Coronary Tone Modulation: Formation and Actions of Prostaglandins, Endoperoxides, and Thromboxanes

American Association for the Advancement of Science (AAAS) - Tập 195 Số 4276 - Trang 409-412 - 1977
Philip Needleman1, Prasad S. Kulkarni1, Amiram Raz1
1Department of Pharmacology, Washington University Medical School, St. Louis, Missouri 63110

Tóm tắt

Exogenous prostaglandin (PGE 2 ) contracts bovine and human coronary arteries but its precursor, arachidonic acid, relaxes them. The endoperoxides PGH 2 and PGH 3 relax bovine coronary strips, but PGH 1 produces contraction. The primary prostaglandins exert opposite effects to their own endoperoxide precursors, thus, PGE 2 and PGE 3 contract, and PGE 1 relaxes the bovine coronary arteries. The paradoxical coronary dilation produced by the arachidonate or the PGH 2 suggest that little if any coronary isomerase which converts endoperoxide into PGE 2 exists, or that a novel, potent, PG-like substance is produced by the isolated coronary arteries. Although the coronaries do not possess thromboxane A 2 synthetase activity, the vessels are profoundly contracted by exogenous thromboxane A 2 . Thromboxane A 2 can be synthesized and released by circulating platelets when they are aggregated by endothelial injury or thrombin. Thus, coronary tone, and possible spasm, in ischemic myocardial zones may be influenced markedly by interplay between prostaglandins, endoperoxides, and thromboxane formed by platelets on the one hand, and endoperoxide products synthesized endogenously in the coronary arteries on the other.

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