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1 Departamento de Fisiologia, Faculdad de Medicina de la Universidad Autonoma de San Luis Potosi; and 2 Posgrado de la Escuela Superior de Medicina del Instituto Politecnico Nacional, San Luis Potosi ZP 78210, Mexico
In isolated
guinea pig hearts saline perfused at constant flow, adenosine
A1, A2A, and A3 (Ax)
agonists covalently bound to a large polymer (Pol;
2,000 kDa) were
intracoronarily administered, and three effects were studied:
dromotropic, vascular and inotropic. The rank order of potencies were
the following: dromotropic
(Pol-A2A
Pol-A1>Pol-A3) and vascular and inotropic
(Pol-A2A
Pol-A1
Pol-A3), where
the rank order of potency for Pol-Ax depends on the part of
the coronary vascular network involved; i.e., there is a vascular
heterogeneity. The large size of Pol-Ax prevents
extravascular diffusion and causes it to act solely in the endothelial
luminal surface. This implies their cardiac effects are due to
endothelial mediators. Inhibition of nitric oxide (NO) and
prostaglandin (PG) synthesis with
NG-nitro-L-arginine methyl ester and
indomethacin, respectively, show that the three cardiac effects of
Pol-A1 were mediated by NO and PG, whereas for
Pol-A2A and Pol-A3 the mediator was mainly NO
but not PG. These results suggest that if Pol-Ax activated the corresponding endothelial Ax-receptor subtype, a
different mediator would be produced.
luminal endothelial receptors; endothelial control; endothelial mediators; endothelial heterogeneity; parenchymal function modulation; cardiac function control
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J. P. Headrick, B. Hack, and K. J. Ashton Acute adenosinergic cardioprotection in ischemic-reperfused hearts Am J Physiol Heart Circ Physiol, November 1, 2003; 285(5): H1797 - H1818. [Abstract] [Full Text] [PDF] |
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