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What are the mechanisms of hypoxia-induced contraction in human, monkey, and dog coronary arteries?
What are the mechanisms of hypoxia-induced contraction in human, monkey, and dog coronary arteries?
Hypoxia-induced coronary artery contraction mechanisms differ significantly between species, being endothelium-independent and prostaglandin-mediated in humans and monkeys, but endothelium-dependent in dogs.
Species differences caution against canine model extrapolation to humans; hypothesis-generating for prostaglandin roles in human hypoxic coronary tone.
In monkey coronary artery strips contracted with prostaglandin (PG) F2 alpha or K+, exchange of entire N2 for O2 in the gas aerating the bathing media produced a contraction. Endothelium denudation did not alter the response. Aspirin, indomethacin, and ONO 3708, a PG receptor antagonist, markedly inhibited the hypoxia-induced contraction, whereas superoxide dismutase and OKY 046, a thromboxane (Tx) A2 synthesis inhibitor, were ineffective. Diltiazem depressed the contraction. Hypoxia increased the release of PGE2 but not 6-keto-PGF1 alpha and TxB2. Contractions induced by hypoxia of human coronary artery strips were also independent of the endothelium but were suppressed by indomethacin and diltiazem. On the other hand, dog coronary artery contractions induced by hypoxia were attenuated by endothelium denudation but were not influenced by indomethacin. It may be concluded that the hypoxia-induced contraction of monkey and human epicardial coronary arteries is associated with vasoconstrictor PGs released from subendothelial tissues; however, TxA2 and superoxide anion are not involved. The dog coronary artery contraction appears to be elicited by substance(s), other than cyclooxygenase products, released from the endothelium.
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Toda et al. (1992) studied this question.
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