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September 16, 1997Circulation

Enhanced Endothelin-Mediated Coronary Vasoconstriction and Attenuated Basal Nitric Oxide Activity in Experimental Hypercholesterolemia

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Key result

Experimental hypercholesterolemia in pigs enhanced coronary vasoconstriction to ET-1 (CBF -88% vs -45% at baseline, P<.05) and attenuated the response to endogenous NO inhibition.

Why the study?

Does experimental hypercholesterolemia alter coronary vasomotor responses to endothelin and endogenous NO inhibition in pigs?

Population

Pigs subjected to a cholesterol diet for 10 weeks to induce experimental hypercholesterolemia

Comparison

Infusion of Endothelin-1 at 5 ng/kg/min or… vs Baseline responses before the 10-week…

Design

Preclinical

Follow-up

10 weeks

Authors

VMVerghese MathewInterventional CardiologyCCCharles R. CannanMayo Clinic in ArizonaVMVirginia M. MillerCross-Cutting Cardiology

Discussion

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Member takes

Implication

May support coronary vasomotor dysfunction in hypercholesterolemia; leaves open human translation.

Structured PICO

Does experimental hypercholesterolemia alter coronary vasomotor responses to endothelin and endogenous NO inhibition in pigs?

P
Population
Pigs subjected to 10 weeks of cholesterol diet to induce experimental hypercholesterolemia.
I
Intervention
Infusion of Endothelin-1 (ET-1) at 5 ng/kg/min or N(G)-monomethyl-L-arginine (L-NMMA) at 50 microg/kg/min into the left anterior descending coronary artery
C
Comparator
Baseline responses before the 10-week cholesterol diet
O
Outcome
Changes in coronary blood flow (CBF), coronary artery diameter (CAD), and coronary vascular resistance (CVR)surrogate

Main Result

Absolute Event Rate: -88% vs -45%

p-value: p=<.05

Experimental hypercholesterolemia in pigs enhances coronary vasoconstriction to endothelin and attenuates basal nitric oxide activity, indicating altered coronary vascular reactivity.

Cite This Study

Mathew et al. (1997) studied Experimental hypercholesterolemia. Endothelin-1 (ET-1) and N(G)-monomethyl-L-arginine (L-NMMA) vs. Baseline (before cholesterol diet) was evaluated on Decrease in coronary blood flow (CBF) with ET-1 (p=<.05). Experimental hypercholesterolemia in pigs enhanced coronary vasoconstriction to ET-1 (CBF -88% vs -45% at baseline, P<.05) and attenuated the response to endogenous NO inhibition.

synapsesocial.com/papers/6a50389dc71e86453cce59afhttps://doi.org/10.1161/01.cir.96.6.1930
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Arginine restores cholinergic relaxation of hypercholesterolemic rabbit thoracic aorta.1991 · 335 citations
  2. 2Patients with evidence of coronary endothelial dysfunction as assessed by acetylcholine infusion demonstrate marked increase in sensitivity to constrictor effects of catecholamines.1992 · 210 citations
  3. 3Up-Regulation of Endothelin-B Receptors in Atherosclerotic Human Coronary Arteries1996 · 156 citations
  4. 4Endothelin in Coronary Endothelial Dysfunction and Early Atherosclerosis in Humans1995 · 361 citations
  5. 5Role of nitric oxide synthesis in the regulation of coronary vascular tone in the isolated perfused rabbit heart1992 · 52 citations