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1- and
2-adrenoceptor-mediated venoconstriction
with indomethacin in humans
2 Cardiology Division,
Vasodilator
prostaglandins are released in vitro from endothelium
during adrenergic stimulation. We hypothesized that indomethacin would
block this production in vivo and increase venoconstriction to
1- and
2-stimulation but not to the
nonadrenergic agonist PGF2
.
Hand vein distension was measured in 24 normal subjects (23.0 ± 0.5 yr) during local infusions of phenylephrine (8-12,000 ng/min),
clonidine (3-7,000 ng/min), or
PGF2
(1-2,048 ng/min) plus
indomethacin (3 µg/min) versus saline on two separate days. Dose-dependent venoconstriction to phenylephrine occurred in all subjects, with a parallel shift to the left with indomethacin (P = 0.003) and a decrease in the
phenylephrine 50% effective dose (1,009 vs. 241 ng/min, geometric
means, P = 0.012). Venoconstriction to
clonidine was more variable, with most subjects eliciting a biphasic
response (initial venoconstriction followed by attenuation). With
indomethacin, the dose-response curve was displaced up and to the left
(P = 0.005), and peak venoconstriction
was increased (51.1 ± 6.8 vs. 27.2 ± 5.3% of control,
P = 0.018) without a biphasic response. In all subjects, PGF2
elicited dose-dependent venoconstriction that was not altered by
indomethacin. Thus venous
1-
and
2-stimulation results in
release of vasodilator prostaglandins that antagonize the
venoconstrictor response. This modulates the sympathetic response of
venous smooth muscle and may be important in diseases with endothelial
dysfunction.
-adrenoceptors; endothelium; prostaglandins; human veins
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