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Department of Physiology and Biophysics, Federal University of Minas Gerais, 31270901 Minas Gerais, Brazil
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ABSTRACT |
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The systemic and
regional hemodynamics effects of ANG-(1-7) were
examined in urethane-anesthetized rats. The blood flow distribution (kidneys, skin, mesentery, lungs, spleen, brain, muscle, and adrenals), cardiac output, and total peripheral resistance were investigated by
using fluorescent microspheres. Blood pressure and heart rate were
recorded from the brachial artery. ANG-(1-7) infusion
(110 fmol · min
1 · 10 min
1 iv) significantly increased blood flow to the kidney
(5.10 ± 1.07 to 8.30 ± 0.97 ml · min
1 · g
1),
mesentery (0.73 ± 0.16 to 1.17 ± 0.49 ml · min
1 · g
1),
brain (1.32 ± 0.44 to 2.18 ± 0.85 ml · min
1 · g
1),
and skin (0.07 ± 0.02 to 0.18 ± 0.07 ml · min
1 · g
1)
and the vascular conductance in these organs.
ANG-(1-7) also produced a significant increase in
cardiac index (30%) and a decrease in total peripheral resistance
(2.90 ± 0.55 to 2.15 ± 0.28 mmHg · ml
1 · min · 100 g). Blood flow to the spleen, muscle, lungs, and adrenals, as well as
the blood pressure and heart rate, were not altered by the
ANG-(1-7) infusion. The selective
ANG-(1-7) antagonist A-779 reduced the blood flow in
renal, cerebral, mesenteric, and cutaneous beds and blocked the
ANG-(1-7)-induced vasodilatation in the kidney,
mesentery, and skin, suggesting a significant role of endogenous
ANG-(1-7) in these territories. The effects of
ANG-(1-7) on the cerebral blood flow, cardiac index,
systolic volume, and total peripheral resistance were partially
attenuated by A-779. A high dose of ANG-(1-7) (11 pmol · min
1 · 10 min
1) caused an opposite effect of that produced by the
low dose. Our results show for the first time that
ANG-(1-7) has a previously unsuspected potent effect
in the blood flow distribution and systemic hemodynamics.
regional blood flow; fluorescent microspheres
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INTRODUCTION |
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ANGIOTENSIN-(1-7), a bioactive component of the renin-angiotensin system, is formed in the circulation and various tissues from ANG I or ANG II through ANG-converting enzyme (ACE)-dependent and independent pathways (11, 48, 51). The recent discovery of the ANG-(1-7)-forming enzyme ACE2 adds a potentially new dimension to the ANG-(1-7) formation and favors the possibility that this peptide acts like a true paracrine hormone (9, 56). Interestingly, although the ACE pathway predominantly metabolizes ANG-(1-7) (11, 51), this peptide inhibits the ACE C-domain (3, 8), and as a result, increased levels of ANG-(1-7) observed during ACE inhibition may have an important participation in the cardiovascular effects produced by this therapy (24, 25, 51).
The actions of ANG-(1-7) are either complementary or distinct from those of ANG II. Actually, the accumulating evidence indicates that ANG-(1-7) exerts mainly a counterregulatory role within the renin-ANG system (11, 46, 48).
The blood vessels are an important site for the opposing actions of ANG II and ANG-(1-7). Vascular responses to ANG-(1-7) significantly differ from those induced by ANG II. In blood vessels, ANG-(1-7) acts mainly as a vasodilator and antiproliferative hormone (16, 48, 51). It has been shown to produce relaxation of the aortic rings of Sprague-Dawley (57) and mRen-2 transgenic rats (27), canine (5) and porcine coronary arteries (44), canine middle cerebral artery (15), piglet pial arterioles (36), feline systemic vasculature (42), rabbit renal afferent arterioles (45), and mesenteric microvessels of normotensive and hypertensive rats (10, 41). Furthermore, ANG-(1-7) potentiates the vasodilator effect of bradykinin in several vascular beds, including dog and rat coronary vessels (1, 5) and rat mesenteric arterioles (10, 41). These actions appear to involve increased production of vasodilatory prostanoids and/or nitric oxide (5, 22, 24, 28, 39, 44). One important question that arises from these observations is how this peptide contributes to the regulation of both regional and systemic hemodynamics in vivo. From the contrast between the vasodilatory effects of ANG-(1-7) and its negligible effects on blood pressure (2, 4, 60), we hypothesized that this peptide could influence blood flow distribution and present opposite effects on cardiac output (CO) and total peripheral resistance (TPR). To test this hypothesis, we determined the effects of ANG-(1-7) and of its selective antagonist A-779 on regional blood flow distribution in rats. Moreover, we assessed the effects of these peptides on CO and TPR.
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MATERIALS AND METHODS |
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Animals and Surgical Preparation
Male Wistar rats weighing 250-300 g were housed in separate cages and maintained in a temperature-regulated room (25°C) on a 12:12-h light-dark cycle (light on from 6:00 AM to 6:00 PM).Rats were anesthetized with urethane (1.2 g/kg ip). A tracheotomy was performed to avoid airway obstruction. Body temperature was kept at 36-37°C by a heating pad; temperature was continually monitored with a rectal probe. The left braquial artery was cannulated with polyethylene tubing (PE-10) for recording of blood pressure and heart rate (Biopac System; Santa Barbara, CA). For administration of fluorescent microspheres, the right carotid artery was exposed, and a PE-50 cannula was guided through the common carotid artery into the left ventricle. The positioning of the cannula in the left ventricle was confirmed by blood pressure recording. The right femoral artery was cannulated and connected to a withdrawal pump (Minipuls 3, Gilson; Villiers le Bel, France). The right femoral vein was also cannulated for infusion of vehicle (0.9% NaCl) and peptides. The experimental procedures used in the studies were conducted according to the ethical recommendations approved by our constitutional animal committee.
Determination of Systemic and Regional Hemodynamics
Systemic hemodynamics and regional blood flow were determined using 15-µm fluorescent polystyrene microspheres (FluoSpheres Blood Flow Determination, Molecular Probes; Eugene, OR) as previously reported (17, 20). Briefly, two different colors of fluorescent microspheres were used. The colors of microspheres were selected as previously described to avoid the spillover between the colors (20). To prevent aggregation, the microsphere suspension was vortexed for 1 min, followed by sonication for an additional 20 s. After mixing was completed, 300,000 fluorescent microspheres were infused into the left ventricle over a 10-s period and flushed with 0.3 ml of saline over an additional 10-s period. To calculate the blood flow, arterial blood was withdrawn at a rate of 0.85 ml/min through the right femoral artery. Blood for reference blood sample was withdrawn for 90 s starting 10 s before the microsphere injection. At the end of the experiments, the animals were killed with an overdose of anesthetic, and the tissues (kidneys, brain, mesentery, adrenals, spleen, abdominal skin, gastrocnemius muscle, and lungs) were dissected, weighed, and placed in individual vials. Both tissue and reference blood flow samples were digested by using a solution of 4 M ethanolic KOH and 2% Tween 80 kept in a hot bath (50°C) overnight. At the end of the digestion period the microspheres were recovered by the sedimentation method (59), and the dye was extracted by using 4 ml of the organic solvent ethyl acetate. The fluorescence intensity of the dye was measured using a luminescence spectrofotometer (Spex Fluoromax), and the following parameters were calculated as previously described: cardiac output, stroke volume, TPR, regional blood flow, and regional vascular resistance (17, 20, 59).Experimental protocol 1.
To examine the systemic and regional responses to
ANG-(1-7), the peptide was infused at 110 fmol · min
1 · 10 min
1 and 11 pmol · min
1 · 10 min
1 intravenously (n = 5 and
n = 3, respectively). In the control group, vehicle
(0.9% NaCl) was infused at a 50 µl/min rate. The doses of
ANG-(1-7) were selected based on preliminary studies. Immediately after the first injection of microspheres,
ANG-(1-7) or vehicle were administrated through the
femoral vein for 10 min. The second color of microspheres was injected
at the end of the infusion period.
Experimental protocol 2. In separated experiments, systemic and regional responses to infusion of 11 pmol/min of A-779 (n = 5), a selective antagonist of ANG-(1-7), were determined. The first injection of microspheres was made before the A-779 infusion. Subsequently, A-779 was administrated for 10 min through the catheter placed in the femoral vein, and then the second injection of microsphere was made as described above.
Experimental protocol 3.
The last series of experiment were performed in
ANG-(1-7)-infused rats pretreated with A-799
(n = 4). Immediately after the A-779 infusion (11 pmol/min, during 10 min), the first infusion of microspheres was made.
Subsequently, ANG-(1-7) (110 fmol · min
1 · 10 min
1) was infused, and the second infusion of a different
color of microspheres was made.
Data Analysis
Data are presented as means ± SE. Statistical comparisons of the means values were done using Student's t-test. Values of P < 0.05 were considered significant.| |
RESULTS |
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Effects of Intravenous Infusion of ANG-(1-7) on Regional Blood Flow and Vascular Resistance
Figures 1 and 2 show the changes in regional blood flow and calculated vascular resistance in rats infused with the low dose of ANG-(1-7) (110 fmol · min
1 · 10 min
1). The blood flow rates in the kidney, brain,
mesentery, and skin were substantially increased (30-60%) in
ANG-(1-7)-infused rats (Fig. 1A) compared
with both vehicle-infused rats (Fig. 1B) and the control
period. There were no statistically significant differences in the
blood flow rates to the adrenals, lung, spleen, and muscle. There was
also a significant reduction in the vascular resistance in renal,
cerebral, mesenteric, and cutaneous territories without significant
changes of vascular resistance in other organs or tissues (Fig.
2A). In contrast, a higher dose of
ANG-(1-7) (11 pmol · min
1 · 10 min
1) significantly reduced blood flow in the kidney,
mesentery, and skin with a significant increase in vascular resistance
in these organs (Table 1).
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Effects of Intravenous Infusion of ANG-(1-7) on Systemic Hemodynamics
Figure 3 shows the CO, stroke volume, and TPR responses to ANG-(1-7) infusion. ANG-(1-7) at 110 fmol · min
1 · 10 min
1 significantly increased CO by 30% (from 30.8 ± 4.4 to 39.4 ± 4.5 ml · min
1 · 100 g
1 P < 0.05) and stroke volume from
0.25 ± 0.04 to 0.32 ± 0.05 ml/beat. ANG-(1-7) infusion also resulted in a significant
reduction in TPR from 2.9 ± 0.5 to 2.15 to 0.3 mmHg · ml
1 · min · 100 g. Vehicle-infused rats did not show significant changes in these
parameters. Mean arterial pressure and heart rate did not change in
neither vehicle-infused nor ANG-(1-7)-infused rats
(baseline values: 96 ± 4 mmHg, 337 ± 26 beats/min, and
87 ± 4 mmHg, 326 ± 35 beats/min in vehicle, and
ANG-(1-7)-infused rats, respectively). Contrasting
with these effects, ANG-(1-7) at 11 pmol · min
1 · 10 min
1 produced a significant reduction in CO and stroke
volume. The TPR significantly increased from 2.9 ± 0.3 to
3.3 ± 0.4 mmHg · ml
1 · min · 100 g (Table 2).
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Regional Effects of Intravenous Infusion of ANG-(1-7) Selective Antagonist A-779
Figures 4A and 5A show the individual changes in regional blood flow and calculated vascular resistance in A-779-infused rats. A-779 at 11 pmol · min
1 · 10 min
1 caused a significant reduction of blood flow in the
kidneys, brain, mesentery, and skin, in which A-779 produced a
significant augmentation of vascular resistance. There were no
statistically significant differences in these parameters in the
adrenals, lung, spleen, and muscle. After treatment with A-779, the
vasodilatation induced by ANG-(1-7) at 110 fmol · min
1 · 10 min
1 was completely abolished in the kidney, mesentery,
and skin. A-779 reduced but did not prevent, the
ANG-(1-7)-induced decrease in TPR in the brain (Fig.
5B). In addition, an unexpected increase in adrenal blood
flow was observed (Fig. 4B). In other vascular territories,
neither the blood flow rate nor vascular resistance were altered.
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Systemic Effects of Intravenous Infusion of ANG-(1-7) Selective Antagonist A-779
As shown in Fig. 6, the stroke volume was slightly but significantly lower in A-779-infused rats compared with the control period. No significant differences were observed in CO and TPR. The increase in CO and stroke volume induced by ANG-(1-7) at 110 fmol · min
1 · 10 min
1 was not abolished in the presence of A-779. A-779
also did not prevent the reduction in TPR induced by
ANG-(1-7). Mean arterial pressure and heart rate did
not change during the infusion of A-779 alone or during the infusion of
A-779 combined with ANG-(1-7) (baseline values:
84 ± 8 mmHg, 384 ± 25 beats/min, and 82 ± 3 mmHg,
333 ± 63 beats/min in A-779 and ANG-(1-7) + A-779-infused rats, respectively).
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DISCUSSION |
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Several studies have demonstrated that the blood vessels are an important site for the formation and actions of ANG-(1-7) (47, 48, 51, 55). Our results indicate that ANG-(1-7) has a previously unsuspected effective and important role in the control of blood flow distribution.
Infusion of ANG-(1-7) at a very low rate (110 fmol/min) produced marked changes on regional blood flow, increasing vascular conductance in the mesenteric, cerebral, cutaneous, and renal territories. The CO was increased by 30%, which can be explained, at least in part, by the decrease in TPR (~26%). The potent and selective effect of ANG-(1-7) in several territories confirms and extends previous observations (17, 31, 35, 36, 41, 45).
ANG-(1-7) increased mesentery blood flow.
Accordingly, Oliveira et al. (41) demonstrated that
ANG-(1-7) causes both vasodilatation and bradykinin
potentiation in mesenteric arterioles, which were blocked by A-779,
N
-nitro-L-arginine methyl ester,
and indomethacin, suggesting an important participation of local
prostanoids and nitric oxide in the ANG-(1-7)
action. The same group showed that ANG-(1-7) potentiates the bradykinin vasodilatory effect in mesenteric arterioles of spontaneously hypertensive rats via release of prostanoids and
[EDHF] (10).
Our data suggest that the renal vasculature is very sensitive to the influence of ANG-(1-7). The kidney, where ANG-(1-7) can be locally formed, is an important target for the actions of this peptide (23, 48, 51, 54). The influence of ANG-(1-7) in this organ is complex apparently depending on the hydroelectrolytic status, the renal nervous activity, and the level of activity of the renin-ANG system (54). It has been described that intrarenal infusion of ANG-(1-7) produces diuretic and natriuretic effects on isolated and intact kidneys of Wistar and Sprague-Dawley rats (23, 54). A small but significant increase in glomerular filtration rate was also seen after ANG-(1-7) infusion in isolated kidneys, suggesting a vasodilatory effect of this peptide (23, 35). Recently, it was demonstrated that ANG-(1-7) has a receptor-mediated vasodilator effect on the rabbit afferent arteriole, probably due to nitric oxide production (45). Our results confirm these observations and suggest that ANG-(1-7) can importantly modulate renal blood flow.
In agreement with previous studies, we have found that
ANG-(1-7) also produced vasodilatation in the brain.
Meng and Busija (36) demonstrated a vasodilatory effect in
piglet pial arterioles. However, the potency of
ANG-(1-7) to produce vasodilatation in piglet pial
arterioles (10
7-10
4 M) was low compared
with the effectiveness of ANG-(1-7) in our study.
Feterik et al. (15) found that ANG-(1-7)
produces relaxation of canine middle cerebral arteries by release of
nitric oxide from endothelial cells. This effect appears to be
dependent on activation of local production of kinins, a mechanism not
investigated in our study.
In the skin, ANG-(1-7) also produced a potent vasodilatory effect. These data are consistent with the recent observations from Machado et al. (31) showing that ANG-(1-7) acts as vasodilator in a mice model of sponge-induced neovascularization as well as in normal cutaneous vascular beds. The absence of significant alterations on the spleen, muscle, and lung indicates the ANG-(1-7) selectivity and suggests the involvement of tissue-specific signaling mechanisms in its effects. Among the possibilities, these heterogeneous actions may reflect a differential distribution and expression of its receptors along the vascular tree.
Another interesting observation with the low dose of ANG-(1-7) was the significant decrease in TPR, which may have contributed for the increase in stroke volume leading to an increase in CO. The opposite changes in TPR and CO could explain the absence of substantial changes in blood pressure during ANG-(1-7) administration described previously (2, 4, 60). The increased CO could be explained by an increase in venous return, which in turn can be consequence of the reduced TPR resulting from the vasodilatation in several territories, including mesenteric, cerebral, renal, and cutaneous vascular beds. However, a direct inotropic effect of ANG-(1-7) cannot be excluded. Recent studies (12, 14, 30), for example, have suggested that this peptide may exert a cardioprotective action. In isolated hearts, ANG-(1-7) produced a significant reduction in postischemic reperfusion arrhythmias and systolic dysfunction, which was blocked by A-779 (13). In a cardiac failure model in rats, ANG-(1-7) contributed to cardiac and endothelial function preservation (30). The underlying mechanisms of these actions involve, at least partially, prostanoids, nitric oxide, and bradykinin release. The possibility of a direct influence of ANG-(1-7) in heart contractility is further strengthened by the recent observation that knockout mice for ACE2, which form ANG-(1-7) directly from ANG II, presented a severe cardiac dysfunction (7).
The ANG-(1-7) antagonist A-779 blocked its vasodilatatory action in the kidney, skin, and mesentery. These results are in agreement with the evidence for the existence of a specific receptor for ANG-(1-7) in the vascular system (49, 55). Binding studies in bovine aortic endothelial cells demonstrated that the specific 125I-labeled ANG-(1-7) binding was inhibited by both [Sar1, Ile8]ANG II and A-779 (55). A similar result was obtained in rat and mice kidney slices (32, 50). In contrast, AT1 and AT2 receptor antagonists did not displace the ANG-(1-7) binding (55). Studies carried out in our laboratory have demonstrated that the Mas protoncogene, a G protein-coupled receptor (37) mediates or is an essential element of the ANG-(1-7) actions in mice kidneys and aortas (52). Whether this receptor is involved in the ANG-(1-7) actions in the brain, skin, and mesenteric microvessels remains to be demonstrated.
A-779 did not completely block the ANG-(1-7)-induced vasodilatation in the cerebral territory. This observation suggests that another receptor or signaling mechanism could also mediate the ANG-(1-7) action in brain blood vessels. One possibility could be the potentiation of endogenous bradykinin by ANG-(1-7). The interactions between ANG-(1-7) and kinins in the vasculature seem to involve both B2 receptor resensitization and receptor-mediated potentiation of endogenous bradykinin (29, 34). Intracellularly, this interaction may elicit release of nitric oxide, prostanoids, and possibly [EDHF] (1, 8, 10, 22, 23, 28, 43). Another possibility could be binding to ACE facilitating the cross-talk between ACE and the bradykinin B2 receptor as well as inhibition of the ACE C-domain (3, 8). However, it should be considered that in our study, both the dose (110 fmol/min) and the time of infusion (10 min) were lower than those used in a previous study (29) to obtain this effect (300 fmol, during 60 min). Therefore, other mechanisms such as involvement of PD-123177-sensitive receptors should be investigated in future studies (22, 48, 51).
An interesting observation was made in the adrenals, where in the presence of A-779, ANG-(1-7) produced vasodilatation while the peptide or the antagonist alone were without effect. This finding indicates the participation of a nonreceptor-mediated mechanism or the existence of an A-779-insensitive ANG-(1-7) receptor in this gland. The involvement of ANG-(1-7) fragments such as ANG-(3-7), which could have an opposite action (vasodilating) to that of ANG-(1-7), should also be considered (21). According to this hypothesis, ANG-(1-7) would have a direct vasoconstrictive effect in the adrenal gland, which could be compensated by the action of its fragment(s).
It should be pointed out that infusion of the ANG-(1-7) antagonist A-779 induced a reduction in blood flow to renal, cerebral, mesenteric, and cutaneous vascular beds due to an increased vascular resistance. This observation suggests that in these territories and under our experimental conditions, endogenous ANG-(1-7) participates in the control of regional hemodynamics. The fact that the generation of ANG-(1-7) occurs through several enzymatic cascades such as prolyl-endopeptidiase, neutral endopeptidase, and ACE2 and the interactions of this peptide in vasculature, mainly with bradykinin, indicates that the modulation of vascular tone by ANG-(1-7) is complex and probably depends on the particular vascular bed investigated (48, 51). In addition to the interaction with bradykinin, it has been shown that ANG-(1-7) is capable of modulating AT1-mediated actions of ANG II. In rabbit aorta rings, ANG-(1-7) directly inhibited ANG II-induced vasoconstriction (33). A similar effect was observed in the human forearm and human mammary artery (53, 58). Recently, Zhu et al. (61) described that ANG-(1-7) may antagonize the protein kinase C and ERK1/2 activation induced by ANG II. Moreover, this peptide acts as an ACE inhibitor, decreasing the ANG II formation and alternatively may modulate the AT1 receptor expression (6, 38). It remains to be elucidated whether the effects observed with A-779 infusion were due to blockade of a direct effect of ANG-(1-7) on blood vessels or to blockade of an indirect effect such as the interaction of ANG-(1-7) with the kallikrein-kinin system (51) or with ANG II (33, 48, 58, 61).
We observed that in contrast to the effect of fentomolic infusion of
ANG-(1-7), infusion of this peptide in a 100-fold
higher rate (11 pmol · min
1 · 10 min
1) produced an AT1-like effect resulting
in a significant increase of vascular resistance in the kidney, brain,
skin, and mesentery. A decrease in CO and an increase in TPR were also
observed, resulting in negligible changes in mean arterial pressure.
Observations from Osei et al. (42) demonstrated that there
is a dose dependency in the response to ANG-(1-7) in
different vascular beds. Depending on the dose,
ANG-(1-7) can produce either vasodilatation or
vasoconstriction. Other studies have shown that some vascular actions
of ANG-(1-7) can be blocked by AT1
receptor antagonists, suggesting that ANG-(1-7) may
act in some circumstances via this receptor or more likely, through an
AT1-like receptor (18, 19, 26, 42). Further studies aimed to clarify the mechanism underlying the vasoconstriction induced by high doses of ANG-(1-7) are necessary to
ascertain the possible involvement of AT1 receptors in this action.
Perspectives
With the use of fluorescent microspheres, which provide reliable measurements of regional and systemic blood flow, we have unveiled a potent and selective vasodilatory effect of ANG-(1-7), which was completely blocked in most territories by its antagonist A-779. In addition, we also demonstrated that ANG-(1-7) infusion produced an increase in CO and decreased the TPR. This balance masks its cardiovascular effects, which were evaluated up to now by measuring blood pressure and heart rate. The selectivity of the vasodilatory effect of ANG-(1-7), which contrasts with the more widespread vasoconstriction described for ANG II (40), suggests a differential distribution of ANG-(1-7) receptors within the vascular system. Considering that ANG-(1-7) and ANG II have in general opposing actions in blood vessels, our observations may have important implications related to physiological and physiopathological conditions in which the renin-ANG system is activated. This would be particularly important taking into account the possibility of regional differences in the biotransformation of ANG I and ANG II to ANG-(1-7) (7, 48, 51, 56). The novel information provided in this study will be important to establish ANG-(1-7) as a player as important as ANG II in mediating the cardiovascular effects of the renin-ANG system. Moreover, our data put forward the possibility of important physiological roles of ANG-(1-7) in the control of regional and systemic hemodynamics. Further studies are needed for clarifying the mechanisms conveying the ANG-(1-7) effects in each particular vascular bed.| |
ACKNOWLEDGEMENTS |
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We are thankful to Jose R. Silva for skillful technical assistance.
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FOOTNOTES |
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This study was supported by Programa de Núcleos de Excelência-CNPq (PRONEX), Fundação de Amparo à Pesquisa do Estado de Minas Gerais (FAPEMIG), Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq), and Coordenadoria de Apoio ao Pessoal de Nível Superior (CAPES). W. O. Sampaio was a recipient of CNPq fellowship (Master degree).
Address for reprint requests and other correspondence: R. A. S. Santos, Dept. of Physiology and Biophysics, Federal Univ. of Minas Gerais, Av. Antônio Carlos, 6627 31270901 Belo Horizonte-MG, (E-mail: marrob{at}dedalus.Lcc.ufmg.br).
The costs of publication of this article were defrayed in part by the payment of page charges. The article must therefore be hereby marked "advertisement" in accordance with 18 U.S.C. Section 1734 solely to indicate this fact.
First published February 6, 2003;10.1152/ajpheart.01145.2002
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