15-Hydroxyeicosatetraenoic Acid and GPR39 Together Orchestrate Coronary Autoregulation: A Comprehensive Metabolomic

D Elizabeth Le1,2, Masaki Kajimoto1, Yan Zhao1

  • 1Knight Cardiovascular Institute.

Insights

The G protein-coupled receptor 39 (GPR39) and 15-hydroxyeicosatetraenoic acid (15-HETE) are key to maintaining constant coronary blood flow (CBF) during reduced coronary driving pressure (CDP). Blocking GPR39 abolishes this vital autoregulation.

Area of Science:

  • Cardiovascular Physiology
  • Molecular Mechanisms of Autoregulation
  • G Protein-Coupled Receptors

Background:

  • Coronary autoregulation maintains constant coronary blood flow (CBF) despite changes in coronary driving pressure (CDP).
  • The precise molecular mechanisms underlying coronary autoregulation remain largely unknown.
  • This study investigates the role of G protein-coupled receptor 39 (GPR39) and its agonist 15-hydroxyeicosatetraenoic acid (15-HETE) in this process.

Purpose of the Study:

  • To elucidate the mechanism of coronary autoregulation.
  • To test the hypothesis that GPR39 and 15-HETE orchestrate coronary autoregulation.

Main Methods:

  • Coronary stenoses were created in dogs to measure CBF and CDP.
  • Blood samples were analyzed for various metabolites, including 15-HETE.
  • A specific GPR39 antagonist (VC108) was administered to assess its impact on hemodynamics and coronary autoregulation.

Main Results:

  • GPR39 was identified in coronary arterioles and heart tissue.
  • 15-HETE levels correlated with CDP within the autoregulatory range.
  • Administration of VC108 abolished coronary autoregulation, making CBF directly dependent on CDP and decreasing coronary microvascular resistance.

Conclusions:

  • GPR39 and 15-HETE play a crucial role in mediating coronary autoregulation when coronary driving pressure is reduced.
  • These findings reveal a novel mechanism for coronary autoregulation.
  • This discovery may inform future pharmacological treatments for coronary syndromes.
Abstract

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