Munnwoium chloride (compound VII).
with an Ir, of 3 x 10- M, was The most potent and sebclive bhibitor of
choline acetyl(ransfer..e. Ito muacarink aad nieolinie sUmulatory activity wr
quite low; so also was its cholinealerase-inhibilory activity. A study of Ih.
Mruclure-activity, relatronahiys demonstrated three requirements for the i.hibi-
tion of choline aeelyltramferaae by the altylaminoethyl eaten or their oocre-
apooding quaternary aremordum derivatives: (1) a lermind eatioak head on
the amine eod of the molecuk; (2) the ability to delocalize (or stabilize) a
partial negative charge on The acyl end, and (3) a leaving group on The a-car-
boa a1 the acyl end. Compound VII fulfills t.early all theae conditions. It has
(1) a cationic terminal, a site for an electron acceptor interactlo.; (2) a.
aryl moiety for hydrophobic and electron donor contributions; aod (3) a
positive carbon atom adjacent to the bente.e rin6, due to the presence of The
carboayl group, which interacts witL Me .udoophilic residue on the .nsyme.
Cbalut.edi, A. K., Rowell, P. P. and Sarrry, B. V. R.
lowrnd o/ pArnracertkaf Sclences 67(3):637-660, 1978.
Other aupport: U. S. Publk Health Service.
From the Departmenl of Pharmaooiogy, VanderbiN University Scbobl of Maal-
dne, Nashville, Ten..
+
(2-BENZOYLETIIYL)TRIMETHYLAMMONIUM CHIARIDE: A NEW,
SELECTIVE AND STABI.E 1NIIIBITOR OP HUMAN PLACENTAL
CHOLINE ACE7YLTRANSFERASE
Since the discovery of .fyrYlpyridinea as the Ant poteM iahiblton of
choline acelyltransfcrase (ChA), much effort has been devoted to the dovelop
ment of new and better ChA inhibiton of various types. Thr rrcport describa
the propenks of a newly synthesized eompound, (2-benwytethyl)Irimethy4
ammonium chloride (BETA), a keto analog of acerykholine, which h s1abM
aod meets The known structural requirements for ChA Inhibition. It was foued
to be a selecrive, polenl, and noocompetitive InhibNor of (rA with respect
to both of its sutntrates, acctylfoA and choline, with an 1 of 3.1 x 10 a.
Inhibition was rapid and slowly reversible, with 50% of the ('hA activity
57 -
