Role of endothelin in alpha-adrenoceptor coronary vasoconstriction

Am J Physiol Heart Circ Physiol. 2005 Apr;288(4):H1937-42. doi: 10.1152/ajpheart.01076.2004. Epub 2004 Dec 9.

Abstract

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 (ET) 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 ET(A)/ET(B) 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.

Publication types

  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adrenergic alpha-Agonists / pharmacology
  • Animals
  • Coronary Circulation / drug effects
  • Coronary Circulation / physiology*
  • Dogs
  • Endothelins / physiology*
  • Male
  • Oxygen Consumption / physiology
  • Phenylephrine / pharmacology
  • Physical Exertion / physiology
  • Pyridines / pharmacology
  • Receptors, Adrenergic, alpha / physiology*
  • Tetrazoles / pharmacology
  • Vasoconstriction / drug effects
  • Vasoconstriction / physiology*
  • Vasodilator Agents / pharmacology

Substances

  • Adrenergic alpha-Agonists
  • Endothelins
  • Pyridines
  • Receptors, Adrenergic, alpha
  • Tetrazoles
  • Vasodilator Agents
  • Phenylephrine
  • tezosentan