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Department of Veterans Affairs, Western New York Health Care System; and Departments of Medicine, Physiology, and Biophysics, School of Medicine and Biomedical Sciences, State University of New York at Buffalo, Buffalo, New York 14214
The present study was
performed to determine the importance of nitric oxide in eliciting
epicardial coronary artery dilation during sustained increases in shear
stress in the absence of pulsatile flow. Isolated first-order porcine
epicardial coronary conduit arteries (~500 µm) were preconstricted
(U-46619) and subjected to steady-state changes in flow in vitro.
Nonpulsatile flow (shear stress range from 0 to ~100
dyn/cm2) produced a graded dilation of epicardial arteries.
Inhibiting nitric oxide synthase with 10
5 M
N
-nitro-L-arginine methyl ester
(L-NAME) blocked bradykinin-induced vasodilation but did
not affect the flow-diameter relation or the maximum change in diameter
from static conditions (67 ± 10 µm in control vs. 71 ± 8 µm after L-NAME, P = not significant). The addition of indomethacin (10
5 M) had no effect on
flow-mediated vasodilation. Depolarizing vascular smooth muscle with
KCl (60 mM) or removing the endothelium blocked bradykinin vasodilation
and completely abolished flow-mediated responses. The K+
channel blocker tetraethylammonium chloride (TEA; 10
4M)
attenuated flow-mediated vasodilation (maximum diameter change was
110 ± 18 µm under control conditions vs. 58 ± 10 µm
after TEA, P < 0.001). These data indicate that
epicardial coronary arteries dilate to steady-state changes in
nonpulsatile flow via a mechanism that is independent of nitric oxide
production. The ability to completely block this with KCl and attenuate
it with TEA supports the hypothesis that epicardial coronary arteries dilate to steady levels of shear stress through hyperpolarization of
vascular smooth muscle. This may be secondary to the release of an
endothelium-dependent hyperpolarizing factor.
endothelium-dependent hyperpolarizing factor; endothelium-dependent relaxing factor; steady flow; pulsatile flow
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