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PHYSIOLOGY, ENDOCRINOLOGY, AND REPRODUCTION

Analysis of Plasma Serotonin Levels and Hemodynamic Responses


Following Chronic Serotonin Infusion in Broilers Challenged
with Bacterial Lipopolysaccharide and Microparticles1

M. E. Chapman,*2 R. L. Taylor,† and R F. Wideman Jr.*

*Department of Poultry Science, University of Arkansas, Fayetteville 72701;


and †Department of Animal and Nutritional Sciences, University of New Hampshire, Durham 03824

ABSTRACT There has been extensive interest in the that 5-HT is an important mediator in the pulmonary
role of serotonin (5-hydoxytryptamine, 5-HT) in the hypertensive response of broilers to microparticles, but
pathogenesis of pulmonary hypertension because epi- may not play a prominent role in the pulmonary hyper-
sodes of pulmonary arterial hypertension in humans have tensive response to LPS. Furthermore, chronic 5-HT infu-
been linked to serotoninergic appetite-suppressant drugs. sion via osmotic pumps caused an increase in the duration
In this study, we investigated the role of serotonin in of the pulmonary hypertensive response of broilers to
the development of pulmonary hypertension induced by microparticles, indicating that the infused 5-HT was se-
intravenously injecting bacterial lipopolysaccharide (LPS, questered by circulating thrombocytes and then released
endotoxin) and cellulose microparticles. In experiment 1,
upon microparticle-mediated thrombocyte activation. Se-
we used a 5-HT ELISA kit for the in vitro quantitative
rotonin appears to play a less prominent role in the pul-
determination of 5-HT in plasma during the development
monary hypertensive response of broilers to LPS, indicat-
of pulmonary hypertension induced by injecting LPS and
cellulose microparticles i.v. in broilers. In experiment 2, ing that other mediators within the innate response to
broilers were either chronically infused with 5-HT via inflammatory stimuli may also be involved. These results
surgically implanted osmotic pumps or received sham are consistent with our hypothesis that pulmonary arte-
surgery as a control. After a period of 10 d, the pulmonary rial hypertension ensues when vasoconstrictors such as
arterial pressure was recorded during challenge with in- 5-HT overwhelm the dilatory affects of vasodilators such
jected LPS or microparticles. Microparticles elicited 5-HT as nitric oxide, thereby effectively reducing the pulmo-
plasma levels more than 2-fold greater than those elicited nary vascular capacity of pulmonary arterial hyperten-
by LPS from 15 to 45 min postinjection. This indicates sion-susceptible broilers.
Key words: hypertension, broiler, serotonin, lipopolysaccharide, microparticle
2008 Poultry Science 87:116–124
doi:10.3382/ps.2007-00160

INTRODUCTION lar capacity (Peacock et al., 1989; Julian, 1993; Wideman


and Bottje, 1993; Wideman, 2000, Wideman et al., 2001).
Fast-growing broilers are susceptible to pulmonary ar- However, we still do not know what initiates PAH. Vaso-
terial hypertension (PAH), leading to pulmonary hyper- constriction, remodeling of the pulmonary vessel wall,
tension syndrome (ascites) when their right ventricle and thrombosis are all thought to contribute to increased
must progressively elevate the pulmonary arterial pres- pulmonary vascular resistance in PAH. Any factor that
sure (PAP) to propel the requisite cardiac output through increases the cardiac output, reduces the pulmonary vas-
lungs having a marginally inadequate pulmonary vascu- cular capacity, or triggers pulmonary vasoconstriction
can contribute to the pathogenesis of PAH in broilers
(Wideman, 2000), particularly when occurring within a
©2008 Poultry Science Association Inc.
genetic predisposition. Indeed, several cell types, includ-
Received April 18, 2007. ing endothelial and smooth muscle cells, as well as in-
Accepted September 10, 2007. flammatory cells and thrombocytes, may play a signifi-
1
United States patent no. 6,720,473 protects the exclusive rights of
the University of Arkansas to all uses of the intravenous micro-particle
cant role in PAH. There has been extensive interest in
injection technology within the context of evaluating or affecting pulmo- the role of serotonin (5-hydoxytrytamine, 5-HT) in the
nary vascular capacity, pulmonary vascular resistance, pulmonary hy- pathogenesis of pulmonary hypertension, because epi-
pertension, cardio-pulmonary hemodynamics, and susceptibility to pul- sodes of PAH in humans have been linked to serotoniner-
monary hypertension and pulmonary hypertension syndrome (ascites)
in domesticated animal species. gic appetite-suppressant drugs (Abenhaim et al., 1996).
2
Corresponding author: mchapman@uark.edu Increased plasma 5-HT levels have also been recorded in

116
ROLE OF SERATONIN IN PULMONARY ARTERIAL HYPERTENSION 117
human patients who spontaneously developed idiopathic with LPS or microparticles while recording PAP. Experi-
PAH (Hervé et al., 1995). ment 2 had the objective of determining whether supple-
Serotonin is a potent pulmonary vasoconstrictor (Boe mental 5-HT infusions would exacerbate the pulmonary
et al., 1980) and smooth muscle mitogen (Nemecek et al., hypertensive response of broilers to LPS or micropar-
1986; Fanburg and Lee, 1997) that is synthesized from the ticles.
essential amino acid Trp. It is actively accumulated by
mammalian platelets and avian thrombocytes, where 98% MATERIALS AND METHODS
or more of all circulating 5-HT is stored, and is released
Male broilers from a commercial hatchery (Cobb-Van-
into the plasma during platelet or thrombocyte aggrega-
tress Inc., Fayetteville, AR) were wing-banded and trans-
tion (Meyer and Sturkie, 1974; Cox, 1985; Lacoste-
ported on the day of hatch (d 1) to the Poultry Environ-
Eleaume et al., 1994). Serotonin is taken up by the 5-HT
mental Research Laboratory at the University of Arkan-
transporter (5-HTT) in several cells, including platelets
sas. They were placed on fresh wood shavings in
and thrombocytes, as well as in pulmonary artery smooth
environmental chambers (8 m2 of floor space) and were
muscle and endothelial cells. Serotonin has been impli-
brooded at 33°C from d 1 to 5, 29°C from d 6 to 10,
cated in the mechanisms responsible for pulmonary hy-
and 27°C from d 11 to 17. Thereafter, the broilers were
pertension in several human, animal, and broiler studies
maintained at 23.8°C until the experiment was termi-
(Douglas et al., 1981; Abenhaim et al., 1996; Chapman
nated. The photoperiod was 24 h of light from d 1 to 5,
and Wideman, 2002). When platelets and thrombocytes
and 23L:1D thereafter. Water was provided ad libitum
aggregate, they release several physiologically active sub-
via nipple type waterers. A corn-soybean meal starter
stances, including 5-HT, which causes proliferation of ration (22.7% CP, 3,059 kcal of ME/kg, 1.5% Arg, and
pulmonary vascular smooth muscle cells and stimulates 1.43% Lys) was provided ad libitum and was formulated
vasoconstriction, thereby reducing the blood flow at the to meet minimum NRC (1994) standards for all ingredi-
site of injury (Lee et al., 1994; Fanburg and Lee, 1997). ents. The diet was provided as crumbles during wk 1 and
Pulmonary vasoconstriction induced by 5-HT is believed 2 and as pellets thereafter.
to be mediated through 5-HT1B/1D and 5-HT2A receptors
expressed by pulmonary smooth muscle cells, whereas Experiment 1
the vascular remodeling associated with pulmonary hy-
pertension appears to require the serotonin transporter From d 31 to 36, unanesthetized male broilers (n = 240;
(5-HTT). Therefore, determination of altered 5-HT plasma 1,904 ± 15.6 g of BW, mean ± SEM) were injected via the
concentrations has great clinical significance for the as- basilica vein with either 1 mg of Salmonella enterica serovar
sessment of broiler PAH. Typhimurium LPS (Sigma Chemical Co., St. Louis, MO;
In experiment 1, we used an enzyme immunoassay for 0.5 mL dissolved at 2 mg/mL in a 0.9% sodium chloride
the in vitro quantitative determination of plasma 5-HT solution, n = 120) or 0.35 mL of microgranular CM-32
during the development of pulmonary hypertension over ion-exchange cellulose microparticles (Fisher Scientific,
a 12-h period, induced by injecting bacterial lipopolysac- St. Louis, MO), suspended at 0.02 g/mL in heparinized
charide (LPS) or cellulose microparticles i.v. in broilers. saline (n = 120), by using a 1-mL tuberculin syringe with
Lipopolysaccharide and microparticles cause pulmonary a 22-gauge needle. Previous studies demonstrated that
vasoconstriction and pulmonary hypertension in broilers the l-mg dose of LPS elicits a maximal pulmonary hyper-
(Wideman et al., 2001; Wideman and Erf, 2002), but the tensive response in broilers (Wideman et al., 2001) with-
specific mediator of vasoconstriction has not been deter- out triggering endotoxin shock (Xie et al., 2000) and that
mined. Bacterial LPS can produce direct injury to the approximately 0.3 to 0.35 mL of the 0.02 g/mL micropar-
pulmonary vascular endothelium (Brigham and Meyrick, ticle suspension is required to elevate the PAP of 6- to 7-
1986; Meyrick et al., 1986); however, the pulmonary hy- wk-old male broilers significantly while triggering <10%
pertension in gram-negative sepsis primarily results from mortality within 24 h postinjection (Wideman and Erf,
LPS-activated host inflammatory responses (Brigham and 2002; Wideman et al., 2005b). At 15, 30, and 45 min, and
Meyrick, 1986; Ghosh et al., 1993). Entrapped micropar- 1, 2, 3, 4, 5, 6, 8, 10, and 12 h postinjection, 1.5-mL blood
ticles, in addition to physically occluding pulmonary arte- samples were collected from the basilica vein by using
rioles, stimulate local tissues and leukocytes to release syringes containing 0.1 mL of a 0.9% sodium chloride
vasoactive substances capable of altering pulmonary vas- solution containing 50 mg/mL of EDTA. The EDTA was
cular resistance by dilating or constricting the nearby used to chelate calcium and thereby prevent platelet acti-
vation and degranulation (Cox, 1985; Gobbi et al., 2003).
vasculature (Wang et al., 2003; Wideman et al., 2004).
The plasma was separated by centrifugation and was
Therefore, the objective of experiment 1 was to determine
stored frozen at −4°C until analysis. Plasma 5-HT levels
whether LPS- or microparticle-induced pulmonary hy-
were measured by using a commercial enzyme immuno-
pertensive responses in broilers corresponded to in-
assay kit (Alpco Diagnostics, Windham, NH).
creased plasma 5-HT levels. In experiment 2, broilers
were either chronically infused with 5-HT via surgically
Experiment 2
implanted osmotic pumps or received sham surgery as
a control (McCorkle and Taylor, 1989; Eddahibi et al., Beginning on d 34 and continuing at daily intervals
1997). After a period of 10 d, the broilers were injected thereafter during the ensuing week, unanesthetized male
118 CHAPMAN ET AL.

broilers (n = 40; 2,307 ± 139.1 g of BW, mean ± SEM) Data Analysis


were placed on a surgical board and restrained in dorsal
recumbency. The feathers were removed from the dorsal The primary channel of the Biopac MP 100 data acquisi-
surface of the neck as needed, intracutaneous injections tion system recorded PAP (mmHg). These data was aver-
of 2% lidocaine HCl were administered as a local anesthe- aged electronically during representative sample inter-
tic, and an incision was made adjacent to the site chosen vals while accommodating for the influences of pulse
for the subcutaneous surgical implantations. Osmotic pressure and respiratory cycles on pulmonary arterial
pumps (2ML2 Alzet, Durect Corporation, Cupertino, CA) pressure (Wideman et al., 1996). Data were analyzed by t-
containing 2 mL of 5-HT (Sigma Chemical Co.) at 10 mg/ test (comparison between 2 groups within a single sample
interval) or within a group over time (across sample inter-
mL in 0.9% saline (pump group, n = 20) or gelatin capsules
vals) by using the SigmaStat Repeated Measures ANOVA
(sham group, n = 20) were implanted and the implanta-
procedure (Jandel Scientific, 1994). The Dunnett method
tion site was then closed with wound clips. The 2ML2
was used for the separation of treatment means. The
Alzet osmotic pumps are designed to deliver a test drug
threshold for significance in all cases was P ≤ 0.05.
at the consistent rate of 5 ␮L/h for 14 d. Based on a
previous study (Chapman and Wideman, 2002) the 10
RESULTS
mg/mL concentration of 5-HT was chosen to increase 5-
HT levels in circulating thrombocytes without causing Experiment 1
the pulmonary vasoconstriction leading to PAH.
Ten to 12 d postimplantation (starting on d 44), the At 15, 30, and 45 min postinjection, microparticles elic-
broilers were anesthetized to a light surgical plane with ited plasma levels of 5-HT of 171 ± 40, 234 ± 80, and 175
intramuscular injections of allobarbitol (5,5-diallylbarbi- ± 50 ng/mL, respectively during the pulmonary arterial
turic acid, 3.0 mL, 25 mg/mL, Sigma Chemical Co.) and hypertensive response in broilers (Figure 1). This 5-HT
ketamine HCl (1.0 mL, 100 mg/mL, Bedford Laboratories, response to microparticles was more than 2-fold greater
Bedford, OH). The birds were placed on a heated surgical (P = 0.04) than the responses elicited by LPS (69 ± 20, 31
board (30°C) and restrained in dorsal recumbency. The ± 13, and 80 ± 50 ng/mL, respectively). With the exception
left wing was extended and feathers were removed from of a significant difference at the 6-h sample interval, the
plasma 5-HT levels of broilers injected with micropar-
the ventral surface as needed to uncover the skin over
ticles were similar to 5-HT levels observed in broilers
the basilica vein. After intracutaneous injections of 2%
injected with LPS. The 5-HT concentrations in micropar-
lidocaine HCl were administered as a local anesthetic, an
ticle-injected birds declined after the 30-min mea-
incision was made to expose the vein, which then was
surement.
cannulated with a Silastic catheter (0.03 cm i.d., 0.09 cm
o.d.) filled with a 0.9% sodium chloride solution con-
Experiment 2
taining 200 IU of heparin/mL. The catheter was attached
to a blood pressure transducer interfaced through a For broilers that subsequently were injected with LPS,
Transbridge preamplifier (World Precision Instruments, the initial baseline PAP averaged approximately 20
Sarasota, FL) to a Biopac MP 100 data acquisition system mmHg in the broilers from the sham group, whereas after
using AcqKnowledge software (Biopac Systems Inc., Go- 10 d of chronic 5-HT infusion via osmotic pumps, the
leta, CA). The catheter was advanced through the right baseline PAP averaged approximately 23 mmHg in the
atrium and ventricle into a pulmonary artery while the pump group (sample intervals St to S10; Figure 2a). The
characteristic pulse pressures were monitored to identify numerically greater initial baseline PAP values for broil-
the location (Wideman et al., 1996; Chapman and Wide- ers in the pump group apparently shifted the group’s
man, 2001). All pulmonary arterial pressure readings absolute PAP response to LPS upward by approximately
were made with the transducer at the level of the thoracic 3 mmHg when compared with the absolute PAP response
inlet. Prior to recording, the system was calibrated in to LPS by the sham group (sample intervals T to T60).
millimeters of mercury (mmHg) by using a mercury ma- Accordingly, absolute PAP values for both groups were
recalculated to reflect the LPS-induced percentage change
nometer. The left basilica vein was also cannulated with
from the initial baseline PAP values, as shown in Figure
PE-50 polyethylene tubing filled with heparinized saline
2b. Injecting 1 mg of LPS into the wing vein caused the
for i.v. injections. Control data were recorded for 10 min
PAP to rise within 10 min and reach a peak of approxi-
after surgical preparations were complete and a stabiliza- mately 70% above baseline values within 25 min (P >
tion period of 10 min had elapsed. The osmotic pump 0.05) in both groups of broilers, regardless of treatment
and sham groups were then injected i.v. with 1 mg of during the preceding 10 d (5-HT infusion, sham controls).
Salmonella Typhimurium LPS (0.5 mL dissolved at 2 mg/ The percentage change in PAP then subsided toward
mL in a 0.9% sodium chloride solution, n = 20) or 0.35 baseline values by the end of the experiment in both the
mL of cellulose microparticles suspended at 0.02 g/mL 5-HT-treated and control groups. At no sample interval
in heparinized saline (n = 20). Data were recorded for a during the hypertensive response to LPS (T to T60) did
further 60 min, after which the birds were euthanized the percentage change in PAP differ between the groups
with 10 mL i.v. of 0.1 M KCl. (P > 0.05).
ROLE OF SERATONIN IN PULMONARY ARTERIAL HYPERTENSION 119

Figure 1. Plasma serotonin levels (ng/mL) for male broilers (n = 240; 1,904 ± 15.6 g of BW, mean ± SEM) in experiment 1, at 15, 30, and 45 min
and at 1, 2, 3, 4, 5, 6, 8, 10, and 12 h after lipopolysaccharide (LPS) or microparticle injection. Subscript letters (a and b) represent differences (P
≤ 0.05) between groups within individual sample intervals. Asterisks (*) represent differences (P ≤ 0.05) within a group across sample intervals.
5-HT = 5-hydroxytryptamine (serotonin).

For broilers that were subsequently injected with mi- nated the pulmonary hypertensive response of broilers
croparticles, the initial baseline PAP was approximately to i.v. microparticle injections but had minimal impact on
16.5 mmHg in birds from the sham group and approxi- LPS-mediated pulmonary hypertension (Chapman and
mately 18.5 mmHg in birds that had received chronic 5- Wideman, 2006b). However, changes in plasma 5-HT lev-
HT infusion via osmotic pumps (sample intervals St to els following LPS or microparticle injections had not pre-
S10; Figure 3a). Because of the numerically greater initial viously been demonstrated. In experiment 1 at 15 to 45
absolute PAP values in broilers from the pump group min postinjection, the microparticles elicited plasma lev-
when compared with the sham broilers, the percentage els of 5-HT more than 2-fold greater than those elicited
change from the initial PAP was calculated as shown by LPS in broilers. Plasma 5-HT levels then declined over
in Figure 3b for comparisons of the pulmonary arterial the remainder of the experiment toward levels similar to
hypertensive response between the groups. Injecting mi- those observed in broilers injected with LPS. The present
croparticles into the wing vein caused the PAP to rise and previous studies have consistently indicated that 5-
within 5 min to a peak of approximately 50% above base- HT is an important mediator of broilers’ pulmonary hy-
line values (P > 0.05) in broilers, regardless of treatment pertensive response to microparticles; however, 5-HT
(sample interval TPk, sham and pump groups). The per- may not play a prominent role in the pulmonary hyper-
centage change in PAP remained elevated by approxi- tensive response of broilers to LPS. This suggests that
mately 20% above baseline values by the end of the experi- other mediators of the innate immune response interact
ment (sample interval T60) in broilers that were chroni- with LPS.
cally infused with 5-HT, whereas in broilers from the It has been shown that within minutes after being in-
sham group, the pulmonary hypertensive response sub- jected, entrapped microparticles are surrounded by focal
sided 20 min earlier (sample interval T40) to a level that aggregates of thrombocytes and monocytes or macro-
did not differ from the initial baseline values. At no sam- phages (Wideman et al., 2002; Wang et al., 2003), which
ple interval during the hypertensive response to micro- potentially can trigger these leukocytes and the adjacent
particles (T to T60) did the absolute PAP or percentage vascular endothelium to synthesize and release potent
change in PAP differ between the groups (P > 0.05). vasoactive compounds within close proximity to the vas-
cular smooth muscle (Wideman, 2001; Wideman et al.,
DISCUSSION 2004). The tendency for elevated plasma 5-HT levels to
Previously, we demonstrated that the nonselective 5- wane within 1 h postmicroparticle injection, despite the
HT1/2 receptor antagonist methiothepin virtually elimi- persistence of cellulose microparticles within the pulmo-
120 CHAPMAN ET AL.

Figure 2. a) Pulmonary arterial pressure (PAP) and b) percentage change from the initial PAP (PAP % change) for male broilers (n = 40; 2,307
± 139.1 g of BW, mean ± SEM) in experiment 2, at the start of data collection and at intervals of 5 min thereafter (St, S5, S10), within 30 s after
lipopolysaccharide (LPS) injection and at intervals of 5 min thereafter (T to T60). Asterisks (*) represent differences (P ≤ 0.05) within a group across
sample intervals.

nary microvasculature for more than 10 d (Wideman et with smooth muscle cell proliferation, both of which can
al., 2002; Wang et al., 2003), may be attributable to exhaus- be caused by increases in plasma 5-HT. Pulmonary vaso-
tion of thrombocyte 5-HT reserves, cessation of thrombo- constriction is thought to be mediated by 5-HT2A and 5-
cyte activation, or inhibition by nitric oxide (NO; Moro HT1B/1D receptors expressed on vascular smooth muscle
et al., 1995). The available 5-HT also may be internalized cells (Choi and Maroteaux, 1996; MacLean et al., 1996;
into pulmonary endothelial cells via the 5-HTT. Pulmo- Keegan et al., 2001). Structural remodeling is mediated
nary arterial hypertension is characterized by vasocon- by 5-HTT expressed on vascular smooth muscle cells in
striction, followed by structural remodeling associated the lungs. Serotonin translocated into the smooth muscle
ROLE OF SERATONIN IN PULMONARY ARTERIAL HYPERTENSION 121

Figure 3. a) Pulmonary arterial pressure (PAP) and b) percentage change from the initial PAP (PAP % change) for male broilers (n = 40; 2,307
± 139.1 g of BW, mean ± SEM) in experiment 2, at the start of data collection and at intervals of 5 min thereafter (St, S5, S10), within 30 s after
microparticle injection and at intervals of 5 min thereafter (T to T60). Asterisks (*) represent differences (P ≤ 0.05) within a group across sample intervals.

cells by 5-HTT is mitogenic, causing hypertrophy and boxane A2 (TxA2) has been shown to increase pulmonary
proliferation of the medial muscle layer in pulmonary vascular resistance and PAP in broilers (Wideman et al.,
arterioles (Lee et al., 1991, 1994; Ramamoorthy et al., 1993; 1998a, 1999a, 2001), and several studies have associated
Fanburg and Lee, 1997; Eddahibi et al., 1999). TxA2 with the pulmonary hypertension during endotoxe-
Serotonin, it seems, may not play a prominent role in mia. Levels of thromboxane B2 (a stable metabolite of
the pulmonary hypertensive response to LPS in broilers, TxA2) in plasma and lung lymph increased acutely after
suggesting that the pathological progression toward PAH LPS administration in several mammalian species (Ball
has more than one progenitor. The vasoconstrictor throm- et al., 1983; Snapper et al., 1983; Kubo and Kobayashi,
122 CHAPMAN ET AL.

1985). Furthermore, the fawn-hooded rat, which sponta- such as TxA2, ET-1, or NO, may also be involved. The
neously develops PAH, is believed to be a model of 5- current observations support our hypothesis that pulmo-
HT-mediated PAH owing to a platelet storage defect that nary hypertension syndrome ensues when vasoconstric-
impairs uptake and retention of serotonin and elevates tors overwhelm the dilatory affects of vasodilators such
plasma serotonin levels (Tschopp and Zucker, 1972; Gon- as NO.
zalez et al., 1998). However, recent studies have impli-
cated overexpression of endothelin-1 (ET-1) mRNA and ACKNOWLEDGMENTS
overproduction of the pulmonary vasoconstrictor ET-1
peptide in fawn-hooded rat lung tissues as the potential This project was supported by the National Research
mediator of PAH (Hahn et al., 1990; Nagaoka et al., 2001). Initiative of the USDA Cooperative State Research, Educa-
Additional studies using fawn-hooded rat lungs point tion and Extension Service (Washington, DC), USDA/
toward impaired endothelial NO synthase expression CSREES/NRI grant no. 2003-35204-13392, and by an Ani-
(Tyler et al., 1999), leading to sustained pulmonary vaso- mal Health Grant from the University of Arkansas Ag-
constriction and PAH. Endothelial dysfunction has been ricultural Experiment Station (Fayetteville, AR).
identified as playing a key role in PAH pathophysiology,
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