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Articles in PresS, published online ahead of print July 18, 2002
Am J Physiol Heart Circ Physiol, 10.1152/ajpheart.00223.2002
Submitted on March 13, 2002
Accepted on July 14, 2002
1 Experimental Cardiology, Erasmus Medical Center, Rotterdam, The Netherlands; Physiology, Medical College of Wisconsin, Milwaukee, WI, USA
2 Experimental Cardiology, Erasmus Medical Center, Rotterdam, The Netherlands
* To whom correspondence should be addressed. E-mail: merkus{at}tch.fgg.eur.nl.
Coronary tone is determined by a balance between endogenously produced endothelin and metabolic dilators. We hypothesized that coronary vasodilation during augmented metabolism is the net result of decreased endothelin-production and increased production of vasodilators. Isolated rat myocytes were stimulated at 0,200 and 400 bpm to modify metabolism. Supernatant from these preparations was added to isolated coronary arterioles with and without blocking vasoactive pathways (adenosine, bradykinin and endothelin). Chronically instrumented swine were studied while resting and running on a treadmill before and after endothelin A-receptor (ETA) blockade. Vasodilatory properties of the supernatant increased with increased stimulation frequencies. Combined blockade of adenosine and bradykinin receptors abolished vasodilation in response to supernatant of stimulated myocytes. ETA-blockade increased vasodilation to supernatant of unstimulated myocytes but did not affect dilation to supernatant of myocytes stimulated at 400 bpm. In vivo, ETA-blockade resulted in coronary vasodilation at rest, which waned during exercise. Thus, ET has a tonic constrictor influence through the ETA receptor at low myocardial metabolic demand, but its influence decreased during increased metabolism.
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