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Contribution of hydrogen sulfide to the control of coronary blood flow
Eli D Casalini1, Adam G Goodwill, Meredith K Owen
1Department of Cellular and Integrative Physiology, Indiana University School of Medicine, Indianapolis, Indiana, USA.
Insights
Exogenous hydrogen sulfide (H2S) causes significant coronary vasodilation by activating KATP channels. However, endogenous H2S does not appear to regulate coronary microvascular resistance.
Area of Science:
- Cardiovascular Physiology
- Hydrogen Sulfide Biology
- Microcirculation Research
Background:
- Hydrogen sulfide (H2S) is an endogenously produced gasotransmitter with known physiological roles.
- Its precise mechanisms in regulating coronary microvascular resistance and myocardial perfusion remain incompletely understood.
Purpose of the Study:
- To investigate how H2S influences coronary microvascular resistance and myocardial blood flow.
- To elucidate the specific ion channels and pathways involved in H2S-mediated coronary vasodilation.
- To determine the role of endogenous H2S in regulating coronary circulation.
Main Methods:
- Experiments utilized isolated coronary arteries and open-chest anesthetized dogs.
- Assessed the effects of exogenous H2S and its substrate l-cysteine on coronary tone and flow.
- Investigated the involvement of Kv channels, KATP channels, and nitric oxide synthesis.
Main Results:
- Intracoronary H2S significantly increased coronary blood flow in a dose-dependent manner.
- This vasodilation was primarily mediated by the activation of KATP channels, not Kv channels.
- Inhibition of nitric oxide synthesis did not affect H2S-induced vasodilation.
- Endogenous H2S, via CSE, did not play a significant role in basal or ischemic coronary flow regulation.
Conclusions:
- Exogenous H2S induces potent, endothelial-independent coronary vasodilation.
- KATP channel activation is the predominant mechanism for H2S-mediated coronary dilation.
- Endogenous H2S does not appear to have a significant functional role in regulating coronary microvascular resistance.
Objective:
This study examined the mechanisms by which H2 S modulates coronary microvascular resistance and myocardial perfusion at rest and in response to cardiac ischemia.
Methods:
Experiments were conducted in isolated coronary arteries and in open-chest anesthetized dogs.
Results:
We found that the H2 S substrate l-cysteine (1-10 mM) did not alter coronary tone of isolated arteries in vitro or coronary blood flow in vivo. In contrast, intracoronary (ic) H2 S (0.1-3 mM) increased coronary flow from 0.49 ± 0.08 to 2.65 ± 0.13 mL/min/g (p < 0.001). This increase in flow was unaffected by inhibition of Kv channels with 4-aminopyridine (p = 0.127) but was attenuated (0.23 ± 0.02-1.13 ± 0.13 mL/min/g) by the KATP channel antagonist glibenclamide (p < 0.001). Inhibition of NO synthesis (l-NAME) did not attenuate coronary responses to H2 S. Immunohistochemistry revealed expression of CSE, an endogenous H2 S enzyme, in myocardium. Inhibition of CSE with β-cyano-l-alanine (10 μM) had no effect on baseline coronary flow or responses to a 15-second coronary occlusion (p = 0.82).
Conclusions:
These findings demonstrate that exogenous H2 S induces potent, endothelial-independent dilation of the coronary microcirculation predominantly through the activation of KATP channels, however, our data do not support a functional role for endogenous H2 S in the regulation of coronary microvascular resistance.
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