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Role of endothelin in alpha-adrenoceptor coronary vasoconstriction
Mark W Gorman1, Martin Farias, Keith N Richmond
1Dept. of Physiology and Biophysics, Box 357290, University of Washington School of Medicine, Seattle, WA 98195-7290, USA. mgorman@u.washington.edu
Insights
Alpha-adrenoceptor coronary vasoconstriction during exercise is not mediated by endothelin. While endothelin causes vasoconstriction at rest, alpha-adrenoceptor activation during exercise does not rely on endothelin signaling.
Area of Science:
- Cardiovascular Physiology
- Pharmacology
Background:
- Alpha-adrenoceptors on cardiac myocytes may stimulate endothelin release, causing coronary vasoconstriction.
- The role of endothelin in exercise-induced alpha-adrenoceptor mediated coronary vasoconstriction is unclear.
Purpose of the Study:
- To test if alpha-adrenoceptor-mediated coronary vasoconstriction during exercise is due to endothelin.
Main Methods:
- Conscious dogs were treated with endothelin receptor antagonist tezosentan or alpha-adrenoceptor antagonist phentolamine during rest and exercise.
- Anesthetized dogs received intracoronary alpha-adrenoceptor agonist phenylephrine with or without tezosentan.
Main Results:
- Tezosentan increased coronary venous oxygen tension at rest but not during exercise.
- Phentolamine increased coronary venous oxygen tension during exercise but not at rest.
- Phenylephrine caused coronary vasoconstriction partially blocked by tezosentan, suggesting high catecholamine levels are needed for alpha-adrenoceptor-induced endothelin release.
Conclusions:
- Alpha-adrenoceptor-mediated coronary vasoconstriction during exercise is not dependent on endothelin.
- Endothelin contributes to basal coronary vasoconstriction at rest.
- Alpha-adrenoceptor-induced endothelin release likely requires pharmacological concentrations of catecholamines not achieved during physiological exercise.
Abstract:
It has been proposed that alpha-adrenoceptor vasoconstriction in coronary resistance vessels results not from alpha-adrenoceptors on coronary smooth muscle but from alpha-adrenoceptors on cardiac myocytes that stimulate endothelin (ET) release. The present experiments tested the hypothesis that the alpha-adrenoceptor-mediated coronary vasoconstriction that normally occurs during exercise is due to endothelin. In conscious dogs (n = 10), the endothelin ET(A)/ET(B) receptor antagonist tezosentan (1 mg/kg iv) increased coronary venous oxygen tension at rest but not during treadmill exercise. This result indicates that basal endothelin levels produce a coronary vasoconstriction at rest that is not observed during the coronary vasodilation during exercise. In contrast, the alpha-adrenoceptor antagonist phentolamine increased coronary venous oxygen tension during exercise but not at rest. The difference between the endothelin blockade and alpha-adrenoceptor blockade results indicates that alpha-adrenoceptor coronary vasoconstriction during exercise is not due to endothelin. However, in anesthetized dogs, bolus intracoronary injections of the alpha-adrenoceptor agonist phenylephrine produced reductions in coronary blood flow that were partially antagonized by endothelin receptor blockade with tezosentan. These results are best explained if alpha-adrenoceptor-induced endothelin release requires high pharmacological concentrations of catecholamines that are not reached during exercise.
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