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Am J Physiol Heart Circ Physiol (December 9, 2004). doi:10.1152/ajpheart.01076.2004
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Submitted on October 21, 2004
Accepted on December 2, 2004

Role of endothelin in alpha-adrenoceptor coronary vasoconstriction

Mark W. Gorman1*, Martin Farias III1, Keith N. Richmond1, Johnathan D. Tune1, and Eric O. Feigl1

1 Physiology and Biophysics, University of Washington, Seattle, WA, USA

* To whom correspondence should be addressed. E-mail: mgorman{at}u.washington.edu.

It has been proposed that {alpha}-adrenoceptor vasoconstriction in coronary resistance vessels results not from {alpha}-adrenoceptors on coronary smooth muscle, but from {alpha}-adrenoceptors on cardiac myocytes that stimulate endothelin release. The present experiments tested the hypothesis that the {alpha}-adrenoceptor mediated coronary vasoconstriction that normally occurs during exercise is due to endothelin. In conscious dogs (n=10) the endothelin ETA/ETB receptor antagonist tezosentan (1 mg/kg, iv) increased coronary venous oxygen tension at rest but not during treadmill exercise. This result indicates that basal endothelin levels produce a coronary vasoconstriction at rest that is not observed during the coronary vasodilation during exercise. In contrast, the {alpha}-adrenoceptor antagonist phentolamine increased coronary venous oxygen tension during exercise but not at rest. The difference between the endothelin blockade and {alpha}-adrenoceptor blockade results indicates that {alpha}-adrenoceptor coronary vasoconstriction during exercise is not due to endothelin. However, in anesthetized dogs bolus intracoronary injections of the {alpha}-adrenoceptor agonist phenylephrine produced reductions in coronary blood flow that were partially antagonized by endothelin receptor blockade with tezosentan. These results are best explained if {alpha}-adrenoceptor-induced endothelin release requires high pharmacological concentrations of catecholamines that are not reached during exercise.




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