Cohen R A
J Clin Invest. 1986 Feb;77(2):369-75. doi: 10.1172/JCI112314.
The purpose of this study was to determine the effect of vasoactive substances released by aggregating platelets on adrenergic neurotransmission in canine coronary arteries. Isometric tension was recorded in isolated ring segments of coronary artery denuded of endothelium and the release of [3H]norepinephrine was measured from strips of coronary artery preincubated with the radiolabeled transmitter. Transmural electrical field stimulation and exogenously added norepinephrine caused beta adrenergic relaxations of coronary rings contracted by prostaglandin F2 alpha. In coronary rings further contracted by the addition of aggregating platelets in numbers less than that present in blood, the response to electrical stimulation was inhibited and the sensitivity to norepinephrine reduced. Micromolar concentrations of adenosine diphosphate, adenosine triphosphate, and 5-hydroxytryptamine were released by platelets under these experimental conditions. The reduced response to electrical stimulation was in part due to inhibition of the stimulated release of [3H]-norepinephrine. The combination of the serotonergic antagonist, methiothepin, and the purinergic antagonist, theophylline, attenuated the inhibition of the responses of coronary rings; either antagonist alone failed to do so, but did significantly block the reductions caused by 5-hydroxytryptamine and adenosine diphosphate, respectively. In addition, only the combination of the two antagonists significantly attenuated the inhibition of norepinephrine release caused by platelets. These data suggest that both adenine nucleotides and 5-hydroxytryptamine are important mediators of the prejunctional and postjunctional inhibition of coronary beta adrenergic neurotransmission caused by platelets.
本研究的目的是确定聚集的血小板释放的血管活性物质对犬冠状动脉肾上腺素能神经传递的影响。在去除内皮的冠状动脉离体环段中记录等长张力,并从预先用放射性标记递质孵育的冠状动脉条带中测量[3H]去甲肾上腺素的释放。透壁电场刺激和外源性添加去甲肾上腺素可使由前列腺素F2α收缩的冠状动脉环产生β肾上腺素能舒张。在通过添加数量少于血液中血小板数量的聚集血小板而进一步收缩的冠状动脉环中,对电刺激的反应受到抑制,对去甲肾上腺素的敏感性降低。在这些实验条件下,血小板释放微摩尔浓度的二磷酸腺苷、三磷酸腺苷和5-羟色胺。对电刺激反应的降低部分归因于对[3H]去甲肾上腺素刺激释放的抑制。5-羟色胺拮抗剂美噻吨和嘌呤能拮抗剂茶碱的联合使用减弱了冠状动脉环反应的抑制;单独使用任何一种拮抗剂均无此作用,但分别显著阻断了5-羟色胺和二磷酸腺苷引起的反应降低。此外,只有两种拮抗剂的联合使用显著减弱了血小板对去甲肾上腺素释放的抑制。这些数据表明,腺嘌呤核苷酸和5-羟色胺都是血小板引起的冠状动脉β肾上腺素能神经传递的节前和节后抑制的重要介质。