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Arteriosclerosis, Thrombosis, and Vascular Biology. 1998;18:108-113

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(Arteriosclerosis, Thrombosis, and Vascular Biology. 1998;18:108-113.)
© 1998 American Heart Association, Inc.


Original Contributions

Acute Endothelin-Receptor Inhibition Does Not Attenuate Acetylcholine-Induced Coronary Vasoconstriction in Experimental Hypercholesterolemia

David Hasdai; Patricia J.M. Best; Charles R. Cannan; Verghese Mathew; Robert S. Schwartz; David R. Holmes, Jr; ; Amir Lerman

From the Division of Internal Medicine and Cardiovascular Diseases, Mayo Clinic and Foundation, Rochester, Minn.

Correspondence to Amir Lerman, MD, Division of Cardiovascular Diseases, Mayo Clinic, 200 First St SW, Rochester, MN 55905. E-mail lerman.amir{at}mayo.edu

Abstract—Endothelin (ET) may mediate the enhanced coronary vasoconstriction associated with hypercholesterolemia. We hypothesized that short-term inhibition of ET receptors attenuates the coronary epicardial vasoconstrictor response to acetylcholine in experimental hypercholesterolemia. ET-1 (group I, n=5; 5 ng · kg-1 · min-1) and acetylcholine (group III, n=7; 10-6 to 10-4 mol/L) were given by intracoronary infusion in pigs. ET-1 and acetylcholine were also infused with the specific ETA-receptor blocker FR-139317 (5 µg · kg-1 · min-1; group II, n=6; group IV, n=6). Acetylcholine was also infused with the combined ET-receptor blocker, bosentan (0.5 mg/kg plus 1 mg · kg-1 · h-1, group V, n=5). The ETB-receptor agonist sarafotoxin 6c (5 ng · kg-1 · min-1; n=4) was also infused. The percentage change in coronary artery diameter (%{Delta}CAD) to the infusions was measured at baseline and after 10 weeks of high-cholesterol diet in all animals. Sarafotoxin 6c mildly reduced %{Delta}CAD at baseline and 10 weeks (-10±2% and -12±3%, respectively). FR-139317 did not attenuate the epicardial vasoconstrictor response to ET-1 at baseline (%{Delta}CAD -18±8% for group I versus -12±6% for group II; P=NS) but did at 10 weeks (%{Delta}CAD -77±14% for group I versus -14±6% for group II; P<.05). FR-139317 did not affect the response to acetylcholine at baseline (%{Delta}CAD 5±2% for group III versus 7±3% for group IV, P=NS) or at 10 weeks (%{Delta}CAD -23±12% for group III versus -19±7% for group IV; P=NS). Bosentan did not affect the response to acetylcholine at baseline or 10 weeks. Short-term ET-receptor inhibition in experimental hypercholesterolemia attenuated the enhanced coronary epicardial vasoconstrictor effects of ET-1 but not acetylcholine-induced coronary epicardial vasoconstriction, suggesting that acetylcholine-induced coronary epicardial vasoconstriction may not be mediated by ET receptors.


Key Words: pig • hypercholesterolemia • acetylcholine • endothelin • endothelin receptor




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