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1 Department of Veterans Affairs, Iowa City, 52246; and 2 Department of Internal Medicine and the Cardiovascular Center, University of Iowa, Iowa City, Iowa 52242
In coronary
resistance vessels, endothelium-derived hyperpolarizing factor (EDHF)
plays an important role in endothelium-dependent vasodilation. EDHF has
been proposed to be formed through cytochrome P-450
monooxygenase metabolism of arachidonic acid (AA). Our hypothesis was
that AA-induced coronary microvascular dilation is mediated in part
through a cytochrome P-450 pathway. The canine coronary microcirculation was studied in vivo (beating heart preparation) and in
vitro (isolated microvessels). Nitric oxide synthase (NOS) (N
-nitro-L-arginine, 100 µM)
and cyclooxygenase (indomethacin, 10 µM) or cytochrome
P-450 (clotrimazole, 2 µM) inhibition did not alter
AA-induced dilation. However, when a Ca2+-activated
K+ channel channel or cytochrome P-450
antagonist was used in combination with NOS and cyclooxygenase
inhibitors, AA-induced dilation was attenuated. We also show a
negative feedback by NO on NOS-cyclooxygenase-resistant AA-induced
dilation. We conclude that AA-induced dilation is attenuated by
cytochrome P-450 inhibitors, but only when combined
with inhibitors of cyclooxygenase and NOS. Therefore, redundant
pathways appear to mediate the AA response in the canine coronary microcirculation.
coronary circulation; coronary microcirculation; intravital microscopy
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