51. Effects of Oxyhemoglobin on Vasoconstriction in Response to 5-Hydroxytryptamine in Isolated, Perfused Canine Basilar Arteries
- Author
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Tsutomu Tsuji, Toshiki Aoki, Shigeaki Kobayashi, Shigetoshi Chiba, Yasser Orz, and Yu-Shu Yen
- Subjects
Agonist ,Serotonin ,Ketanserin ,medicine.drug_class ,Pharmacology ,Dogs ,Cerebral vasospasm ,medicine.artery ,medicine ,Basilar artery ,Animals ,Receptor ,Dose-Response Relationship, Drug ,business.industry ,Subarachnoid Hemorrhage ,Receptor antagonist ,Serotonin Receptor Agonists ,Vasoconstriction ,Basilar Artery ,Oxyhemoglobins ,Receptors, Serotonin ,Anesthesia ,Surgery ,Serotonin Antagonists ,Neurology (clinical) ,medicine.symptom ,business ,Acetylcholine ,medicine.drug - Abstract
OBJECTIVE: Oxyhemoglobin (OxyHb) is thought to be a critical trigger in the pathogenesis of cerebral vasospasm after aneurysmal subarachnoid hemorrhage. We investigated whether extraluminally applied OxyHb influenced vascular responses to intraluminally applied vasoactive agents in isolated, perfused, canine basilar arteries. METHODS: The steel cannula insertion method was used to examine vascular responses to intraluminally applied 5-hydroxytryptamine (5-HT) receptor agonists, i.e., 5-HT, 5-carboxamidotryptamine (selective for 5-HT 1 receptors), and a-methyl-5-hydroxytryptamine (selective for 5-HT 2 receptors), potassium chloride, and acetylcholine, before and after extraluminal treatment with OxyHb. RESULTS: Extraluminal application of 2.5 x 10 -5 mol/L OxyHb immediately induced a transient elevation of the basal perfusion pressure, which gradually decreased and then stabilized at a level slightly higher than the control level. Each 5-HT agonist induced dose-dependent vasoconstriction. The potencies of the agonists were not very different, but the efficacies varied, i.e., α-methyl-5-hydroxytryptamine > 5-HT > 5-carboxamidotryptamine. Each response was strongly inhibited by ketanserin (a selective 5-HT 2 receptor antagonist), indicating that each agonist induces vasoconstriction mediated by 5-HT 2 receptors. The vasoconstriction in response to each 5-HT receptor agonist was consistently potentiated by treatment with OxyHb (2.5 x 10 -5 mol/L). 5-HT receptor agonist-induced constrictions after OxyHb treatment were much more markedly inhibited by ketanserin, compared with those before OxyHb treatment. Acetylcholine-induced constrictions were enhanced by OxyHb, but KCI-induced constrictions were significantly decreased by OxyHb. CONCLUSION: It is suggested that OxyHb enhancement of constrictions in response to 5-HT receptor agonists may be mediated by increased sensitivity of 5-HT 2 receptors, in addition to actions in the endothelium, in canine basilar arteries. This potentiated vasoconstrictor mechanism may be partially implicated in cerebral vasospasm after subarachnoid hemorrhage.
- Published
- 1998
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