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CARDIOVASCULAR
1-Adrenoceptor Reserve in Veins Compared with Arteries
Department of Pharmacology and Toxicology, Michigan State University, East Lansing, Michigan
Received for publication
June 25, 2003
Accepted
September 30, 2003.
| Abstract |
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2-agonists clonidine and UK 14,304 [5-bromo-6-(2-imidazolin-2-yl-amino)-quinoxaline] did not constrict arteries or veins. Reactivity was not altered in arteries or veins from DOCA-salt mice. We next investigated the mechanism of increased venous reactivity to NE and PE by studying desensitization to maximum concentrations of NE and PE. Sham arteries desensitized to NE and PE more than DOCA-salt arteries, whereas DOCA-salt and sham veins maintained 80% of the initial NE and PE constriction. To determine whether the increased reactivity and resistance to desensitization in veins was due to a greater
-adrenoceptor reserve, vessels were incubated with the alkylating agent phenoxybenzamine (PBZ; 0.3, 3, 10, and 30 nM). The NE-elicited initial constriction was reduced by PBZ (3, 10, and 30 nM) in sham but only by PBZ (30 nM) in DOCA-salt veins. All doses of PBZ blocked NE responses in sham and DOCA-salt arteries. These data suggest that mesenteric veins express more
1-adrenoceptors than arteries, accounting for greater reactivity and resistance to desensitization compared with arteries.
-Adrenergic receptors play a fundamental role in regulation of systemic arterial blood pressure and blood flow (Piascik and Pérez, 2001
Blood pressure regulation is dependent on total peripheral vascular resistance (TPR) and cardiac output (CO) (Beevers et al., 2001
). Hypertension can result from an increase in either CO or TPR. In established hypertension, the usual hemodynamic abnormality is increased TPR (Ferrario et al., 1970
; Smith and Hutchins, 1979
; Schobel et al., 1993
). Since small arteries are the main site of vascular resistance, many studies have compared the ability of NE to contract arteries from normotensive and hypertensive individuals. Data derived from these studies are conflicting. Some studies have shown an enhanced reactivity of arteries from deoxycorticosterone acetate (DOCA)-salt rats to adrenergic agonists compared with control (Ekas and Lokhandwala, 1980
; Longhurst et al., 1988
; Meggs et al., 1988
; Perry and Webb, 1988
). Other studies showed that sensitivity to adrenergic agonists is normal in caudal (Hermsmeyer et al., 1982
) and mesenteric arteries (Luo et al., 2003
) of DOCA-salt rats.
Increased CO also can contribute to increases in blood pressure. The splanchnic bed is a major blood reservoir containing up to 30% of total blood volume (Greenway, 1983
). This capacitance function largely resides in systemic veins and venules. A reduction in capacitance of systemic veins will shift blood from peripheral vascular beds toward the thoracic cavity (Ricksten et al., 1981
). In this way, augmented venous return leads to higher stroke volume and CO. Data from animal and human studies support a role for decreased venous capacitance in the development of hypertension, as increased CO often occurs in the initial stages of experimental hypertension (Ferrario et al., 1970
; Smith and Hutchins, 1979
) as well as in the early stages of human hypertension (Schobel et al., 1993
).
Mean circulatory filling pressure (MCFP) is the effective driving force for venous return to the heart. MCFP is elevated in renal hypertensive dogs; two-kidney, one-clip hypertensive rats; spontaneously hypertensive rats; and in the DOCA-salt hypertensive rats (Ferrario et al., 1970
; Edmunds et al., 1989
; Martin et al., 1998
; Fink et al., 2000
). MCFP is dependent on venoconstrictor tone and blood volume. Most studies performed with animals and hypertensive humans have revealed that blood volume does not increase in hypertension (Ferrario et al., 1970
; Schobel at al., 1993
). Therefore, increased MCFP in hypertension development is primarily due to venoconstriction. Multiple factors determine venomotor tone, but sympathetic-mediated vasoconstriction is the most important (Pang, 2001
). However, little is known about venous reactivity to NE in hypertension.
We sought to test the hypothesis that increased venoconstriction in hypertension is due to enhanced reactivity to NE. We studied vascular reactivity in a murine model of DOCA-salt hypertension. In this salt-sensitive, low-renin experimental model, SNS activity has been found to play an important role (de Champlain, 1990
), and venous capacitance has been shown to be decreased by the SNS as determined by changes in MCFP (Fink et al., 2000
), making this hypertension model relevant for the studies performed here. Further-more,
1-adrenoceptor antagonists are effective antihypertensive agents in DOCA-salt hypertension (Nabata et al., 1985
).
We compared acute reactivity and time-dependent desensitization to
-adrenergic agonists in small arteries and veins of DOCA-salt and sham control mice. We did these studies because if altered vascular responses to NE contribute to hypertension (a chronic condition), those responses should be either larger or more sustained in vessels from hypertensive versus normotensive mice. We also examined potential mechanisms behind differences in vascular reactivity of arteries and veins.
| Materials and Methods |
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DOCA-Salt Surgery. Mice were unilaterally nephrectomized under anesthesia provided by intraperitoneal injection of approximately 70 to 80 µl of a solution containing ketamine (100 mg/ml) and xylazine (20 mg/ml) in a 9:1 ratio, respectively. The skin over the left flank was shaved, and a 1.5-cm incision was made through the skin and underlying muscle caudal to the rib cage. The left kidney was exteriorized and removed after ligation of the renal artery and vein with 4-0 silk sutures (Ethicon, Inc., Somerville, NJ). The muscle and skin layers were then closed separately with 4-0 silk sutures. A small area between the shoulder blades of the back was shaved, and a 1-cm incision was made through which DOCA-salt pellets were implanted subcutaneously, resulting in a dose of 150 mg/kg DOCA. All DOCA mice were given salt water containing 1% NaCl and 0.2% KCl. Normotensive sham mice were also unilaterally nephrectomized, received no DOCA pellet implantation, and were given tap water. Both groups were placed on standard pelleted rodent chow. After recovery, the mice were housed under standard conditions for 4 weeks after which systolic blood pressure was determined by the tail-cuff method.
In Vitro Preparation of Mesenteric Vessels. Mice were anesthetized, and the small intestine with its associated mesenteric vessels was removed and placed in oxygenated (95% oxygen, 5% carbon dioxide) Krebs' physiological saline solution of the following composition: 117 mM NaCl, 4.7 mM KCl, 2.5 mM CaCl2, 1.2 mM MgCl2, 25 mM NaHCO3, and 11 mM glucose. A segment of the intestine with associated vessels was removed and pinned flat in a silicone elastomer-lined (Sylgard; Dow Corning, Midland, MI) petri dish. A section of mesentery containing vessels close to the mesenteric border was cut out using fine scissors and forceps. The preparation was transferred to a smaller silicone elastomer-lined recording bath and pinned flat. Second- or third-order mesenteric veins or arteries (100-200-µm diameter) were isolated for study by carefully clearing away the surrounding fat tissue. The recording bath containing the preparation was mounted on the stage of an inverted microscope (Olympus CK-2; Tokyo, Japan) and superfused with warm (37°C) Krebs' solution at a flow rate of 7 ml/min. All preparations were allowed a 20-min equilibration period during which the vessels relaxed to a stable resting diameter.
Kidney and Cardiac Ventricle Weight. Kidneys and cardiac ventricles from sham control and DOCA-salt mice were excised, blotted dry, and weighed. Tissue weight was normalized to body weight.
Video Monitoring of Vessel Diameter. The output of a black- and-white video camera (Hitachi model KP-111; Yokohama, Japan) attached to the microscope was fed to a PC Vision Plus framegrabber board (Imaging Technology Inc., Woburn, MA) mounted in a personal computer. The video images were analyzed using computer software (Diamtrak, Adelaide, Australia). The digitized signal was converted to an analog output (DAC-02 board; Keithley Megabyte, Tauton, MA) and fed to a chart recorder (EZ Graph; Gould, Inc., Cleveland, OH) for a record of vessel diameter. Changes in vessel diameter as small as 1.8 µm could be resolved.
Concentration-Response Studies. All drugs were added in known concentrations to the superfusing Krebs' solution. Concentration-response curves were obtained after application of the adrenergic agonists NE and PE (Sigma-Aldrich, St. Louis, MO). Each agonist concentration was applied for 3 min, and there was a 20-min interval between successive applications. A single concentration-response curve was obtained from each preparation.
Desensitization Studies. Mesenteric vessels were taken from sham and DOCA-salt mice, isolated, and prepared as described in the sections above. In this series of experiments, vasoconstriction of arteries and veins was examined using NE (veins, 10-6 M; arteries, 10-5 M) and PE (veins/arteries, 10-5 M), concentrations that elicited maximal constrictions in these vessels. The adrenergic agonist was continuously applied to the superfusing Krebs' solution, and blood vessels were exposed to the adrenergic agonist for 30 min. The vasoconstrictor state of arteries and veins at different time points was examined.
Effect of Phenoxybenzamine (PBZ) on NE- or PE-Elicited Initial Constriction and the Vasoconstrictor Reactivity of Mesenteric Arteries and Veins on a 30-Min Incubation Period with Adrenergic Agonists. The PBZ-pretreatment protocol was performed according to a previously published protocol (Watts et al., 1996
). After the initial 20-min equilibration period, tissues were incubated for 10 min with one concentration of PBZ (0.3, 3, 10, and 30 nM) followed by a 30-min incubation in 100 µM sodium thiosulfate (Na2S2O3). Preparations were then washed for an additional 30 min with Krebs' physiological saline solution after which they were challenged with maximal concentrations of the adrenergic agonists NE (veins, 10-6 M; arteries, 10-5 M) and PE (veins/arteries, 10-5 M). The initial constriction and vasoconstrictor reactivity of arteries and veins throughout a 30-min period were examined.
Data Analysis. Constrictions of blood vessels to the different treatments are expressed as percentage constriction (percentage reduction from the resting diameter). Half-maximal effective agonist concentration (EC50) and maximum response (Emax) were calculated from a least-squares fit of individual agonist concentration-response curves using the following logistic function from Origin 5.0 (Origin-Lab Corp., Northampton, MA): Y = {(Emin - Emax)/[1 + (x/EC50)n]} + Emax, where Emin is the minimum response and was constrained to zero and n is the slope factor. All data are expressed as mean ± S.E.M. Statistical differences between groups were assessed by Student's two-tailed unpaired t test. When more than two groups were compared, an analysis of variance was used with Student-Newman-Keuls multiple comparison as a post test. P < 0.05 was considered statistically significant. All statistical analyses were performed using GraphPad InStat for Windows 95 (GraphPad Software Inc., San Diego, CA).
| Results |
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1-Adrenergic Receptors Mediate Constrictions of Arteries and Veins. The adrenergic agonist NE produced a concentration-dependent constriction of mesenteric veins (10-10 - 3 x 10-6 M) and arteries (10-7 - 3 x 10-5 M) from DOCA-salt and sham control mice (Fig. 1A). Similarly, the selective
1-adrenergic receptor agonist, PE, produced a concentration-dependent constriction of mesenteric veins (10-10 - 3 x 10-5 M) and arteries (10-7 - 3 x 10-5 M) in both treatment groups (Fig. 1B). NE and PE were both more potent in constricting mesenteric veins from sham and DOCA-salt mice as there was a leftward shift in the concentration-response curve obtained in veins when compared with arteries (Fig. 1, A and B; Table 1). However, the magnitude of responses of veins and arteries to various doses of NE and PE were similar between DOCA-salt and sham groups (Fig. 1, A and B; Table 1).
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The role of
2-adrenergic receptors in mediating vasoconstriction of arteries and veins from DOCA-salt and sham control mice was assessed. The
2-adrenoceptor agonists clonidine (10-7 M - 10-5 M) and UK 14,304 (10-7 M - 10-5 M) did not elicit constrictions in mesenteric arteries or veins from sham and DOCA-salt mice.
Differential Desensitization in Arteries and Veins. Our concentration-response studies showed that murine mesenteric veins were more sensitive than arteries to the constrictor effects of NE and PE. Mesenteric arteries exhibited similar maximal responses, but higher concentrations were needed to achieve them. Given those differences, we decided to further examine the potential mechanisms behind the marked differences in reactivity between mesenteric arteries and veins to adrenergic stimulation. This next series of experiments explored whether arteries and veins desensitize in a similar way when exposed to maximum concentrations of NE and PE. The concentrations used in this series of experiments were those responsible for inducing a maximal response in arteries and veins according to our concentration-response studies (Fig. 1). NE produced an initial peak constriction in both arteries (10-5 M) and veins (10-6 M) from DOCA-salt and sham control mice (Fig. 2, A and B). However, arteries exhibited a time-dependent desensitization as their diameter returned to the initial resting diameter during the 30-min agonist application (Fig. 2B). This effect was more prominent in sham arteries compared with DOCA-salt arteries. After 30 min of continuous agonist exposure, the diameter of sham arteries was about 10% of the initial peak constriction caused by NE, whereas in DOCA-salt arteries, the response declined to about 50% of the initial peak constriction (Fig. 3A). However, mesenteric veins maintained a tonic constriction despite continuous exposure to NE (Fig. 2A). After 30-min exposure, DOCA-salt and sham vein diameter was about 80% of the initial peak constriction elicited by NE (Fig. 3A). Continuous exposure of arteries and veins to the selective
1-adrenergic receptor agonist PE (10-5 M) revealed a marked difference between mesenteric arteries and veins. Incubation with PE elicited a constriction in arteries and veins (Fig. 2, C and D). PE responses in DOCA-salt and sham arteries (Fig. 3B) completely desensitized upon continuous exposure to PE. However, after 30-min exposure to PE, the diameter of DOCA-salt and sham veins was between 80 to 90% of the initial peak constriction (Fig. 3B).
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-Adrenoceptor Alkylation Studies with PBZ: Effects on Agonist-Induced Initial Constriction. To further determine whether the increased reactivity to adrenergic agonists seen in veins was due to differences in adrenergic receptor concentrations, we incubated the vessels with the
-adrenoceptor alkylating agent PBZ (0.3, 3, 10, and 30 nM) and compared the effects on the NE- or PE-elicited initial peak constriction. Incubation of sham veins with PBZ (0.3 nM) did not affect their initial constriction in response to NE (Fig. 4A). However, higher PBZ concentrations (3, 10, and 30 nM) produced a significant concentration-dependent reduction in the NE-elicited peak constriction (Fig. 4A). DOCA-salt mesenteric veins were more resistant to PBZ-alkylating effects as the peak contractile response to NE was significantly inhibited only at the highest (30 nM) PBZ concentration (Fig. 4A).
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Preincubation of sham veins with PBZ (0.3 nM) did not affect the peak constriction elicited by PE compared with control responses (Fig. 4B). However, incubation with higher concentrations (3, 10, and 30 nM) of PBZ significantly inhibited peak constriction (Fig. 4B). A similar inhibition was seen in DOCA-salt veins (Fig. 4B) as PBZ (0.3 nM) did not affect the peak contractile response seen after PE application compared with veins not exposed to PBZ. However, incubation at the higher doses (3, 10, and 30 nM) significantly inhibited the peak contractile response (Fig. 4B).
Incubation of sham control and DOCA-salt mesenteric arteries with all PBZ concentrations completely inhibited their contractile response to NE (Fig. 4A). All PBZ concentrations blocked PE-induced constrictions of sham and DOCA-salt arteries (Fig. 4B).
Effects of
-Adrenoceptor Alkylation with PBZ on Desensitization. The ability of 30-min exposure to NE to desensitize mesenteric veins preincubated with different concentrations of the alkylating agent PBZ was assessed. As preincubation with any PBZ concentration completely inhibited contractile responses in arteries, these studies were not performed in arteries. PBZ (0.3 nM) pretreatment did not change reactivity of sham veins to NE applied for 30 min, as NE caused a sustained constriction (Fig. 5A). In contrast, veins preincubated with PBZ (3 nM) were not able to maintain a contractile response throughout the 30-min period when compared with non-PBZ-treated veins (Fig. 5A). As 30 nM PBZ markedly reduced the peak NE-induced constriction in sham veins (Fig. 4A), we could not assess desensitization in these tissues. DOCA-salt veins were more resistant to the PBZ-inhibitory effect, since only veins incubated with the highest PBZ concentration (30 nM) failed to maintain contractility to NE applied for 30 min (Fig. 5B). As PE was much less efficacious than NE in stimulating constriction in the blood vessels studied, an analysis examining the effects of a 30-min PE incubation time period on vasoconstriction could not be performed.
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| Discussion |
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1-Adrenergic Receptors Mediate Direct Vasoconstriction of Mesenteric Arteries and Veins.
1-Adrenoceptors mediate vasoconstriction as PE mimicked the constricting effects of NE. Furthermore, the
2-adrenoceptor agonists clonidine and UK 14,304 did not constrict any artery or vein. However, others have proposed a vasoconstrictive role for
2-adrenoceptors in blood vessels (reviewed by Civantos Calzada and Aleixandre de Artinano, 2001
2B-adrenoceptors mediate pressor responses to
1- and
2-adrenoceptor agonists. It is possible that pressor responses caused by
2B-adrenoceptor activation are not mediated by vasoconstriction in murine mesenteric vasculature. Alternatively,
2-adrenoceptor constriction mechanisms may be active in vivo but not in vitro.
Adrenergic Vascular Reactivity Is Not Altered in DOCA-Salt Mice. Vascular reactivity of arteries and veins to
1-adrenoceptor stimulation is not altered in DOCA-salt compared with sham. Despite the difference in resting venous diameter between sham control and DOCA-salt veins, vascular reactivity was not altered. In agreement with our data, NE responses of subcutaneous veins taken from hypertensive patients were unchanged compared with control subjects (Lind et al., 1997
). However, studies performed with DOCA-salt rats showed that mesenteric arterial adrenergic reactivity is enhanced compared with sham rats (Ekas and Lokhandwala, 1980
; Longhurst et al., 1988
; Perry and Webb, 1988
). This discrepancy could be due to the differences in size of the vessels studied or the different methods used to assess vascular reactivity. Suzuki et al. (1994), Longhurst et al. (1988
), and Ekas and Lokhandwala (1980
) measured perfusion pressure changes of the main branches of the superior mesenteric artery. Perry and Webb (1988
) measured isometric force development of large mesenteric arterial strips. We assessed vascular reactivity by measuring diameter changes in unpressurized small mesenteric arteries (<200-µm diameter). In addition, there may be different physiological processes regulating adrenergic constriction in mice and rats, as vascular mechanisms can differ between the two species (Douglas et al., 2000
). Our studies agree with those in caudal arteries (Hermsmeyer et al., 1982
) and mesenteric arteries and veins (Luo et al., 2003
), which show that the reactivity to adrenergic agonists does not change in DOCA-salt rats.
Veins Are More Sensitive to the Vasoconstrictive Effects of NE and PE. We showed that veins are more sensitive than arteries to adrenergic stimulation. It could be argued that increased venous reactivity is due to the fact that these experiments were carried out in unpressurized vessels, and arteries and veins have different flow-pressure characteristics. However, previous studies have demonstrated that the increased sensitivity of mesenteric veins compared with arteries to either adrenergic agonists (Naito et al., 1998
) or to sympathetic nerve stimulation (Hottenstein and Kreulen, 1987
) is maintained when arteries and veins were pressurized to physiological levels. Therefore, increased venous adrenergic reactivity compared with arteries is not a function of vessel pressure.
Given this increased sensitivity of veins to adrenergic agonists, we tested the hypothesis that the increased adrenergic reactivity of veins is due to a larger
1-adrenoceptor concentration. The
-adrenoceptor alkylating agent PBZ was used to assess receptor reserve in arteries and veins. The initial NE-elicited constriction was reduced by low concentrations of PBZ in sham veins but only by the highest PBZ concentration in DOCA-salt veins. All PBZ doses completely inhibited NE responses in arteries. These data suggest that there is a larger
1-adrenoceptor reserve in DOCA-salt compared with sham veins. These data also suggest that murine mesenteric veins express more
1-adrenoceptors than arteries.
Veins Are Resistant to Desensitization. An increased
-adrenoceptor population in veins led us to predict that veins would be more resistant to desensitization than arteries. Arteries exhibited a time-dependent desensitization by NE that was more prominent in vessels taken from sham mice. In response to continuous exposure to PE, arteries from sham and DOCA-salt mice desensitized completely. Desensitization in arteries was more prominent when the vessels were exposed to PE than NE, suggesting that
2-mediated constriction elicited by NE could offset desensitization of
1-adrenoceptors. However,
2-adrenoceptors do not play a direct vasoconstrictive role in the small arteries and veins studied here (see above). Up-regulation of
1-adrenoceptors in DOCA-salt mesenteric arteries could explain why there was not a complete desensitization of these vessels in response to continuous exposure to NE. Up-regulation of
1-adrenoceptors occurs in mesenteric arteries of DOCA-salt rats (Meggs et al., 1988
). Given this, DOCA-salt arteries should be more resistant to
1-adrenoceptor desensitization than sham arteries upon exposure to PE. That was not found, as both groups of arteries completely desensitized.
Increased postreceptor activation events in DOCA-salt arteries could account for the relative resistance to desensitization seen in those vessels. Phosphatidylinositol activity was found to be greater in mesenteric (Takata et al., 1989
) and femoral arteries of DOCA-salt rats, with no apparent change in receptor number or binding affinity (Eid and de Champlain, 1988
). On the other hand, mesenteric veins maintained a tonic constriction upon continuous exposure to both NE and PE, suggesting that mesenteric veins have an increased
1-adrenoceptor reserve compared with arteries.
1-Adrenoceptor subtypes have different susceptibilities to desensitization induced by sustained NE stimulation. In human embryonic kidney 293 cells stimulated continuously with NE, Zhang et al. (1997
) showed that the
1A-subtype easily desensitized. Desensitization of the
1D-subtype was delayed, with
1B desensitization being intermediate. Other studies (Chalotorn et al., 2002) have shown that continuous exposure to PE in transiently transfected human embryonic kidney 293 cells increased internalization of
1A- and
1B-but not
1D-adrenoceptors. Internalization was faster for the
1B-subtype. As there are differences in desensitization and internalization properties of
1-adrenoceptors, it will be important to identify the subtype expression in murine mesenteric vessels and to determine whether expression changes in DOCA-salt hypertension.
PBZ-Pretreated Veins Are Susceptible to Desensitization. Our studies suggest that there is an increased
1-adrenoceptor concentration in veins compared with arteries. The increased receptor concentration could account for the relative resistance of veins to desensitization. We hypothesized that decreasing the
1-adrenoceptor reserve in veins would render them more susceptible to desensitization by adrenergic agonists. PBZ-treated veins showed a partial desensitization to NE exposure, similar to that seen in arteries. PBZ-treated sham veins were more susceptible to desensitization compared with DOCA-salt veins, which only desensitized after treatment with the highest PBZ concentration. These results suggest that veins have an increased
-adrenoceptor population compared with arteries and that there is an up-regulation in DOCA-salt veins compared with sham veins.
Responses to PE in PBZ-treated vessels were also inhibited in sham and DOCA-salt veins. However, the inhibition seen in these vessels was greater than that seen in PBZ-treated veins subsequently challenged with NE. Inhibition of PE responses between sham and DOCA-salt veins upon PBZ pretreatment did not differ. However, responses to PE were completely abolished in mesenteric arteries previously treated with any PBZ concentration. PE may be less efficacious than NE in stimulating constrictions in mesenteric vessels, and this could explain the greater sensitivity to PBZ in veins challenged with PE.
1-Adrenoceptors activate a variety of second messenger pathways (Pérez et al., 1993
). There could be a larger
1-adrenoceptor reserve for one signaling pathway over the other, and there could be preferential activation of one of these pathways in veins as opposed to arteries. This concept of a larger receptor reserve in one signaling pathway over the other has been shown for the 5-hydroxytryptamine 2A receptor (Kurrasch-Orbaugh et al., 2003
).
It could also be that different
1-adrenoceptor subtypes are involved in mediating constriction in arteries and veins and that they could differ in their sensitivity to PBZ. Studies performed with
1B-adrenoceptor knockout mice concluded that
1A-as well as
1D-adrenoceptors are involved in vasoconstriction, with a minor role for
1B-adrenoceptors (Daly et al., 2002
). Yamamoto and Koike (2001
) also concluded that
1D-like receptors are present in the mouse mesenteric artery. Whether these receptors play a predominant role in constrictions of murine mesenteric veins is not yet known.
| Conclusion |
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1-adrenoceptors than arteries. This would account for the greater venous reactivity to NE and resistance to desensitization compared with mesenteric arteries. Our data also indicate that there is an up-regulation of
1-adrenoceptors in DOCA-salt veins. These results support the importance of adrenergic regulation of venomotor tone in the long-term control of arterial blood pressure. | Footnotes |
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ABBREVIATIONS: SNS, sympathetic nervous system; NE, norepinephrine;
1,
-1; DOCA, deoxycorticosterone acetate; PE, phenylephrine; PBZ, phenoxybenzamine; CO, cardiac output; MCFP, mean circulatory filling pressure; TPR, total peripheral vascular resistance; UK 14,304, 5-bromo-6-(2-imidazolin-2-yl-amino)-quinoxaline.
Address correspondence to: Alex A. Pérez-Rivera, Michigan State University, Department of Pharmacology and Toxicology, B 440 Life Sciences, East Lansing, MI 48824. E-mail: perezriv{at}msu.edu
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