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Serotonin blockade protects against early microvascular constriction following atherosclerotic plaque rupture
Andrew J Taylor1, Alex Bobik, Michael C Berndt
1Baker Heart Research Institute, Alfred Hospital, Commercial Road, Prahran, Melbourne 3181, Australia. andrew.taylor@baker.edu.au
Abstract:
Early microvascular constriction following atherosclerotic plaque rupture may be mediated via serotonin and/or endothelin-1. Atherosclerotic lesions in the rabbit hindlimb underwent plaque rupture, resulting in a rapid reduction of distal flow (7.1+/-0.7 ml/min pre-rupture versus 3.6+/-0.6 ml/min post-rupture, P<0.001) and a rise in distal microvascular resistance (10.5+/-0.9 mm Hg min/ml pre-rupture versus 23.5+/-3.5 mm Hg min/ml post-rupture, P=0.01). Distal microvascular resistance remained elevated following endothelin-1 receptor antagonism and control vehicle, but normalised after serotonin receptor antagonism with ritanserin (10.5+/-0.9 mm Hg min/ml pre-rupture versus 22.2+/-6.0 mm Hg min/ml post-endothelin-1 receptor antagonism [P<0.05] versus 21.6+/-6.2 mm Hg min/ml post-control vehicle [P<0.05] versus 11.6+/-2.0 mm Hg min/ml post-ritanserin [P=NS]). Early antagonism of serotonin receptors protects against distal microvascular constriction following atherosclerotic plaque rupture.
Insights
Early microvascular constriction after atherosclerotic plaque rupture is mediated by serotonin. Blocking serotonin receptors with ritanserin normalized distal microvascular resistance, suggesting a protective effect against constriction.
Area of Science:
- Cardiovascular Biology
- Vascular Pharmacology
- Atherosclerosis Research
Background:
- Atherosclerotic plaque rupture can lead to acute microvascular dysfunction.
- Serotonin and endothelin-1 are implicated as potential mediators of this microvascular response.
Purpose of the Study:
- To investigate the role of serotonin and endothelin-1 in early microvascular constriction following atherosclerotic plaque rupture.
- To evaluate the therapeutic potential of receptor antagonism in mitigating this constriction.
Main Methods:
- Induction of atherosclerotic plaque rupture in rabbit hindlimb models.
- Measurement of distal blood flow and microvascular resistance.
- Administration of endothelin-1 receptor antagonists, serotonin receptor antagonists (ritanserin), and control vehicle.
Main Results:
- Plaque rupture caused a significant reduction in distal flow and a marked increase in microvascular resistance.
- Endothelin-1 receptor antagonism and control vehicle did not restore normal microvascular resistance.
- Serotonin receptor antagonism with ritanserin effectively normalized distal microvascular resistance.
Conclusions:
- Early microvascular constriction following atherosclerotic plaque rupture is primarily mediated by serotonin.
- Targeting serotonin receptors, specifically with ritanserin, offers a protective strategy against post-rupture microvascular dysfunction.
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