Articles in PresS. Am J Physiol Heart Circ Physiol (August 4, 2017). doi:10.1152/ajpheart.00702.2016

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Modulation of Mesenteric Collecting Lymphatic Contractions by Sigma-1 Receptor Activation and Nitric Oxide Production

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Andrea N. Trujillo, Christopher Katnik, Javier Cuevas, Byeong Jake Cha, Thomas E. Taylor-Clark, Jerome W. Breslin

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Department of Molecular Pharmacology and Physiology, Morsani College of Medicine, University of South Florida

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Running Head: Sigma-1 Receptor and Lymphatic Contractions

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This project was supported by the University of South Florida and NIH (L40 HL097863 & R01 HL098215).

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Address Correspondence to: Jerome W. Breslin, PhD Department of Molecular Pharmacology and Physiology, MDC8 University of South Florida 12901 Bruce B. Downs Blvd. Tampa, FL 33612 USA Phone: +1 (813) 974-1554 FAX: +1 (813) 974-3079 Email: [email protected]

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Copyright © 2017 by the American Physiological Society.

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ABSTRACT

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Recently it was reported that a sigma receptor antagonist could reduce inflammation-

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induced edema. Lymphatic vessels play an essential role in removing excess interstitial

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fluid. We tested the hypothesis that activation of sigma receptors would reduce or

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weaken collecting lymphatic contractions. We utilized isolated, cannulated rat

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mesenteric collecting lymphatic vessels for study of contractions in response to the

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sigma receptor agonist afobazole in the absence or presence of different sigma receptor

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antagonists. We also investigated whether these vessels express the sigma-1 receptor

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using RT-PCR and Western blotting, and localization of the sigma-1 receptor in the

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collecting lymphatic wall by immunofluorescence confocal microscopy. We tested the

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role of nitric oxide (NO) signaling using L-NAME pretreatment prior to afobazole in

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isolated lymphatics. Lastly, we tested whether afobazole increases NO release in

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cultured lymphatic endothelial cells using DAF-FM fluorescence as an indicator. Our

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results show that the afobazole (50-150 µM) elevated end-systolic diameter and

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generally reduced pump efficiency, and this response could be partially blocked with the

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sigma-1 receptor antagonists BD 1047 and BD 1063 but not the sigma-2 receptor

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antagonist SM-21. Sigma-1 receptor mRNA and protein were detected in lysates from

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isolated rat mesenteric collecting lymphatics. Confocal images with anti-sigma-1

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receptor antibody labeling suggested localization in the lymphatic endothelium.

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Blockade of NO synthases with L-NAME inhibited the effects of afobazole. Lastly,

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afobazole elicited increases in NO production from cultured lymphatic endothelial cells.

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Our findings suggest that the sigma-1 receptor limits collecting lymphatic pumping

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through a NO-dependent mechanism.

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New and Noteworthy: Relatively little is known about the mechanisms that govern

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contractions of lymphatic vessels. Sigma-1 receptor activation was shown to reduce the

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fractional pump flow of isolated rat mesenteric collecting lymphatics. The sigma-1

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receptor was localized mainly in the endothelium and blockade of nitric oxide synthase

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inhibited the effects of afobazole.

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Key

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Endothelium, Nitric Oxide

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Words:

Collecting

Lymphatic,

Afobazole,

Sigma-1

Receptor,

Lymphatic

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INTRODUCTION

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Afobazole is an anxiolytic drug that acts upon Sigma (σ) receptors, a family of

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proteins that modulate a variety of signals within cells (11, 12, 40). The σ receptor family

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consists of two known subtypes, σ1 and σ2. While σ1 and σ2 are highly expressed in

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the central nervous system, they have also been found in the liver, kidney, heart, eye

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and endocrine organs (9). The σ1 and σ2 subtypes have also been shown to

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differentially regulate acid-sensing ion channels and voltage-gated calcium channel

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activity (23, 55). Within cells, σ receptors localize to either the plasma membrane or to

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intracellular membranes, and have the ability to translocate within different subcellular

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compartments when treated with agonistic compounds (9). In the mitochondria-

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associated membrane of the endoplasmic reticulum, σ1 receptors appear to act as

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chaperones stabilizing the IP3 receptor, and are involved in Ca2+ transfer from the

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endoplasmic reticulum to mitochondria (22). Many drugs used to treat Alzheimer

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Disease or drug/alcohol dependence have moderate to high affinity for σ1 receptors (9).

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Endogenous sphingolipids, N,N-dimethyltryptamine, and neuroactive steroids such as

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dehydroepiandosterone can bind to σ1 receptors, but their potential roles as

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physiological ligands remain to be determined (15, 28, 33, 42).

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Drugs that affect intracellular free Ca2+ ([Ca2+]i) have previously been shown to

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have mild to profound effects on the pump function of collecting lymphatics (5, 7, 14, 26,

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38, 46). Unlike blood vessels, which have the heart as a central pump to drive flow,

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collecting lymphatics are organized into a series of segments that contract phasically

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and drive lymph flow (6). These segments, called lymphangions, are separated by one-

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way luminal valves to prevent backflow of lymph, and have a smooth muscle layer that

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expresses a unique combination of contractile proteins found in both cardiac and

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smooth muscle (13, 35). Some researchers have adopted the term “lymphatic muscle”

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to describe this smooth muscle layer because of these unique properties (35). Like

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other smooth muscle cell types, contraction of lymphatic smooth muscle can be driven

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by increases in [Ca2+]i (4, 37, 49).The phasic contractions are driven by oscillating action

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potentials that elicit transient increases in [Ca2+]i within lymphatic smooth muscle cells

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(24). In addition, these vessels display some degree of tone between phasic

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contractions, which is also a Ca2+-dependent process (3, 26, 46). L- and T-type voltage

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gated Ca2+ channels appear to have an important role in the mechanism (27), although

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there is some controversy about this (51). Release and uptake of Ca2+ from internal

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stores also plays an important role (46, 53). In addition, other signaling pathways, such

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as those driven by PKC and Rho/Rho kinase, also affect the contractile mechanisms in

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lymphatic vessels, probably by affecting the sensitivity to Ca2+ (26, 35, 47). Lastly, the

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lymphatic endothelium can also affect lymphatic pumping. Endothelial cells may

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respond to agonists or physical forces like shear stress, which can cause activation of

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endothelial nitric oxide (NOS) and release of NO, which can then elicit relaxation of

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lymphatic smooth muscle through a cGMP-dependent mechanism (16, 18-20, 25).

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Collectively, many important details about the lymphatic contractile mechanism are

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known, however much remain unknown, and the potential role of σ receptors in the

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control of lymphatic pumping has not been previously explored.

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In the current study, we investigated how afobazole affects the contractions of

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isolated rat mesenteric collecting lymphatic vessels. We tested the hypothesis that the σ

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receptor agonist afobazole would depress lymphatic contractions, and investigated the

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expression and localization of the σ1 receptor in rat mesenteric collecting lymphatics.

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The experimental model consisted of isolated, perfused collecting lymphatics from the

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rat mesentery. This model was chosen because it allowed us to study the direct effect of

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afobazole on lymphatic contractions without confounding influences from interstitial fluid

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flow, and with tight control of the inflow and outflow pressures (6).

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MATERIALS AND METHODS

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Materials

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Afobazole was generously provided by IBC Genarium (Moscow, Russia). BD

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1047 dihydrobromide (cat. no. 0956), BD 1063 dihydrochloride (cat. no. 0883), SM-21

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maleate (cat. no. 0751), and L-NAME hydrochloride (cat. no. 0665) were obtained from

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Tocris Bioscience/R&D Systems (Minneapolis, MN). DAF-FM (4-Amino-5-Methylamino-

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2’, 7’- Difluorofluorescein Diacetate, cat. no. D23844) was purchased from Life

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Technologies (Carlsbad, CA). Acetylcholine Chloride (cat. no. A9101-10VL) and

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Bradykinin (cat. no. B3259) were obtained from (Sigma-Aldrich, St. Louis, MO).

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Crystallized bovine albumin (purified BSA; cat. no. 10856) used for preparing

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physiological salt solutions was purchased from Affymetrix (Santa Clara, CA). For

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blocking solutions, donkey serum (cat. no. D9663) was purchased from Sigma-Aldrich.

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Rabbit anti-Sigma-1 Receptor (cat. no. 42-3300) was purchased from Invitrogen

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Corporation (Camarillo, CA). Mouse anti-α/γ-smooth muscle actin (cat. no. Mab1522)

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was purchased from Millipore (Billerica, MA). Goat anti-VE-Cadherin (cat. no. sc-6458)

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was obtained from Santa Cruz Biotechnology (Santa Cruz, CA). Donkey anti-rabbit IgG-

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HRP (cat. no. ab97064) was obtained from Abcam (Cambridge, MA). Alexa-488-donkey

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anti-rabbit IgG (cat. no. A21206), Alexa-488-donkey anti-mouse IgG (A21202), Alexa-

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555-donkey anti-goat IgG (cat. no. A21432), Alexa-647-donkey anti-mouse IgG (cat. no.

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A31571) and Alexa Fluor® 633 hydrazide were obtained from Life Technologies (Grand

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Island,

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Rn01775763_g1) primers (TaqMan® Gene Expression Assays) for PCR were

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purchased from Applied Biosystems/ThermoFisher Scientific (Waltham, MA). All other

NY).

SIGMAR1

(cat.

no.

Rn00578590_m1)

and

GAPDH

(cat.

no.

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chemicals and reagents, unless otherwise specified, were purchased from Sigma-

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Aldrich.

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Animal Care and Use

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All procedures were approved by the Institutional Animal Care and Use

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Committee (IACUC) at the University of South Florida under protocol number

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IS00002179. These studies were performed in accordance with the National Institute of

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Health Guide for the Care and Use of Laboratory Animals (8th Edition, 2011) and are

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reported here in accordance with the ARRIVE Guidelines. A total number of 42 male

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Sprague-Dawley rats (5-9 weeks of age) were purchased from Charles River

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(Wilmington, MA), housed in a controlled temperature (22 °C) and controlled illumination

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(12:12 h light dark cycle) environment. After arrival, the rats were submitted to a one-

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week acclimation period and were provided standard rat chow (2018 Teklad Global 18%

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Protein Rodent Diet, Harlan, Indianapolis, IN) and water ad libitum. When possible,

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multiple lymphatics or tissue samples were obtained from a single rat for different

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experiments, in order to minimize the total number of rats utilized. All possible measures

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were taken to minimize pain or suffering, including the administration of general

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anesthesia prior to performing experiments (details provided in next sub-section). All

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rats were euthanized by extending the laparotomy into the chest cavity and injecting

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Euthasol/Somnasol (0.1 ml/450 g body weight) directly into the cardiac ventricle, in

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accordance with American Veterinary Medical Association guidelines for the euthanasia

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of animals.

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Mesenteric Collecting Lymphatic Isolation

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Collecting lymphatics were isolated as previously described (25). Briefly, rats

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were anesthetized (i.p. ketamine and xylazine at 90 and 9 mg/kg, respectively), and

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depth of anesthesia was checked using inter-digital pinch and palpebral blink reflex. A

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midline laparotomy was performed, and the small intestine and mesentery were

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exteriorized, excised, and placed in ice-cold albumin physiological salt solution (APSS:

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NaCl, 120 mM; KCl, 4.7 mM; CaCl2·2H2O, 2 mM; MgSO4·7H2O, 1.2 mM; NaH2PO4, 1.2

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mM; Na pyruvate, 2 mM; glucose, 5 mM; EDTA, 0.02 mM; MOPS, 3 mM and 1% BSA).

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Rats were then immediately euthanized as indicated above. In each experiment, a

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section of mesentery that included the terminal ileum was pinned in a dissection

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chamber containing ice-cold APSS, and with the aid of a stereomicroscope, a collecting

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lymphatic vessel (60–150 µm internal diameter and 0.5 cm of length) was carefully

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dissected from surrounding adipose and connective tissue. The isolated lymphatic was

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transferred to an isolated vessel chamber (Living Systems Instrumentation, Burlington,

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VT) and was mounted onto two resistance-matched glass micropipettes and secured

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with nylon thread. The chamber was transferred to an Accu-Scope® 3032 inverted

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microscope, equipped with a halogen lamp, 10X objective and CCD camera for video

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image acquisition (Living Systems). Intraluminal pressure was imposed using APSS-

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filled gravity manometers that fed to each micropipette. All experiments were performed

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with the vessel bathed in 37 °C APSS with the imposed pressure from both

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micropipettes set at 2 cm H2O, and with a 30-45 min stabilization period to let the vessel

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equilibrate for baseline measurements. Only lymphatic vessels that displayed phasic

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contractions that reduced internal diameter during systole by at least 25% of the

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diastolic diameter were considered sufficiently viable and used for these studies.

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Experimental Protocols

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After cannulation, the vessels were allowed to equilibrate for 30-45 minutes in order to

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establish baseline contractions. Upon achieving a steady baseline pumping, the impact

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of the σ receptor agonist afobazole on lymphatic contractions was evaluated by adding

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it to achieve final concentrations of 50, 100 and 150 µM in the bath. These

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concentrations were chosen based on previous work in which this range was effective

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for inhibiting ATP-induced migration of glial cells and also mitigating acidosis-induced

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calcium overload in neurons (11, 12). To investigate the roles of σ1 versus σ2 receptor

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activation by afobazole, lymphatics were pretreated for 20 min with either the selective

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σ1 receptor antagonists BD 1047 (200 nM) or BD 1063 (200 nM), or the selective σ2

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receptor antagonist SM-21 (2 µM), prior to the addition of afobazole (50, 100, and 150

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µM). These concentrations were also chosen based on previous work (11, 12) . The role

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of NO signaling was investigated using the nitric oxide synthase inhibitor L-NAME (200

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µM), which we have previously used to block NOS (8, 25). Vessel diameters were

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tracked throughout each experiment and the bath solution was changed to Ca2+-free

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APSS at the end of each experiment to determine the maximal passive diameter

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(MaxD) at the same luminal pressure, 2 cm H2O. Parameters used to characterize

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lymphatic pump function were calculated from the data (outlined below under Data

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Analyses).

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Total RNA Isolation and PCR

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Mesenteric collecting lymphatic vessels (10 vessels per rat) were freshly isolated,

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placed on ice, sonicated, snap frozen in 300 µl QIAzol® Lysis Reagent (Qiagen Inc.,

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Valencia, CA) and stored at -80 °C. Total RNA was extracted using chloroform and

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isopropanol and the samples were treated with DNase to remove genomic DNA. The

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RNA was then purified using the RNeasy® MinElute® Cleanup Kit (Qiagen Inc.,

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Valencia, CA) according to the manufacturer’s specifications, and the RNA pellet was

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eluted in 14 µl of RNase-free water. RNA concentration and purity were determined

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using the NanoVue Plus™ (GE Healthcare, Piscataway, NJ). Total RNA (50 ng) was

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reverse-transcribed into cDNA using the ProtoScript® First Strand cDNA Synthesis Kit

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(New England Biolabs Inc., Ipswich, MA). The cDNA was combined with TaqMan® Fast

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Universal PCR Master Mix (Applied Biosystems/ThermoFisher Scientific) and primers

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specific for either rat SIGMAR1 or rat GAPDH. PCR reactions were performed using a

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10-min hold at 95 °C, 95 °C for 15 s and 60 °C for 1 min (40 cycles) using a CFX

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Connect Real-Time System (Bio-Rad, Hercules, CA). Primer sequences (NCBI

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Reference Sequence) used were: NM_030996.1(SIGMAR1) and NM_017008.4

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(GAPDH). PCR reaction products were run on a 2 % agarose gel and bands were made

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detectable with SYBR Green I nucleic acid gel stain (Life Technologies/ThermoFisher

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Scientific, Waltham, MA) and visualized under UV, using the BioRad Chemi Doc XRS+

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System with Quantity 1-D Analysis Software (Bio-Rad, Hercules, CA).

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Immunoblotting Protocol

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Approximately 10 collecting lymphatic vessel segments per rat, freshly isolated

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from the mesentery, were placed in 200 µl 1X RIPA (4 °C) containing HALT Protease

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and Phosphatase Inhibitor Cocktail (Pierce, Rockford, IL). The mixture was sonicated

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twice at 4 °C for 5 s using a Fisher Sonic Dismembranator, model FB-120 (Fisher

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Scientific, Asheville, NC) and frozen at -80 °C. Protein concentrations were determined

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using the BCA protein assay (Pierce/Thermo Scientific, Waltham, MA) to equilibrate

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samples. Lysate was mixed with 4X NuPage LDS sample buffer containing reducing

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agent (Invitrogen, Grand Island, NY). Samples containing 30 µg of protein were loaded

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into 4-20% Novex Bis-Tris gels (Invitrogen) for SDS-PAGE to separate proteins. The

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NexusPointer prestained protein ladder (BioNexus, Oakland, CA) was used to

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determine molecular weight vs. mobility. The proteins were transferred from the gels to

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Immobilon-P PVDF membranes (Millipore) by wet transfer. Membranes were blocked

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with 5% BSA in Tris-buffered saline with Tween® 20 (TBST). Primary antibody was

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1:1000 rabbit anti-sigma 1 receptor (Invitrogen 42-3300). The secondary antibody was

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1:10,000 donkey anti-rabbit IgG-HRP (ab97064). Bands were visualized using WestPico

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Supersignal reagent (Pierce/Thermo Scientific) and a BioRad Chemi Doc XRS+ System

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with Quantity 1-D Analysis Software (5 min exposure), (Bio-Rad, Hercules, CA).

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Immunofluorescence Labeling and Confocal Microscopy

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Rat mesenteric lymphatics were isolated and excised, and for each isolated vessel,

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one end was mounted onto a glass micropipette filled with APSS in a custom chamber

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for fixation and labeling as previously described (25). The other end of the lymphatic

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was left free to float in an APSS bath, to allow for APSS to be pulled into or pushed out

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of the vessel lumen by gently applying negative or positive pressure, respectively, on

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the micropipette via an attached 1 ml syringe. Each vessel was fixed with 4%

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paraformaldehyde for 10-15 min at room temperature with positive pressure in the

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vessel lumen, followed by two 5-min washes with 100 mM glycine buffer and one 5-min

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wash with Ca2+/Mg2+-free Dulbecco’s PBS (CMF-DPBS). Ice-cold acetone (-10 to -20

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°C) was applied for 5 min to permeabilize the cell membranes, followed by three 5-min

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washes with CMF-DPBS. A blocking solution consisting of 5% normal donkey serum in

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CMF-DPBS was applied for 30 min at room temperature, followed by overnight

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incubation with combinations of primary antibodies in antibody dilution buffer (151 mM

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NaCl, 17 mM trisodium citrate, 2% donkey serum, 1% BSA, 0.05% Triton X-100, 0.02%

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NaN3) at 4 °C: 1:3000 mouse anti-α/γ-smooth muscle actin (Mab1522); 1:50 goat anti-

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VE-cadherin (sc-6458); and 1:60 rabbit anti-sigma 1 receptor. Labeling controls

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received antibody dilution buffer containing no primary antibody. After overnight

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incubation, three 10-min rinses with antibody wash solution (151 mM NaCl, 17 mM

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trisodium citrate, 0.05% Triton X-100) were performed. The vessels were incubated for

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30-60 min at room temperature with antibody dilution buffer containing secondary

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antibodies: 1:400 Alexa-488-donkey anti-rabbit IgG (A21206), 1:400 Alexa-488-donkey

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anti-mouse IgG (A21202), 1:400 Alexa-555-donkey-anti-goat IgG (A21432) and 1:400

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Alexa-647-donkey anti-mouse IgG (A31571). Alexa Fluor® 633 hydrazide (1.0 μM) was

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also added during this time period to label extracellular matrix (ECM) elastin fibers (10,

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41) in some of the whole mounts. Three 10-min rinses with antibody wash solution were

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performed, and each vessel was removed from its cannula, placed on a glass slide with

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a Secure-Seal™ imaging spacer in 20 µl of Prolong Gold Anti-Fade reagent containing

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DAPI (Life Technologies) or VECTASHIELD® with DAPI (Vector Laboratories, Inc.,

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Burlingame, CA) and covered with a #1 glass coverslip. Care was taken to keep the

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lymphatic vessel lumen patent for better view of vessel structure. Confocal z-stack

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images (step size = 0.5-0.75 μm) of the vessels were obtained with an Olympus FV1200

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spectral inverted laser scanning confocal microscope, and a 60X (PLAPON60XOil,

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1.42NA or 1.30NA) objective with 1.3-1.5X zoom at the Lisa Muma Weitz Advanced

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Microscopy and Cell Imaging Core at the University of South Florida. Imaris software

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(Bitplane, Concord, MA) was used to produce 3D models of z-stacks for interpretation.

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FIJI/ImageJ open source imaging software (http://fiji.sc) was also used to view and

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process confocal image stacks into the figures.

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Cell Culture

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Primary human dermal lymphatic endothelial cells (HDLEC-juvenile) (PromoCell,

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Heidelberg, Germany) were seeded onto gelatin-coated, (0.75%) 100-mm culture

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dishes. Cells were routinely maintained in Endothelial Cell Growth Medium2-MV

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(EGM2-MV) (Lonza, Walkersville, MD) with medium changed every 48 h. For all

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experiments, passage 2-3 endothelial cells were used. For NO imaging studies,

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confluent endothelial monolayers were washed with 1X DPBS, incubated in trypsin-

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EDTA, 0.25%, neutralized with EGM2-MV and pelleted at 2000 rpm/min. Resuspended

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endothelial cells were seeded on 18mm round microscope cover glasses coated with

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gelatin, (0.75%) at a density of 0.1 x 106 cells and grown to 70-80% confluency.

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Nitric Oxide Imaging Measurements

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Changes in intracellular NO concentrations were measured in cultured primary

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endothelial cells using fluorescent imaging techniques and the NO sensitive dye DAF-

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FM. Cells were loaded using membrane permeable DAF-FM. Cells seeded on

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coverslips (as above) were incubated for 1 hour at 37˚ in HBSS (NaCl, 135 mM; KCl, 5

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mM; CaCl2, 1.5 mM; MgCl2, 1 mM; glucose, 10 mM; HEPES, 10 mM pH 7.4) with 8 μM

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DAF-FM and 0.8 % dimethyl sulfoxide (DMSO). The coverslips were washed in DAF-

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FM-free HBSS prior to experiments being performed. Cells were illuminated with 495

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nm light for 400 msec at 0.3 Hz (Lambda DG-4, Sutter Instruments, Novato CA) and

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fluorescent emissions at 535 nm were collected using a Sensicam digital CCD camera

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(Cooke Corp., Auburn Hills, MI). Imaged cells were perfused with control solution and

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solutions containing 150 μM afobazole, 10 μM Acetylcholine or 1 μM bradykinin using a

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perfusion system consisting of 250 μm diameter glass tubes positioned 500 μm away

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with flow rates of 300 μl/min.

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Data Analyses

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For the lymphatic pumping studies, datasets of lymphatic diameter over time,

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before and after various interventions such as pressure steps or addition of drugs, were

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used for analysis. Parameters used to characterize lymphatic pump function were

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determined from the lymphatic intraluminal diameter measurements in the same

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manner as previously described (16, 26). These include contraction frequency (CF), end

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diastolic diameter (EDD), end systolic diameter (ESD), amplitude of contraction (AMP =

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EDD - ESD), ejection fraction (EF) = (EDD2-ESD2)/(EDD2), and fractional pump flow

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(FPF; FPF = CF X EF). EDD, ESD, and AMP were normalized to MaxD to account for

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variability in the resting diameter of different lymphatics. Baseline data for all drug

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experiments were the averages for the 2-min period prior to drug administration. For

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each concentration of afobazole, the 2-min increment starting 4 min post addition was

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used to calculate the mean data (i.e. means represent 4-6 min after addition of each

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concentration and each concentration was held for 10 min). These time points after

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afobazole administration represented the peak responses. When σ receptor antagonists

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or L-NAME were added, we utilized the last 2-min period just prior to the addition of

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afobazole to calculate the mean parameters due to any effects of the antagonist by

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itself.

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Summarized data are presented as mean ± SE. For all experiments, the

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hypothesis tested was that the various experimental interventions would produce a

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difference in the baseline pumping parameters just before afobazole was added, which

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served as controls. GraphPad Prism 6 software was used for statistical analyses

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(GraphPad Software, LaJolla, CA) with the threshold for significance set at P

Modulation of mesenteric collecting lymphatic contractions by σ1-receptor activation and nitric oxide production.

Recently, it has been reported that a σ-receptor antagonist could reduce inflammation-induced edema. Lymphatic vessels play an essential role in remov...
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