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Department of Medical Engineering and Systems Cardiology, Kawasaki Medical School, 577 Matsushima, Kurashiki, Okayama, 701-0192, Japan
Adenosine (Ado) plays an important role in
regulation of coronary vascular tone with nitric oxide (NO) and
ATP-sensitive K+
(K+ATP) channels. In vitro, it was
reported that subendocardial (Endo) arterioles are more sensitive to
Ado than subepicardial (Epi) arterioles. The purpose of this study was to observe enhanced vasodilation of Endo arterioles directly and to
evaluate possible roles of K+ATP channels
and NO in the different responses of Endo and Epi arterioles to
Ado-induced vasodilation. We evaluated dilation of Endo and Epi
arterioles (<120 µm) of beating canine hearts
(n = 19) by Ado (20 and 50 µg · kg
1 · min
1
ic) before and after K+ATP channel
blockade (glibenclamide; 200 µg/kg ic), inhibition of NO synthase
[NG-nitro-L-arginine methyl
ester (L-NAME); 30 µg · kg
1 · min
1,
20 min ic], or glibenclamide + L-NAME using a novel
needle-probe CCD intravital microscope. Ado induced dose-dependent
vasodilation in both Epi and Endo arterioles, but vasodilation was
greater in Endo arterioles, i.e., increase at 120 s (maximum dilation) after Ado (50 µg · kg
1 · min
1)
was 17% in Endo and 13% in Epi arterioles
(P < 0.01). Endo arteriole dilation
was attenuated by blockade of K+ATP
channels from 18% (Ado) to 9% (Ado+glibenclamide) increase
(P < 0.001) and by inhibition of NO
synthase from 17% (Ado) to 9%
(Ado+L-NAME) (P < 0.005). Epi arteriole
vasodilation was attenuated by blockade of
K+ATP channels from 15 to 9%
(P < 0.005) and inhibition of NO
from 16 to 10% (P < 0.005).
Suppression of vascular response was additive (Endo, 14 to
1%;
Epi, 12 to 3%) with glibenclamide + L-NAME. We conclude that
1) the degree of Ado-induced
vasodilation was greater in Endo than in Epi arterioles, with higher
sensitivity of smaller arterioles in both layers and
2) transmural difference of
arteriolar sensitivity to adenosine was abolished or reversed by
K+ATP channel blockade and/or by NO
synthase inhibition, indicating crucial involvement of
K+ATP and NO in transmural sensitivity difference.
coronary circulation; adenosine 5'-trisphosphate-sensitive potassium ion channel
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