Key result
Calcium-induced relaxation of vascular smooth muscle is partly mediated by endothelium-derived relaxing factors and partly by membrane stabilization of the smooth muscle cell.
Increased extracellular calcium causes vascular smooth muscle relaxation through both endothelium-derived relaxing factor release and direct membrane stabilization.
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Animal data on calcium vasorelaxation mechanisms remain hypothesis-generating; human studies required before any clinical consideration.
We examined mechanisms of relaxation in intact and endothelium-denuded thoracic aortic rings of rat in response to various concentrations of calcium (from 1.6 to 10.1 mM) after contraction induced by 30 mM KCl. The relaxation to calcium was concentration dependent in intact and denuded rings. This effect was greater in intact preparations than in denuded preparations or in intact preparations treated with methylene blue (10(-5) M). This indicates that the relaxation by calcium is partly mediated by releasing endothelium-derived relaxing factors (EDRFs). In the presence of A23187, the relaxation to calcium was attenuated in intact rings but not in denuded rings, whereas calcium relaxation was not significantly altered by sodium nitroprusside. These observations suggest that the calcium-induced relaxation is reduced if EDRF has already been released by A23187. We conclude that, paradoxically, the same increase in extracellular Ca2+ concentration that causes an increase in endothelial intracellular calcium concentration ([Ca2+]i) to produce EDRF also results in membrane stabilization of the vascular smooth muscle cell to decrease [Ca2+]i and cause relaxation. These two mechanisms are additive in producing calcium relaxation in the intact artery.
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Wu et al. (1991) studied this question. Calcium was evaluated on Relaxation of vascular smooth muscle after contraction induced by 30 mM KCl. Calcium-induced relaxation of vascular smooth muscle is partly mediated by endothelium-derived relaxing factors and partly by membrane stabilization of the smooth muscle cell.
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