Vascular Biology |
From the Department of Pathophysiology, Semmelweis University, Budapest, Hungary (Z.B., Z.U., L.S., A.K.); and Department of Physiology, New York Medical College, Valhalla, NY (A.K.).
Correspondence to Akos Koller, MD, PhD, Department of Physiology, New York Medical College, Valhalla, NY 10595. E-mail koller{at}nymc.edu
AbstractHyperhomocysteinemia
(HHcy) is thought to promote arteriosclerosis and
peripheral arterial disease, in part by
impairing the function of endothelium. Because
flow-induced dilation is mediated by the endothelium,
we hypothesized that HHcy alters this response by interfering with the
synthesis/action of NO and prostaglandins. Thus, changes in
the diameter of isolated, pressurized (at 80 mm Hg) gracilis
skeletal muscle arterioles (diameter
170 µm) from control and
methionine dietinduced HHcy rats were investigated with
videomicroscopy. Increases in intraluminal flow (from 0 to 25 µL/min)
resulted in dilations of control arterioles (maximum, 34±4 µm). In
contrast, increases in flow elicited constrictions of HHcy arterioles
(-36±3 µm). In control arterioles, the NO synthase
inhibitor
N
-nitro-L-arginine-methyl
ester significantly attenuated (
50%) dilation, whereas the
additional administration of indomethacin, an
inhibitor of cyclooxygenase, eliminated
flow-induced dilation. In the arterioles of HHcy rats, flow-induced
constriction was not affected by
N
-nitro-L-arginine-methyl
ester, whereas it was abolished by indomethacin or the
prostaglandin
H2/thromboxane
A2 (TXA2) receptor
antagonist SQ 29,548 or the TXA2
synthase inhibitor CGS 13,080. Thus, in HHcy, increases in
intraluminal flow elicit constrictions of skeletal muscle arterioles
due to the impaired NO and enhanced TXA2
mediation of the response, alterations that likely contribute to the
development of peripheral arterial
disease.
Key Words: homocysteine arteriole flow-induced response endothelium nitric oxide thromboxane A2
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