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(Hypertension. 2004;44:618.)
© 2004 American Heart Association, Inc.
Editorial Commentaries |
From the Angiogenesis Research Laboratories, Department of Physiology and Biophysics, Center for Excellence in Cardiovascular-Renal Research, University of Mississippi Medical Center, Jackson.
Correspondence to Thomas H. Adair, Angiogenesis Research Laboratories, Department of Physiology and Biophysics, Center for Excellence in Cardiovascular-Renal Research, University of Mississippi Medical Center, 2500 North State St, Jackson, MS 33216-4505. E-mail Tadair@physiology.umsmed.edu
An extract of the first 250 words of the full text is provided, because this article has no abstract. |
The possibility that adenosine has an important role in cardiovascular function was introduced 75 years ago when Drury and Szent-Gyorgyi1 found that extracts from heart and other tissues produced vasodilation, hypotension, bradycardia, and a decrease in atrioventricular conduction velocity. In the early 1960s, Berne et al2 proposed the so-called retaliatory metabolite concept in which hypoxic tissues produce adenosine from ATP, and the adenosine in turn functions to restore a balance between oxygen demand and oxygen supply by causing vasodilation and increased blood flow. This has been shown to be true for heart, brain, and skeletal muscle in several different species.2 Adenosine thus serves as a negative feedback signal to maintain tissue oxygenation within a normal range.
Mounting evidence suggests that adenosine may also have a long-term role to increase tissue oxygenation by stimulating the growth of blood vessels. Physiological concentrations of adenosine or adenosine agonists cause a dose-related increase in the proliferation of endothelial cells obtained from bovine aorta,3 bovine coronary venules,3 and human umbilical veins,4,5 but they have no effect on the proliferation of human fibroblasts4 and rat myocardial myoblasts.5 Also, raising endogenous levels of adenosine by inhibition of adenosine kinase can stimulate the proliferation of human endothelial cells obtained from umbilical veins.5 Adenosine stimulates angiogenesis in the body and chorioallantoic membrane of the chick embryo and could mediate a portion of the hypoxia-induced angiogenesis in the same tissues.6 Early work has also shown that prolonged infusion of adenosine induces angiogenesis in rabbit heart and skeletal muscle.7 That adenosine
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