AJP - Heart Calcium Transients and Cell-Sarcomere
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Am J Physiol Heart Circ Physiol (February 29, 2008). doi:10.1152/ajpheart.01163.2007
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01163.2007v1
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Submitted on October 8, 2007
Accepted on February 26, 2008

Integrative control of coronary resistance vessel tone by endothelin and angiotensin II is altered in swine with a recent myocardial infarction

Vincent J de Beer1, Oana Sorop1, Daniel A Pijnappels2, Dick H Dekkers3, Frans Boomsma4, Jos MJ Lamers3, Dirk J. Duncker2, and Daphne Merkus2*

1 Experimental Cardiology, Thoraxcenter, Erasmus MC, Rotterdam, Netherlands
2 Experimental Cardiology, Thoraxcenter, Erasmus MC, Rotterdam, Zuid-holland, Netherlands
3 Biochemistry, Erasmus MC, Rotterdam, Netherlands
4 Internal Medicine, Erasmus MC, Rotterdam, Netherlands

* To whom correspondence should be addressed. E-mail: d.merkus{at}erasmusmc.nl.

Several studies indicate an interaction between the renin-angiotensin (Ang II) and endothelin (ET) systems in the regulation of vascular tone. Previously we showed that both ET and Ang II exert a vasoconstrictor influence on the coronary resistance vessels of awake normal swine. Here we investigated whether interaction between Ang II and ET exists in coronary resistance vessels at rest and during exercise, using single and combined blockade of the AT1 and ETA/ETB receptors. Furthermore, since both circulating Ang II and ET levels are increased after myocardial infarction (MI), we investigated if the interaction between these systems is altered after MI. In awake healthy swine, the coronary vasodilation in response to ETA/ETB receptor blockade in the presence of AT1 blockade was similar to the vasodilation produced by ETA/ETB blockade under control conditions. In awake swine with a 2-3 week old MI, the coronary vasodilator responses to individual AT1 and ETA/ETB receptor blockade were virtually abolished, despite similar coronary arteriolar AT1and ETA receptor expression as compared to normal swine. Unexpectedly, in the presence of AT1 blockade (which had no effect on circulating ET levels), ETA/ETB receptor blockade elicited a coronary vasodilator response. These findings suggest that in normal healthy swine the two vasoconstrictor systems contribute to coronary resistance vessel control in a linear additive manner, i.e. with negligible cross-talk. In contrast, in remodeled myocardium cross-talk between Ang II and ET emerges, resulting in non-linear redundant control of coronary resistance vessel tone.







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