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The soluble guanylyl cyclase activator BAY 60-2770 potently relaxes the pulmonary artery on congenital diaphragmatic hernia rabbit model.
[congenital diaphragmatic hernia]
Congenital
diaphragmatic
hernia
(
CDH
)
is
associated
with
pulmonary
hypertension
which
is
often
difficult
to
manage
,
and
a
significant
cause
of
morbidity
and
mortality
.
In
this
study
,
we
have
used
a
rabbit
model
of
CDH
to
evaluate
the
effects
of
BAY
60
-
2770
on
the
in
vitro
reactivity
of
left
pulmonary
artery
.
CDH
was
performed
in
New
Zealand
rabbit
fetuses
(
n
Â
=
Â
10
per
group
)
and
compared
to
controls
.
Measurements
of
body
,
total
and
left
lung
weights
(
BW
,
TLW
,
LLW
)
were
done
.
Pulmonary
artery
rings
were
pre-contracted
with
phenylephrine
(
10
Â
μM
)
,
after
which
cumulative
concentration-response
curves
to
glyceryl
trinitrate
(
GTN
;
NO
donor
)
,
tadalafil
(
PDE
5
inhibitor
)
and
BAY
60
-
2770
(
sGC
activator
)
were
obtained
as
well
as
the
levels
of
NO
(
NO
3
/
NO
2
)
.
LLW
,
TLW
and
LBR
were
decreased
in
CDH
(
p
Â
<
Â
0
.
05
)
.
In
left
pulmonary
artery
,
the
potency
(
pEC
50
)
for
GTN
was
markedly
lower
in
CDH
(
8
.
25
Â
±
Â
0
.
02
versus
9
.
27
Â
±
Â
0
.
03
;
p
Â
<
Â
0
.
01
)
.
In
contrast
,
the
potency
for
BAY
60
-
2770
was
markedly
greater
in
CDH
(
11
.
7
Â
±
Â
0
.
03
versus
10
.
5
Â
±
Â
0
.
06
;
p
Â
<
Â
0
.
01
)
.
The
NO
2
/
NO
3
levels
were
62
Â
%
higher
in
CDH
(
p
Â
<
Â
0
.
05
)
.
BAY
60
-
2770
exhibits
a
greater
potency
to
relax
the
pulmonary
artery
in
CDH
,
indicating
a
potential
use
for
pulmonary
hypertension
in
this
disease
.
Diseases
Validation
Diseases presenting
"cumulative concentration-response curves"
symptom
congenital diaphragmatic hernia
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