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Published on: June 25, 2012
Leukotriene D4-induced vasoconstriction of coronary arteries in anaesthetized dogs
Insights
Leukotriene D4 (LTD4) constricts coronary arteries in dogs, reducing blood flow and increasing resistance. This effect is independent of cyclooxygenase and lipoxygenase pathways, suggesting LTD4
Area of Science:
- Cardiovascular Physiology
- Pharmacology
Background:
- Leukotriene D4 (LTD4) is implicated in inflammatory and allergic responses.
- Its role in direct coronary artery constriction and its underlying mechanisms require further elucidation.
Purpose of the Study:
- To investigate the direct effects of intracoronary leukotriene D4 (LTD4) on coronary artery diameter, blood flow, and resistance in a canine model.
- To determine if LTD4-induced coronary effects are mediated by cyclooxygenase or lipoxygenase metabolites.
Main Methods:
- Pentobarbital-anesthetized dogs were administered intracoronary LTD4 (0.1-10 µg/kg).
- Hemodynamic variables including coronary artery flow, diameter, resistance, heart rate, and ventricular pressures were measured.
- Electrocardiography (ECG) was used to assess myocardial ischemia.
- Experiments were repeated after inhibition of cyclooxygenase (indomethacin) and lipoxygenase (nafazatrom) enzymes.
Main Results:
- Intracoronary LTD4 caused a dose-dependent reduction in coronary artery diameter (up to 12%) and coronary blood flow (up to 100%).
- LTD4 administration led to a significant increase in small and total coronary resistance (33-232% and 50-500%, respectively).
- Myocardial ischemia was indicated by ECG changes during LTD4-induced flow cessation.
- Inhibition of cyclooxygenase and lipoxygenase enzymes did not alter the effects of LTD4.
Conclusions:
- Intracoronary LTD4 administration directly constricts coronary arteries in dogs, primarily affecting large conductive vessels.
- The coronary constrictive effects of LTD4 are independent of cyclooxygenase and other lipoxygenase metabolites.
- LTD4 may play a role in cardiac dysfunction associated with coronary artery disease and vasospasm.
Abstract:
We examined in pentobarbital-anaesthetized dogs, the effects of intracoronary leukotriene D4 (LTD4) on large vessel (circumflex artery) flow and diameter and on calculations of late diastolic and total coronary resistance. Heart rate, systolic and end-diastolic ventricular pressures and the dP/dt were the haemodynamic variables studied. The peripheral ECG was obtained in lead II. LTD4 (0.1-10 micrograms kg-1) reduced coronary diameter up to 12 +/- 3% (mean +/- s.e.m.). Coronary flow decreased in dose-dependent fashion up to 100%. Blood flow returned to control values within 3-15 min of LTD4 administration. Blood pressure, heart rate and ventricular pressure did not change while LV dP/dtmax fell and filling pressure increased. The sum of ST segments and R wave voltages of the ECG increased indicating transient myocardial ischaemia during LTD4-induced coronary blood flow cessation. Small vessel and total coronary resistance rose in a dose-dependent manner between 33-232% and 50-500%, respectively. Inhibition of cyclo-oxygenase enzyme (indomethacin, 5 mg kg-1, i.v.) and lipoxygenase enzymes (nafazatrom, 10 mg kg-1, i.d.) had no effect on LTD4-caused alterations in coronary flow, resistance and arterial diameter. Thus, in canine experiments the intracoronary administration of LTD4 can constrict coronary arteries--presumably large conductive vessels. This is independent of the cyclooxygenase and additional lipoxygenase metabolites of the arachidonic acid pathway other than LTD4. Therefore, the agent may contribute to cardiac dysfunction in coronary artery disease and spasm.
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