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1 The Vascular Research
Laboratory,
Brain
natriuretic peptide (BNP), a hormone secreted predominantly in
ventricular myocytes, may influence coronary vascular tone. We studied
the coronary vasodilatory response to BNP under physiological
conditions and after preconstriction with endothelin-1 (ET-1) in
anesthetized pigs. Average peak-flow velocity (APV) was measured using
intracoronary Doppler, and cross-sectional area (CSA) was measured
using intravascular ultrasound. Coronary blood flow (CBF) was
calculated. Intracoronary BNP induced dose-dependent increases in CSA,
APV, and CBF similar in magnitude to those induced by nitroglycerin
(NTG). The magnitude of BNP-induced vasodilation was accentuated after
preconstriction with ET-1. Pretreatment with either the nitric oxide
synthase inhibitor
N
-nitro-L-arginine methyl ester
or the cyclooxygenase inhibitor indomethacin attenuated the coronary
vasodilator effect of BNP in resistance arteries without influencing
epicardial vasodilation. Pretreatment with the ATP-sensitive
potassium-channel blocker glibenclamide enhanced epicardial
vasodilation in response to BNP. We conclude that BNP exerts coronary
vasodilator effects, predominantly in epicardial conductance vessels.
An accentuated vasodilatory response to BNP occurs in
ET-1-preconstricted arteries. BNP-induced vasodilation in coronary
resistance arteries may be partially mediated via nitric oxide
and/or prostaglandin release.
brain natriuretic peptide; vascular reactivity; pig; endothelin-1; N
-nitro-L-arginine methyl ester; indomethacin
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