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

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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