Hypertension, Vol 23, 581-586, Copyright © 1994 by American Heart Association
RR Wenzel, G Noll and TF Luscher
Endothelin is a potent vasoconstrictor peptide produced by endothelial
cells, but its role in physiology and disease is uncertain. We investigated
the influence of the endothelin-A-selective receptor antagonist PD 147953
and the nonselective endothelin receptor antagonist PD 145065 on the
effects of endothelin-1 and endothelin-3 in the skin microcirculation of
healthy volunteers, using laser Doppler flowmetry. A double injection model
was developed, allowing simultaneous injection of two substances, ie,
agonist and antagonist or saline. The injection of saline led to a
well-defined vasodilation at the injection site (maximum increase, from 19
+/- 2 to 97 +/- 15 perfusion units at 6 minutes; P < .001; n = 10).
Endothelin-1 (10(-12) mol) decreased blood flow (difference from saline
control, -79 +/- 14 perfusion units; P < .001; n = 11) within the
injection wheal (diameter, 4 to 5 mm), while endothelin-3 had no effect. In
the surrounding area (at 8 mm from the injection site), both endothelin-1
(+116 +/- 32 perfusion units; P < .001; n = 11) and endothelin-3 (+59
+/- 16 perfusion units; P < .001; n = 11) markedly increased blood flow.
Both endothelin receptor antagonists slightly increased blood flow (maximum
difference from control, +56 +/- 18 [PD 147953] and +31 +/- 10 [PD 145065]
perfusion units; P < .05; n = 8) and inhibited endothelin-1-induced (P
< .01) vasoconstriction. The vasoconstriction to norepinephrine was not
affected by the endothelin antagonist PD 147953. Endothelin-1- and
endothelin-3-induced vasodilation in the surrounding area were also
inhibited by both endothelin antagonists or by lidocaine.(ABSTRACT
TRUNCATED AT 250 WORDS)
ARTICLES
Endothelin receptor antagonists inhibit endothelin in human skin microcirculation
Division of Cardiology, University Hospital, Inselspital, Bern, Switzerland.
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