Articles |
From the Institut National de la Santé et de la Recherche Médicale (INSERM), Unit 141, IFR "Circulation Lariboisière," Paris, France.
Correspondence to Dr Bernard Lévy, INSERM Unit 141, Hôpital Lariboisière, 75010 Paris, France.
| Abstract |
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Key Words: ACE inhibitor angiotensin AT1 receptor flow wall artery in vitro isolated carotid artery
| Introduction |
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| Methods |
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100 mm Hg) was maintained
within an isolated segment of carotid artery (20 to 23 mm long). The
two cannulae were then clamped into a crossbar with two adjustable
clamps that maintained the artery at its in vivo length and prevented
shortening on excision. Removed carotid artery segments always
pressurized were then immersed in a bath containing Tyrode's solution
(pH 7.4, 95% O2/5% CO2,
38°C). The isolated carotid artery was introduced into a closed
hydraulic system and connected to a manometer pressurized to 100
mm Hg; to a peristaltic pump (Minipuls M312, Gilson), which can
deliver a controlled nonpulsatile flow; and to a three-port reservoir
filled with a controlled-pH albumin Tyrode's solution (Fig 1
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Measurement of Arterial Diameter
Changes in the carotid artery diameter due to changes in
transmural pressure were determined with an ultrasonic echo-tracking
microdimensiometer (12 MHz) (Application Electronique Montreuil), which
allowed continuous measurement of the arterial diameter.
The arterial diameter was determined from the transit time
of the pair of echoes given by the proximal and distal walls. This
method allowed us to measure arterial diameter from 500 to
2000 µm, with an accuracy of measurement of more than 10 µm.
The isolated artery segment was first exposed to a pressure of 25 mm Hg for 5 minutes, and the diameter of the vessel was recorded. The artery then received stepwise increases in pressure of 25 mm Hg, from 25 to 200 mm Hg. Each pressure level was maintained for 5 minutes before the arterial diameter was noted. With the use of the diameter measurement at each pressure level, a pressurediameter relation was constructed for each carotid segment.
In preliminary experiments, we tested the stability and reproducibility of our experimental model. Under control conditions, 20 minutes after installation of the segment of carotid artery into the experimental system, the diameter of the carotid maintained at a transmural pressure of 100 mm Hg remained unchanged for at least 2 hours, ie, longer than the duration of the experiments. Therefore, the effects of the tested pharmacological agents and of mechanical deendothelialization cannot be interpreted as a time effect on the experimental preparation.
Experimental Design
The basic experimental design consisted of the measurement of
the carotid diameter under control conditions after ACE I or
AT1A and then after total abolition of smooth muscle tone
by KCN poisoning. The procedure was applied to both WKY and SHR.
Experimental conditions combining Fo or F+ conditions and intact or
damaged endothelium were performed in groups of 10 SHR
and 10 WKY.
Isolated carotid arteries from WKY (n=80) and SHR (n=80) were randomized into two groups: half were studied under Fo conditions (WKY, n=40; SHR, n=40), and half were perfused at a constant flow of 2 mL/min (F+) (WKY, n=40; SHR, n=40).
Each group of arteries (Fo and F+) was divided into two subgroups: arteries with intact endothelium (Endo+) and arteries with removed endothelium (Endo-).
In the first group (Endo+: WKY, n=20; SHR, n=20), diameter measurements were recorded under control conditions (Endo+) and after intraluminal incubation for 20 minutes with a nonsulfhydryl-containing ACE I (lisinopril, 10-6 mol/L) (Endo+/ACE I) or with a specific antagonist of AT1A (losartan, 10-6 mol/L) (Endo+/AT1A).8
In the second group (Endo-: WKY, n=20; SHR, n=20), after we recorded diameter measurements under control conditions (Endo+), the endothelium was removed. The artery was flushed, and diameters were measured 20 minutes after endothelium removal (Endo-) and then after 20 minutes of local incubation with lisinopril (10-6 mol/L) (Endo-/ACE I) or with losartan (10-6 mol/L) (Endo-/AT1A).
Finally, in all groups, the carotid segments were incubated with a saline solution of KCN (100 mg/L). The KCN solution was maintained in the vessel for 30 minutes, a period sufficient for total abolition of smooth muscle tone by poisoning of vascular smooth muscle cells, and the pressurediameter relation was determined as described. Results are expressed as percent of the maximal diameter obtained after KCN poisoning at 100 mm Hg in both strains.
Several additional series of experiments were performed under Fo conditions. First, to assess the possible role of cyclooxygenase and lipoxygenase pathways in the vascular tone, we used a cyclooxygenase inhibitor (indomethacin, 2.10-5 mol/L: WKY, n=5; SHR, n=5) and a 5-lipoxygenase inhibitor (REV 5901, 3.10-6 mol/L: WKY, n=5; SHR, n=5). Drugs were added intraluminally 20 minutes after ACE I incubation (lisinopril, 10-6 mol/L) in arteries with intact endothelium.
Second, to determine the possible role of bradykinin in the vasomotor tone after ACE inhibition, intact carotid arteries were incubated in the presence of a noncompetitive bradykinin B2 receptor antagonist (Hoe 140, 10-7 mol/L) for 20 minutes before (WKY, n=5; SHR, n=5) and after (WKY, n=5; SHR, n=5) the addition of the ACE I (lisinopril, 10-6 mol/L).
Last, we tested the local effect of captopril (10-6 mol/L), a sulfhydryl-containing ACE I, on the vasomotor tone of carotid arteries (WKY, n=5; SHR, n=5).
Solutions and Drugs
Tyrode's solution contained the following (in mmol/L): NaCl
137, KCl 2.68, CaCl2 1.8, MgCl2 0.526,
NaHCO3 11.9, NaH2PO4 0.333, and
glucose 5.56. Lisinopril, a nonsulfhydryl-containing ACE
I, and losartan were supplied by Zeneca Pharma and DuPont-Merck
Pharmaceuticals, respectively. Hoe 140 was a gift from Hoechst.
Captopril, a sulfhydryl-containing ACE I; purified bovine serum
albumin; indomethacin; acetylcholine; and
phenylephrine were purchased from Sigma Chemical Co, and
REV 5901 was purchased from Cayman Chemical Co.
Statistical Analysis
Values are given as mean±SEM. The experimental model allowed us
to use analysis of variance to provide evidence of differences
related to strains (WKY or SHR), to treatment (ACE I, AT1A,
or KCN), to endothelium conditions (Endo+ or Endo-),
and to flow (Fo or F+). Differences between groups were evaluated with
the use of Newman-Keuls test. Values of P<.05 were
considered significant.
| Results |
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Experiments Under No-Flow Conditions
Intact Endothelium
The pressurediameter relations obtained in WKY and SHR groups
with intact endothelium under control conditions
(albumin Tyrode's solution) (Endo+/control) are
presented in Fig 2
. The curves were
approximately sigmoid, concave to the diameter axis in the low-pressure
range (from 25 to 100 mm Hg), had an inflection point at intermediate
pressure values, and then changed concavity in the high-pressure range
(from 100 to 200 mm Hg). Two-way analysis of variance with
pressure and rat strain as tested factors showed that over the entire
range of pressure, the diameters of carotid arteries from SHR were
significantly larger than those from WKY (P<.05).
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KCN poisoning was used to determine the maximal diameter at each
pressure level. In both strains, KCN poisoning of vascular smooth
muscle cells induced a significant increase in the diameter of intact
carotid arteries (P<.001) (WKY, Fig 3A
; SHR,
Fig 3B
), indicating that the arterial smooth muscle exerted
a basal vasomotor tone that was capable of significantly opposing the
pressure-induced distension of the carotid artery. In previous
experiments, we ensured that local incubation with KCN for 1 hour did
not induce further relaxation. Under our experimental conditions,
sodium nitroprusside incubation induced arterial dilation
that was always less than or equal to but less stable than that
obtained after KCN incubation.
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Fig 4A
shows that under Fo control conditions (Endo+/Fo:
WKY, n=20; SHR, n=20 [albumin Tyrode's solution]), mean
carotid diameters measured at 100 mm Hg represented
78±1.4% and 82±1.2% of maximal values obtained after KCN poisoning
in WKY and SHR, respectively. This result indicates that the reserve of
diameter increase was significantly larger in WKY than in SHR
(P<.01), even though absolute mean carotid diameters after
KCN poisoning were significantly higher in SHR (1406±17 µm) than in
WKY (1366±37 µm) (P<.01).
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In intact carotid arteries (Endo+/Fo) (Fig 4A
), local incubation with
ACE I (WKY, n=10; SHR, n=10) or AT1A (WKY, n=10; SHR, n=10)
induced significant (P<.001) and similar dilations in both
strains (WKY, 14±0.3% and 14±0.5%; SHR, 14±0.6% and 16±0.7%,
respectively), but diameters remained significantly lower than those
obtained after KCN poisoning in both strains (P<.001).
Damaged Endothelium
In both WKY and SHR, removal of the endothelium
(Endo-/Fo: WKY, n=20; SHR, n=20) (Fig 4B
) induced significant
relaxations (WKY, 8±1.1%; SHR, 13±0.8%; P<.001).
Diameters in deendothelialized vessels remained
significantly lower than those obtained after KCN poisoning
(P<.001). Increases in diameter after
endothelium removal were significantly larger in SHR
than in WKY (P<.001).
In deendothelialized carotid arteries from both WKY and SHR, ACE I incubation (WKY, n=10; SHR, n=10) had no effect on the arterial diameter. In contrast, local incubation with AT1A (WKY, n=10; SHR, n=10) induced a further significant increase in carotid diameters compared with that obtained after endothelial removal (WKY, 4±0.4%; SHR, 3±0.6%; P<.01).
Experiments Under Flow (2 mL/min) Conditions
Intact Endothelium
Perfusion of intact carotid arteries at a constant flow of 2
mL/min (Endo+/F+: WKY, n=20; SHR, n=20) significantly increased the
diameter in WKY by 7±0.5% compared with Fo conditions (Endo+/Fo)
(P<.001) but had no significant effect (1±0.2%) in SHR
(Fig 5A
).
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The maximal dilation obtained after KCN poisoning in both strains was not influenced by flow in intact or deendothelialized arteries (compared with the control diameter Endo+/Fo: WKY, 23±0.9%, P<.001; SHR, 19±0.8%, P<.001).
Local perfusion of carotid arteries with ACE I (WKY, n=10; SHR, n=10)
or AT1A (WKY, n=10; SHR, n=10) induced further
significant dilations in both strains (Fig 5A
) (WKY: 4±0.8%,
P<.01, and 6±0.5%, P<.01, respectively; SHR:
7±0.4%, P<.001, and 6±0.7%, P<.001,
respectively). In both strains, there was no significant difference
between diameters obtained after either ACE I or AT1A
incubation. However, because flow did not increase the diameter in SHR,
the carotid dilation induced by ACE I or AT1A was
significantly greater in SHR than in WKY (P<.01).
Damaged Endothelium
Perfusion had no effect on the diameter obtained after
endothelium removal in either strain (WKY, n=20; SHR,
n=20) (Fig 5B
), indicating the absence of flow-dependent dilation in
deendothelialized carotid arteries.
In perfused deendothelialized vessels (Fig 5B
),
the addition of ACE I (WKY, n=10; SHR, n=10) or AT1A (WKY,
n=10; SHR, n=10) had no effect on the diameter in either WKY or
SHR.
Additional Control Experiments Under No-Flow
Conditions
Effect of Inhibition of Cyclooxygenase and
5-Lipoxygenase
In both strains, the combination of indomethacin
(WKY, n=5; SHR, n=5) or REV 5901 (WKY, n=5; SHR, n=5) with ACE I did
not modify the vasomotor effect of the ACE I alone. In WKY, the carotid
diameter was 1272±18 µm after incubation with ACE I alone, 1281±21
µm after incubation with indomethacin and ACE I, and
1276±14 µm after incubation with REV 5901 and ACE I. In SHR, the
diameter after incubation with ACE I alone was 1339±26 µm, 1342±21
µm after incubation with indomethacin and ACE I, and
1329±18 µm after incubation with REV 5901 and ACE I.
Effect of Bradykinin B2 Receptor Antagonist
(Hoe 140)
In both strains, Hoe 140 did not significantly modify diameters
measured after incubation of intact arteries with ACE I alone (WKY,
1210±22 µm after ACE I [n=5] and 1207±21 µm after ACE I plus
Hoe 140 [n=5]; SHR, 1323±11 µm after ACE I [n=5] and 1325±12
µm after ACE I plus Hoe 140 [n=5]).
Effect of a Sulfhydryl-Containing ACE Inhibitor
(Captopril)
In both strains (WKY, n=5; SHR, n=5), there was no significant
difference between carotid diameters obtained after incubation with
captopril or lisinopril (WKY, 1245±22 µm after
lisinopril incubation and 1253±26 µm after captopril
incubation; SHR, 1348±19 µm after lisinopril incubation
and 1329±24 µm after captopril incubation).
| Discussion |
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Under control conditions (albumin Tyrode's solution), the carotid diameter was significantly larger in SHR than in WKY. This is in agreement with previous in vivo findings regarding carotid artery diameter from normotensive rats and SHR10 and with results obtained in normotensive and hypertensive patients.11 Poisoning of smooth muscle cells by KCN at all pressures induced significant increases in diameter, indicating the important contribution of smooth muscle cells in the control of arterial diameter. This contribution is even more important in small than in large arteries.12 Resistance arterioles have been shown to have a greater ability to dilate and constrict than large conduit arteries.13
Role of RAS in Intact Arteries
Under Fo conditions, inhibition of ACE with an ACE I and blockade
of Ang II AT1 receptors with a specific AT1A,
losartan, induced in both strains marked and similar dilations
of carotid arteries. However, the dilations were smaller than those
obtained after KCN poisoning, indicating that there was still a
significant reserve of carotid dilation in both strains. Several
studies have reported that under F+ conditions, NO contributes to the
vasodilation evoked by an ACE I via the decrease of bradykinin
degradation.14 15 However, the addition of Hoe 140, an
antagonist of bradykinin B2
receptors,16 did not modify the dilation observed after
incubation with the ACE I alone, suggesting a minor role of bradykinin
in the dilation induced by ACE I under our experimental Fo conditions.
Moreover, the ACE Iinduced dilation was not specific to the ACE I
used; in both strains, no difference was observed between the effects
of captopril or lisinopril on the carotid diameters.
Exposing isolated vessels to physiological flow induced significant dilation of carotid arteries from normotensive rats, which is in agreement with previous findings showing the existence of flow-dependent dilations in large arteries.13 17 This flow-dependent dilation was mediated by the endothelium, since it was abolished after endothelial removal in WKY. Flow-related shear stress is known to induce the release of vasodilating endothelial mediatorsin particular, NOin endothelial cell cultures as well as in perfused arteries from normotensive animals.18 19 However, in the present study, flow did not significantly modify the arterial diameter of isolated carotid arteries from SHR. In essential hypertension, endothelium-dependent vasodilation in response to acetylcholine has been reported to be altered.20 Koller and Huang21 reported that in response to perfusate flow, arterioles of SHR exhibited reduced dilation compared with normotensive rats. Likewise, we reported that the flow-dependent dilation was markedly reduced in conductance mesenteric arteries from SHR.22 However, flow-dependent vasodilation has been found intact in the forearm circulation of hypertensive subjects, although the response to acetylcholine was diminished.23
Incubation of isolated carotid arteries with ACE I and AT1A induced smaller dilations under F+ conditions than under Fo conditions. This was probably due to the fact that the initial diameter values were already increased by flow. However, under F+ and Fo conditions, vasodilation induced by either ACE I or AT1A was similar in WKY and SHR. Taken together, these results suggest that the RAS plays a role in maintaining the basal vasomotor tone of the carotid arterial wall and the observed dilation after ACE I may be related to a direct action on the Ang II formation, not to a decrease in degradation of bradykinin by ACE I. Furthermore, our results suggest that the vessel wall, in the absence of exogenous substrates of the RAS, is capable of generating Ang II, whose formation or action can be inhibited by an ACE I or a specific AT1A, respectively. Although this issue remains controversial, a complete RAS has been described within the vessel wall.2 3 Prorenin mRNA has been found to be present in endothelial and vascular smooth muscle cells.24 Angiotensinogen mRNA has been detected in the media and adventitia of the rat aorta.25 26 However, evidence for translation of this mRNA into active products remains elusive. It has also been postulated that renin in vascular tissue is taken up from plasma.27 28 The experiments in the present study did not allow us to determine whether renin and angiotensinogen shown to be in the vascular wall were either synthesized locally or previously taken up from plasma and stored in the wall to generate Ang II in the tissue.
Role of RAS After Endothelium Removal
Endothelial cells modulate underlying vascular
smooth muscle tone by releasing endothelium-derived
relaxing factors and endothelium-derived contracting
factors.29 In the present study, under Fo conditions,
endothelium removal induced significant increases in
carotid diameter in both strains, showing that in intact carotid
arteries the endothelium exerted a predominant
vasoconstrictive tone in both WKY and SHR. Furthermore,
the increase in diameter after endothelium removal was
markedly larger in SHR than in WKY, suggesting that the
endothelium of SHR secretes more
vasoconstrictive agents than that of WKY. In earlier
studies, production of constricting endothelial
factors was observed in arteries obtained from both
SHR30 31 and WKY.32 Several studies have
shown that arachidonic acid caused
endothelium-dependent contractions in canine femoral
and pulmonary veins,33 canine basilar
arteries,34 and rabbit aorta,35 blocked by
the cyclooxygenase inhibitor
indomethacin. In the present study, rat carotid
dilation induced by ACE I was not affected by
indomethacin or by REV 5901, a
5-lipoxygenase inhibitor, suggesting that
neither prostaglandin nor leukotriene pathways play
a significant vasoconstrictive role under our
experimental conditions.
After endothelium removal, ACE I no longer had an effect on the carotid diameter in either strain. Therefore, pharmacological inhibition of ACE by ACE I and mechanical removal of the endothelium, which is known to contain most of the ACE, appeared to have similar effects on the local formation of Ang II, probably through the inhibition of conversion of Ang I to Ang II, and thus on the carotid smooth muscle tone. In both strains, after endothelium removal, incubation with AT1A had a small but significant relaxing effect. Recently, Arnal et al36 described the location of ACE in medial and adventitial layers of the vascular wall. Indirect evidence for the presence of converting enzyme in vascular smooth muscle is supported by studies with [3H]captopril,37 in which specific binding was found in the intima and adventitia of aortic wall, with little binding in the media. Moreover, André et al38 found that in response to Ang I, endothelium-denuded rat aortic rings contract and intracellular Ca2+ concentration increases in primary cultures of vascular smooth muscle cells free of endothelial cells, suggesting extraendothelial conversion of Ang I to Ang II. On the contrary, Gohlke et al,39 with an in vitro model of thoracic rabbit aorta, reported that removal of the aortic endothelium before intraluminal incubation with Ang I completely abolished the conversion of Ang I to Ang II. Therefore, the evidence that ACE exists in smooth muscle cells of the whole vessel wall and that it has sufficient activity to exert a physiological role in Ang II generation remains controversial. In the present study, incubation of deendothelialized arteries with an AT1A induced a further relaxation compared with endothelium removal or with ACE I conditions. This can be accounted for by the presence of a residual quantity of Ang II displaced by the AT1A. It might also be due to the existence of a nonACE-dependent Ang II generation pathway, revealed by the AT1 receptor blockade.
In conclusion, the present study suggests that (1) the endothelium of carotid artery exerts a basal vasoconstrictor action that is larger in SHR than in WKY. This larger vasoconstrictor role of endothelium in SHR might be related to a relative insensitivity of carotid artery to flow in hypertensive rats, (2) all compounds of the RAS might be present in the wall of the excised carotid artery, and (3) inhibition of Ang II formation, and not degradation of bradykinin, could be primarily responsible for the relaxing effect of ACE I on smooth muscle cell tone of in vitro intact carotid artery.
| Selected Abbreviations and Acronyms |
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| Acknowledgments |
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Received May 2, 1994; accepted April 11, 1995.
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P. M. H. Schiffers, D. Henrion, C. M. Boulanger, E. Colucci-Guyon, F. Langa-Vuves, H. van Essen, G. E. Fazzi, B. I. Levy, and J. G. R. De Mey Altered Flow-Induced Arterial Remodeling in Vimentin-Deficient Mice Arterioscler. Thromb. Vasc. Biol., March 1, 2000; 20(3): 611 - 616. [Abstract] [Full Text] [PDF] |
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K. Matrougui, L. Loufrani, C. Heymes, B. I. Levy, and D. Henrion Activation of AT2 Receptors by Endogenous Angiotensin II Is Involved in Flow-Induced Dilation in Rat Resistance Arteries Hypertension, October 1, 1999; 34(4): 659 - 665. [Abstract] [Full Text] [PDF] |
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G. Marano, M. Grigioni, S. Palazzesi, and A. U Ferrari Endothelin and mechanical properties of the carotid artery in Wistar-Kyoto and spontaneously hypertensive rats Cardiovasc Res, March 1, 1999; 41(3): 701 - 707. [Abstract] [Full Text] [PDF] |
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M. E. Safar, G. M. London, R. Asmar, and E. D. Frohlich Recent Advances on Large Arteries in Hypertension Hypertension, July 1, 1998; 32(1): 156 - 161. [Abstract] [Full Text] [PDF] |
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B. H. R. Wolffenbuttel, C. M. Boulanger, F. R. L. Crijns, M. S. P. Huijberts, P. Poitevin, G. N. M. Swennen, S. Vasan, J. J. Egan, P. Ulrich, A. Cerami, et al. Breakers of advanced glycation end products restore large artery properties in experimental diabetes PNAS, April 14, 1998; 95(8): 4630 - 4634. [Abstract] [Full Text] [PDF] |
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R. Joannides, V. Richard, W. E. Haefeli, A. Benoist, L. Linder, T. F. Luscher, and C. Thuillez Role of Nitric Oxide in the Regulation of the Mechanical Properties of Peripheral Conduit Arteries in Humans Hypertension, December 1, 1997; 30(6): 1465 - 1470. [Abstract] [Full Text] |
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K. Matrougui, J. Maclouf, B. I. Levy, and D. Henrion Impaired Nitric Oxide– and Prostaglandin-Mediated Responses to Flow in Resistance Arteries of Hypertensive Rats Hypertension, October 1, 1997; 30(4): 942 - 947. [Abstract] [Full Text] |
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D. Henrion, J. Benessiano, and B. I. Levy In Vitro Modulation of a Resistance Artery Diameter by the Tissue Renin-Angiotensin System of a Large Donor Artery Circ. Res., February 1, 1997; 80(2): 189 - 195. [Abstract] [Full Text] |
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D. Henrion, F. J. Dowell, B. I. Levy, and J.-B. Michel In Vitro Alteration of Aortic Vascular Reactivity in Hypertension Induced by Chronic NG-Nitro-L-Arginine Methyl Ester Hypertension, September 1, 1996; 28(3): 361 - 366. [Abstract] [Full Text] |
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L. Caputo, J. Benessiano, C. M. Boulanger, and B. I. Levy Angiotensin II Increases cGMP Content Via Endothelial Angiotensin II AT1 Subtype Receptors in the Rat Carotid Artery Arterioscler. Thromb. Vasc. Biol., October 1, 1995; 15(10): 1646 - 1651. [Abstract] [Full Text] |
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