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Hypertension. 1999;33:689-693

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(Hypertension. 1999;33:689-693.)
© 1999 American Heart Association, Inc.


Scientific Contributions

Role of Nitric Oxide–cGMP Pathway in Adrenomedullin-Induced Vasodilation in the Rat

Hiroshi Hayakawa; Yasunobu Hirata; Masao Kakoki; Yasuko Suzuki; Hiroaki Nishimatsu; Daisuke Nagata; Etsu Suzuki; Kazuya Kikuchi; Tetsuo Nagano; Kenji Kangawa; Hisayuki Matsuo; Tsuneaki Sugimoto; Masao Omata

Correspondence to Yasunobu Hirata, MD, The Second Department of Internal Medicine, Faculty of Medicine, University of Tokyo 7-3-1 Hongo, Bunkyo-ku, Tokyo 113, Japan. E-mail hirata-2im{at}h.u-tokyo.ac.jp

Abstract—We previously reported that adrenomedullin (AM), a potent vasodilator peptide discovered in pheochromocytoma cells, stimulates nitric oxide (NO) release in the rat kidney. To further investigate whether the NO-cGMP pathway is involved in the mechanisms of AM-induced vasodilation, we examined the effects of E-4021, a cGMP-specific phosphodiesterase inhibitor, on AM-induced vasorelaxation in aortic rings and perfused kidneys isolated from Wistar rats. We also measured NO release from the kidneys using a chemiluminescence assay. AM (10-10 to 10-7 mol/L) relaxed the aorta precontracted with phenylephrine in a dose-dependent manner. Denudation of endothelium (E) attenuated the vasodilatory action of AM (10-7 mol/L AM: intact (E+) -25.7±5.2% versus denuded (E-) -7.8±0.6%, P<0.05). On the other hand, pretreatment with 10-8 mol/L E-4021 augmented AM-induced vasorelaxation in the intact aorta (-49.0±7.9%, P<0.05) but not in the denuded one. E-4021 also enhanced acetylcholine (ACh)-induced vasorelaxation in the rat intact aorta (10-7 mol/L ACh -36.6±8.4% versus 10-8 mol/L E-4021+10-7 mol/L ACh -62.7±3.1%, P<0.05). In perfused kidneys, AM-induced vasorelaxation was also augmented by preincubation with E-4021 (10-9 mol/L AM -15.4±0.6% versus 10-8 mol/L E-4021+10-9 mol/L AM -23.6±1.2%, P<0.01). AM significantly increased NO release from rat kidneys ({Delta}NO: +11.3±0.8 fmol · min–1 · g–1 kidney at 10-9 mol/L AM), which was not affected by E-4021. E-4021 enhanced ACh-induced vasorelaxation (10-9 mol/L ACh -9.7±1.7% versus 10-8 mol/L E-4021+10-9 mol/L ACh -18.8±2.9%, P<0.01) but did not affect ACh-induced NO release from the kidneys. In the aorta and the kidney, 10-4 mol/L of NG-nitro-L-arginine methyl ester, an NO synthase inhibitor, and 10-5 mol/L of methylene blue, a guanylate cyclase inhibitor, reduced the vasodilatory effect of AM. These results suggest that the NO-cGMP pathway is involved in the mechanism of AM-induced vasorelaxation, at least in the rat aorta and kidney.


Key Words: adrenomedullin • nitric oxide • cyclic GMP • endothelium • phosphodiesterase inhibitors • rats




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