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Am J Physiol Heart Circ Physiol (April 18, 2008). doi:10.1152/ajpheart.91487.2007
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Submitted on December 18, 2007
Revised on March 28, 2008
Accepted on April 16, 2008

Effect of Chronic and Selective Endothelin Receptor Antagonism on Microvascular Function in Type 2 Diabetes

Kamakshi Sachidanandam, Mostafa M Elgebaly, Alex K harris, Jim R Hutchinson, Erin M Mezzetti, Vera Portik-Dobos, and Adviye Ergul1*

1 Medical College of Georgia

* To whom correspondence should be addressed. E-mail: aergul{at}mail.mcg.edu.

Vascular dysfunction, which presents either as an increased response to vasoconstrictors or an impaired relaxation to dilator agents results in worsened cardiovascular outcomes in diabetes. We have established that the mesenteric circulation in Type 2 diabetes is hyperreactive to the potent vasoconstrictor endothelin-1 (ET-1) and displays increased nitric-oxide (NO)-dependant vasodilation. The current study examined the individual and/or the relative roles of the ET receptors governing vascular function in the Goto-Kakizaki (GK) rat, a mildly hyperglycemic, normotensive and non-obese model of Type 2 diabetes. Diabetic and control rats received an antagonist to either the ETA (Atrasentan, 5 mg/kg/day) or the ETB (A-192621, 15 or 30 mg/kg/day) receptors for four weeks. Third-order mesenteric arteries were isolated and vascular function was assessed with a wire-myograph. Maximum response to ET-1 was increased in diabetes, and attenuated by ETA antagonism. ETB blockade with 15 mg/kg A-192621 augmented vasoconstriction in controls while it had no further effect on ET-1 hyperreactivity in diabetes. The higher dose of A-192621 showed an ETA-like effect and decreased vasoconstriction in diabetes. Maximum relaxation to acetylcholine (ACh) was similar across groups and treatments. ETB antagonism at either dose had no effect on vasorelaxation in control rats, whereas in diabetes dose-response curve to Ach was shifted to right indicating decreased relaxation at 15 mg/kg A-192621. These results suggest that ETA receptor blockade attenuates vascular dysfunction and ETB receptor antagonism exhibit differential effects depending on dose of antagonists and disease state.







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