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March 1, 1992Coronary Artery Disease

Effect of vasoactive intestinal peptide and the distribution of receptors in human epicardial coronary arteries

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Key result

Vasoactive intestinal peptide relaxes preconstricted human coronary segments by ~74% via specific receptors.

  • P<0.001
  • n=23

Why the study?

The role of vasoactive intestinal peptide (VIP) in the regulation of coronary vascular tone and its receptor distribution in human coronary arteries was unclear.

Population

97 segments of isolated human coronary arteries from 23 patients undergoing cardiac transplantation

Comparison

VIP vs specific receptor antagonist [4CI-D-Phe6, Leu17] VIP, atropine, indomethacin, and endothelium removal

Design

Preclinical study of isolated human coronary artery segments

Authors

TLThin N. LuuThe Royal Free HospitalMDMichael R. DashwoodThe Royal Free HospitalGOGregory S. O’NeilNovartis (Switzerland)

Discussion

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Implication

Suggests VIP modulates human coronary tone; leaves open its role in CAD or therapeutic targeting.

Structured PICO

P
Population
23 patients undergoing cardiac transplantation providing 97 isolated coronary artery segments for ex vivo analysis.
I
Intervention
Vasoactive intestinal peptide (VIP) (10^-10 to 3 x 10^-7 M)
C
Comparator
Specific receptor antagonist [4CI-D-Phe6, Leu17] VIP, atropine, indomethacin, and endothelium removal
O
Outcome
Coronary vascular tone (relaxation of preconstricted segments) and distribution of [125I]-VIP binding sitessurrogate

Main Result

Absolute Event Rate: 73.8% vs 38.9%

p-value: p=<0.001

Vasoactive intestinal peptide elicits endothelium-independent vasodilatation of human coronary arteries by acting on specific receptors on smooth muscle, suggesting a role in regulating coronary tone.

Cite This Study

Luu et al. (1992) studied Patients undergoing cardiac transplantation (n=23). Vasoactive intestinal peptide (VIP) vs. Specific receptor antagonist [4CI-D-Phe6, Leu17] VIP was evaluated on Maximum relaxation of preconstricted coronary segments (p=<0.001). Vasoactive intestinal peptide relaxed preconstricted human coronary segments (maximum response 73.8%), which was significantly reduced to 38.9% by a specific receptor antagonist (P<0.001).

synapsesocial.com/papers/6ab0eb34f6a7af7d2ec5a709https://doi.org/10.1097/00019501-199203000-00010
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Also Consider

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

  1. 1Direct Coronary Vasodilation Induced by Intracoronary Vasoactive Intestinal Peptide1990 · 23 citations
  2. 2Vasoactive intestinal peptide receptor subtypes and signalling pathways involved in relaxation of human stomach2006 · 11 citations
  3. 3Myocardial and gastrointestinal release of vasoactive intestinal peptide during experimental acute myocardial infarction1997 · 9 citations
  4. 4Mechanisms of vasoactive intestinal peptide-mediated vasodilation in human skin2004 · 75 citations
  5. 5Vasoactive Intestinal Peptide—Release from the Heart and Response in Heart Failure Due to Left Ventricular Pressure Overload2005 · 8 citations