Key result
Angiotensin II primarily constricts cerebral arterioles via AT1 but mediates vasodilation through AT2 and BKCa channels.
Why the study?
The cerebral vasoconstrictor and vasodilator actions of angiotensin II and their clinical importance remain equivocal.
Angiotensin II primarily causes vasoconstriction via AT1 receptors in cerebral arterioles, but can induce vasodilation via AT2 receptors and BKCa channel activation.
Answers are grounded in this paper and cite their sources.
AT2 activation may induce cerebral vasodilation after AT1 blockade; hypothesis-generating in animals, clinical translation untested.
Background and Purpose— In light of the equivocal data on the cerebral vasoconstrictor and vasodilator actions of angiotensin II (Ang II) and the potential clinical importance of this, we investigated the effects of Ang II on rat pial arterioles. Methods— We determined the effect of Ang I (3.10 −6 mol/L) in the absence and presence of the converting enzyme inhibitor, captopril (10 −5 mol/L) in cerebral arterioles of male Wistar rats (open-skull preparation), and those of Ang II (3.10 −12 to 3.10 −6 mol/L) in the absence and presence of the Ang II receptor (AT 1 ) antagonist, telmisartan (10 −5 mol/L) or the AT 2 antagonist, PD123319 (10 −5 mol/L). We examined the effect of PD123319 (10 −5 mol/L) and the Ca 2+ -activated K + (BK Ca ) channel blocker, tetraethylammonium (10 −4 mol/L) on the Ang II responses in the presence of telmisartan (10 −5 mol/L). Results— Ang II-induced dose-dependent constriction with a maximum decrease of −20.1±1.0% at 10 −6 mol/L. Captopril significantly decreased Ang I-induced vasoconstriction (−4.0±0.9 versus −21.3±2.5%; n=4). Telmisartan reversed Ang II-induced vasoconstriction (9.5±2.5 versus −20.1±1% at 10 −6 mol/L; n=5). PD123319 significantly increased Ang II-induced vasoconstriction (−12.9±0.8 versus −10.2±0.4% at 10 −6 mol/L; n=5). PD123319 abolished (−2.6±0.7 versus 9.3±1.1% at 10 −6 mol/L; n=5) whereas tetraethylammonium reversed (−12.1±1.6 versus 9.9±1.0% at 10 −6 mol/L; n=4) Ang II-induced vasodilatation in the presence of telmisartan. Conclusion— Angiotensin is converted locally into Ang II; the overall effect of Ang II is vasoconstrictor following stimulation of the AT 1 receptor, but a vasodilator response can be evoked following stimulation of the AT 2 receptor and activation of BK Ca .
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Vincent et al. (2005) studied this question. Angiotensin II was evaluated on Change in cerebral arteriole diameter. Angiotensin II acts primarily as a vasoconstrictor via the AT1 receptor, but can evoke vasodilation following stimulation of the AT2 receptor and BKCa channel activation.
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