Original Contributions |
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
AbstractEndothelin (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 (%
CAD) to
the infusions was measured at baseline and after 10 weeks of
high-cholesterol diet in all animals. Sarafotoxin 6c mildly
reduced %
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 (%
CAD -18±8% for
group I versus -12±6% for group II; P=NS) but did at
10 weeks (%
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 (%
CAD 5±2% for group III versus 7±3%
for group IV, P=NS) or at 10 weeks (%
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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