Articles |
From the Department of Biophysics, University of Rochester (NY).
Correspondence to Mary D.S. Frame, PhD, Department of Biophysics, University of Rochester Medical Center, 601 Elmwood Ave, Rochester, NY 14642.
| Abstract |
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1400 µm away) were preexposed.
With exposure order downstream to upstream, diameter change was last
branch, -3.8±1.5% (of baseline); third, +58.1±27%; first,
+92±26% (n=5); with exposure order upstream to downstream: first
branch, -0.4±3%; third, +5±11%; last, -5.6±7.5% (n=4). Thus,
downstream preexposure to L-arginine altered the
responsivity upstream to locally applied L-arginine.
Downstream-applied L-arginine also induced a conducted
vasodilation (+17.8±2.8%; n=14) 1327±166 µm upstream. This
response was completely blocked by simultaneous sucrose
(600 mOsm), halothane (0.0345%), or
N
-nitro-L-arginine (L-NNA, 100
µmol/L) exposure to the feed vessel (second micropipette) midway
between the downstream site of L-arginine exposure and the
upstream observation site. An acetylcholine-induced conducted
vasodilation (+18.1±2.6%, n=8) was also completely blocked by
sucrose, halothane, or L-NNA. The change in responsivity upstream to
locally applied L-arginine was not seen in the absence of a
conducted vasodilation or when the conducted signal pathway was blocked
after the conducted vasodilation was observed, and it could be
triggered by a conducted response to acetylcholine as well as to
L-arginine. Thus, the change in local responsivity upstream
requires an ongoing conducted signal from downstream. Conducted signals
likely play a dynamic role in the regulation of vascular responsivity
within a defined microvascular region.
Key Words: conducted response gap junction vascular communication flow regulation
| Introduction |
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Flow distribution is likewise spatially predictable at the microvascular level, with more cell flow traveling into the upstream branches of a transverse feed arteriole compared with the downstream branches of the same vessel.3 10 Inhibition of both L-arginine and prostaglandin pathways significantly disrupts this spatially organized cell flow distribution.3 These observations suggest that the control of spatial differences in microvascular response and in flow distribution might be linked to L-arginine and/or prostaglandin metabolism.
We undertook the present study to determine whether a mechanism linked to L-arginine is involved in vascular communication. L-Arginine and prostaglandin pathways are each well-documented dilatory mechanisms.11 12 13 14 15 We chose to study L-arginine because preliminary experiments had suggested that it was involved in relaying information between downstream and upstream locations. We show that L-arginine exposure at a downstream site initiates conducted signals that control arteriolar responses upstream in two ways. First, L-arginine applied downstream by micropipette initiates a conducted vasodilation upstream, without inducing a local dilation at the downstream site of L-arginine exposure. Second, the ability of the upstream site to respond to L-arginine is significantly altered after downstream preexposure to L-arginine or acetylcholine. After the conducted vasodilation, a significant and persistent dilation to locally applied L-arginine is obtained at the upstream site; this action is not observed before the conducted response.
| Materials and Methods |
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Observation Site
The observation site was a transverse (feed) arteriole and its
branches (Fig 1
). This site was located in each preparation as
described previously.1 16 17 The mean (±SD) interbranch
lengths and the total length of the feed vessel are given in Fig 1
.
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Experimental Protocol
During a 60-minute stabilization period, the presence of
vasoactive tone (brisk dilation to topical 10-4 mol/L
adenosine) and oxygen sensitivity (constriction to 10% oxygen,
equilibrated in the superfusate) was confirmed in three
arterioles (two randomly chosen arterioles and one at the test
site).
In all experiments, micropipettes were used to apply pharmacological agents to the external surface of localized areas of small arterioles, as described previously.1 3 The micropipette was placed within 15 to 25 µm of the vessel wall. The arteriolar diameter was recorded continuously for 5 minutes after initial pipette placement to verify a stable baseline diameter and then continuously during a 5-minute exposure to the pipette contents, and for 5 minutes after to verify vessel recovery. Flow out of the pipette was achieved by raising the driving pressure within the micropipette from -2 to +30 cm H2O by switching between two separate manometer reservoirs. The calculated concentration at the vessel wall is one half of the concentration in the pipette, as described previously.1 A tracer of 100 µmol/L FITC-dextran (4000 mol wt, Sigma Chemical Co) was added to each of the pipette solutions, and brief epifluorescence was used to verify exposure of the arteriole to the pipette contents; care was taken with pipette placement to ensure that only the test arteriole was exposed. Exposure of arterioles to control superfusate from the pipette produces diameter changes of <5%.1 3
Washout and Diffusion Times
To estimate the time from initial downstream
L-arginine exposure until the onset of conducted dilation
upstream, we estimated the times for pipette washout and for diffusion
from the pipette flow stream to the arteriole. The holding pressure in
the pipette was negative (-2 cm H2O, ie, the
superfusate was sucked into the pipette tip). The time from
when the pressure in the pipette was switched to +30 cm H2O
until verification of flow out of the pipette by
epifluorescence of the FITC was 5 to 7 seconds (washout
time). The pipette contents were observed to flow across the arteriole,
but this flow path was a stream within the flowing
superfusate,
15 to 25 µm above the test arteriole. The
distance from the pipette to the vessel, usually between 15 and 25
µm, and the diffusion coefficient of 10-6
cm2/s yielded diffusion times to the arteriole of
2.25 seconds or 6.25 seconds. Thus, the minimum delay time was 7 to 10
seconds from the time the manometer was switched to the
high-pressure reservoir until the arteriole could first be exposed
to the pipette contents. Thus, the responses we observed were too fast
to be due to diffusion from the pipette to the observation site (
430
minutes over a distance of 1600 µm), and the pipette contents flowed
in the wrong direction for the response to be due to convection, as
verified by the FITC flow path.
Protocol 1: Local Responses
Individual branch arterioles were exposed to
L-arginine (100 µmol/L pipette concentration) and the
response of that branch was observed. The first, third, and last branch
arterioles were tested sequentially in the same preparation,
alternating the exposure sequence to start either upstream or
downstream; each vessel was exposed only once. The same pipette was
used to apply L-arginine to each arteriole in a single
preparation. In additional experiments, either the first or last branch
was tested in a single preparation. The vessel was exposed three times;
the pipette was raised and then lowered between exposures to parallel
the sequence of pipette relocation used above.
Protocol 2: Conducted Vasoregulation
While observing the first branch, a downstream branch was
exposed to L-arginine, D-arginine, or
acetylcholine (100 µmol/L pipette concentration for each). After the
first minute, the downstream exposure site was briefly observed to
verify exposure. Following the recovery period, the same pipette was
moved and used upstream. The first branch was then exposed to the
pipette contents and observed. Thus, both the conducted and upstream
local responses were obtained for the same animal in each preparation.
Alternately, the upstream site was exposed to L-arginine
(100 µmol/L pipette concentration) and the downstream site was
observed to evaluate the directionality of the conducted response.
Inhibitors of Conducted Signals
A second pipette was placed midway between the downstream
exposure site and the upstream observation site. This pipette contained
high-osmolar sucrose (control suffusate plus sucrose to equal 600
mOsm), halothane (0.0345%), or adenosine (10-4
mol/L as a control for the local effect of the inhibitors).
(Adenosine does not interfere with conducted
responses,19 while high-osmolar sucrose and halothane
are nonspecific inhibitors of gap junction
signals.20 21 ) The middle of the feed vessel was exposed
to sucrose, halothane, or adenosine for 5 minutes before
downstream exposure to L-arginine or (separately)
D-arginine. Flow out of this middle pipette was verified,
and the local response to the blocker was obtained. Protocol 2 was
completed first with and then without exposure to the blockers, with a
washout period of 10 minutes. In preliminary experiments, 10 minutes
was sufficient to demonstrate recovery from sucrose or halothane and
observe a conducted response to acetylcholine. We also tested whether a
specific inhibitor of L-arginine could block
these responses by using a 5-minute preexposure to
N
-nitro-L-arginine (L-NNA, 100
µmol/L pipette concentration) in experiments with either
L-arginine or acetylcholine. For the experiments with
L-NNA, Protocol 2 was performed first without and then with L-NNA,
because preliminary observations indicated that recovery from L-NNA was
inconsistent.
Measurements
Vessel diameter (µm) was measured continuously from the
recorded image with a modified video caliper (Colorado Video)
calibrated with a videotaped stage micrometer and
recorded on either a Kipp and Zonen chart recorder or computer
disk using a video software program (Dataq Instruments, Inc). Diameter
measurements were reproducible to ±0.6 µm, which is 1% to 2% of
the diameter. Distances (µm) between branches and from the exposure
site to observation site were measured on sequential video fields.
Calculations
As a criterion for stability of each preparation, the baseline
diameter was determined for the 5-minute baseline period. Only
preparations in which the diameter did not change by more than 5%
during this time period were used for analyses; 3 of 56
preparations were discarded using this criterion. The baseline diameter
used for a reference was the average diameter during the 2-minute
interval before exposure to pipette contents. The test diameter was the
peak diameter during exposure to pipette contents; for the conducted
responses this was limited to the peak diameter during the first 60
seconds of exposure. The diameter change (response) was calculated as
the percent change in diameter from baseline: [(test
diameter-baseline diameter)/baseline diameter]x100.
Statistical Analyses
The calculated values were pooled by position and test condition
to determine the population means and standard errors (SEM), and n is
indicated in the figures, tables, or text. Statistical analyses
evaluated whether the mean of the response for an individual protocol
represented a significant change from baseline by
t tests, as appropriate.22 For all statistics,
differences were considered significant at P
.05.
| Results |
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This change in responsivity was specific for the biologically active L-isomer, as D-arginine had no effect. After preexposure of the last branch to D-arginine, the local response of the first branch to D-arginine was -3.4±3.7% (n=3). Furthermore, the change in responsivity upstream was not due to multiple exposures of the tissue to L-arginine, because repeated exposure of the first branch did not induce a dilation at the first branch (first exposure, -1.0±6.3%; second exposure, -0.7±5.6%; third exposure, -7.2±6%; n=4). Likewise, repeated exposure of the last branch did not induce a dilation at the last branch (first exposure, -5.3±7%; second exposure, +0.6±3%; third exposure, +1.3±8%; n=4). Therefore, this unidirectional response required preexposure of a downstream branch to elicit a persistent change in the responsivity upstream, indicating communication between the downstream and upstream locations.
L-Arginine Induces a Unidirectional Conducted
Vasodilation
L-Arginine was applied downstream while viewing the
first branch, a distance of 1327±166 µm upstream (n=14). The peak
dilation at the first branch was +17.8±2.8%, a significant dilation
from the baseline diameter of 14.1±1.6 µm. The onset of this
dilation was 11.8±1.1 seconds after the pipette delivery was
initiated, ie, faster than diffusion (see "Materials and
Methods"). Fig 3
shows a conducted dilation to
L-arginine from a single experiment. An initial dilation
usually lasted 20 to 30 seconds from onset to recovery; a similar
response was observed in the first branch and second branches and feed
vessel segments associated with them. In some preparations there was a
secondary dilation that followed, dilating the vessel an additional 5%
to 10%. The secondary dilation, when present, persisted for
several minutes (downstream exposure time was 5 minutes).
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The conducted dilation was unidirectional; the last branch did not dilate (-9.5±4%) when the first branch was exposed to L-arginine 1003±137 µm upstream (n=5). Conducted dilation was L-arginine specific; there was no significant diameter change at the first branch when the last branch was exposed to D-arginine (+0.7±3.6%, n=3) 950±118 µm downstream. Thus, in the absence of a local dilation, L-arginine induced a unidirectional conducted dilation.
Inhibition of Conducted Signals
L-Arginine Conducted Vasodilation
The conducted dilation to L-arginine could be totally
blocked by high-osmolar sucrose (600 mOsm), by halothane
(0.0345%), or by L-NNA (100 µmol/L) directed (by micropipette) to
the feed vessel midway between the downstream L-arginine
exposure site and the upstream observation site (Table 1
). Each of these agents also induced diameter changes
extending
200 µm to either side of the blocker pipette or caused
diameter changes upstream. Sucrose induced a local dilation of
50%
but did not significantly change the diameter at the first branch
(-0.34±3.0%). Halothane induced a local dilation of
30% and a
gradually appearing dilation upstream of +25.4±9% (at 5 minutes).
L-NNA induced a local constriction of
30% but no sustained diameter
change at the first branch (+1.7±9%). To rule out that a diameter
change (and not these agents) had blocked the conducted dilations we
used adenosine. Adenosine (100 µmol/L) induced a
local dilation (157±50%; n=5) extending
200 µm to either side of
the adenosine pipette and a lesser but significant sustained
dilation of +20±5% at the first branch. The conducted dilation to
L-arginine remained significant both in the presence and
absence of adenosine (Table 1
). The time to onset of conducted
dilation to L-arginine was 10.1±2 seconds with
adenosine. Thus, the conducted dilation to
L-arginine was not blocked or delayed by a generalized
dilation of the vessel but in contrast was significantly blocked by a
high-osmolar sucrose solution, by halothane, or by L-NNA.
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Acetylcholine Conducted Vasodilation
Application of acetylcholine (100 µmol/L) induced a local
dilation (+120±31%) extending
200 µm to either side of the
acetylcholine micropipette and also induced a significant conducted
dilation at the first branch (+18.1±2.6%), a distance of 1207±155
µm upstream (n=8). The baseline diameter was 18.6±1.5 µm. The time
to onset of the conducted dilation was 11.7±1.1 seconds. As with
L-arginine, the initial transient dilation to acetylcholine
lasted
30 seconds, and the secondary dilation, when it occurred,
persisted for several minutes. The conducted dilation to acetylcholine
could be totally blocked by sucrose (600 mOsm), halothane (0.0345%),
or L-NNA (100 µm) (Table 1
).
Conducted Signals Alter Responsivity Upstream
We used three series of experiments to evaluate how an
L-arginineinduced conducted signal could alter the
upstream responsivity to L-arginine. The first series
tested whether a local dilation to L-arginine could occur
without a conducted signal. The downstream site was preexposed to
L-arginine while the middle region was exposed to sucrose,
halothane, or L-NNA (separately) to prevent a conducted signal from
being received upstream. While continuing exposure to the blocker, the
first branch was exposed to L-arginine. Table 2
shows that high-osmolar sucrose, halothane, and
L-NNA each inhibited the dilation to local L-arginine
upstream. The altered responsivity was not due to nonspecific diameter
changes induced by the blockers, because the upstream local dilation to
L-arginine remained significant in the presence of
adenosine (Table 2
). Thus, when the signal for conducted
dilation was blocked, the change in upstream responsivity to
L-arginine was prevented.
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In the second series of experiments, we determined whether the altered
local responsivity upstream required a transient signal from downstream
during downstream exposure or required a signal from downstream that
persisted after the downstream exposure ended. In this protocol, a
conducted dilation to L-arginine (+17.9±2.7%, n=4; Fig 4
)
was first obtained (1125±75 µm from the first branch). After
downstream exposure to L-arginine ended, sucrose was
applied to the middle region of the feed vessel (500±44 µm from the
first branch). L-Arginine exposure upstream during sucrose
block did not induce a local diameter change upstream (-3.5±4.1%).
After recovery from sucrose, both the conducted (+17.9±2.7%) and the
subsequent upstream local (+29±6%) dilations were significant (Fig 4
). Thus, a signal pathway must be open for longer than
the initial downstream preexposure in order to alter the local
responsivity to L-arginine upstream.
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In the third series of experiments, we tested whether acetylcholine
could induce the altered responsivity to L-arginine
upstream. Fig 5
(left) shows that before downstream
exposure the first branch (as expected) did not dilate to locally
applied L-arginine (-3.4±1%, n=3). Acetylcholine induced
a significant conducted vasodilation (+26±6%) 1264±477 µm
downstream. The subsequent upstream local dilation to
L-arginine was now significant (+33.0±12%). For
comparison, Fig 5
(right) shows the baseline local response to
L-arginine (-5.75±7%, n=4). L-Arginine
applied 1780±539 µm downstream induced a significant conducted
vasodilation (+16.3±6%); the subsequent local dilation to
L-arginine upstream was significant (+30.3±10%). Thus, a
conducted signal induced by either L-arginine or
acetylcholine could trigger the altered responsivity to locally applied
L-arginine upstream.
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| Discussion |
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Conducted Signal: Similarities Between Responses to
L-Arginine and Acetylcholine
The conducted vasodilation to L-arginine is similar to
the conducted vasodilation to acetylcholine (as demonstrated in the
present study and in References 7, 8, and 237 8 23 through 27). These
"remote" dilations (1) have a rapid onset that cannot be
explained by diffusion of the pipette contents to the remote site, (2)
are transient, (3) are inhibitable by (nonspecific)
inhibitors of gap junction signaling, and (4) are
inhibitable by a specific arginine analogue antagonist. The
inhibitors were applied to the middle of the feed vessel to
block the signal transmission pathway and thus cannot be used to
evaluate an effect on signal initiation (downstream) or on the remote
dilation itself (upstream). Acetylcholine is known to activate
calcium-calmodulindependent nitric oxide (NO)
synthase, which uses L-arginine as a substrate to form
NO.14 28 29 By using L-arginine, we may have
bypassed other receptor-linked effects of acetylcholine and
directly caused an increase in NO.
There is evidence that conducted signals are transmitted via a membrane potentialdependent mechanism within the vascular wall.23 This finding is consistent with inhibition of conducted responses by gap junction inhibitors (as shown in the present study and in References 44 -8, 20, and 21). However, there appears to be a component of either signal initiation or signal transmission that is insensitive to the membrane potential.23 Our data showing inhibition by L-NNA support the presence of a potential-insensitive component in signal transmission. L-NNA neither changes the membrane potential30 nor affects changes in the membrane potential that occur with acetylcholine exposure.31 Yet L-NNA blocks both local32 and conducted (present study) dilations to acetylcholine. Because L-NNA has no effect on L-arginine entry into the cell,33 these effects are likely via specific inhibition of the action of L-arginine. An attractive explanation is that the signal transmission mechanism therefore involves NO, perhaps as a paracrine response. In contrast, signal initiation does not appear to be via NO, because sodium nitroprusside does not initiate a conducted dilation.26
Conducted Signal: Differences Between Responses to
L-Arginine and Acetylcholine
The conducted vasodilation to L-arginine differs from
the conducted vasodilation to acetylcholine and a variety of other
mediators,7 8 23 24 25 26 27 in at least two respects. (1) The
conducted vasodilation to L-arginine does not include a
local dilation at the downstream site of exposure, supporting the idea
that the local and conducted signaling pathways are
separate.9 This phenomenon may also explain a controversy
regarding the inconsistent effects of
L-arginine on isolated vessel
segments9 13 34 35 compared with the consistent
decrease in vascular resistance obtained with intravenous
L-arginine.36 (2) The conducted vasodilation
to L-arginine was only seen upstream with downstream
exposure (ie, unidirectional), whereas the conducted vasodilation to
acetylcholine is observed in either direction (eg, References 7 and
87 8 ).
Unidirectionality
Unidirectional coupling of gap junction signals is described for
neuroglial cells.37 This possibility in the vasculature
would indicate a hierarchy for the control of gap junctions (perhaps
conducted signals) within the vascular tree. However, unidirectional
coupling appears to be a rare physiological
occurrence.4 6 Alternatively, an inhibitor of
conducted vasodilation may be released intravascularly upon
L-arginine exposure. This inhibitor would be
carried downstream and thus block manifestation of the dilation at the
downstream observation point.
Another possibility is that the ability to send or receive the signal (electrotonic or paracrine) is related to the local pressure or flow conditions. Conducted responses are blocked during very low transmural pressure, achieved with total occlusion of the inflow arteriole.38 In our preparation perfusion is maintained, and the resting tone along the transverse feed arteriole is uniform1 ; the transmural pressure is likely uniform as well. Thus, we have no evidence to support a role for differential pressure in the unidirectionality of these responses. However, higher flow rate (wall shear stress) has been linked to a higher L-arginine metabolism and NO production in endothelial cell culture,39 isolated vessels,40 and in vivo.31 Wall shear stress upregulates NO synthase.31 39 41 The steepest effect of wall shear stress on NO production occurs at low (<10 dynes/cm2) wall shear stress,40 and cGMP production increases with shear up to 40 dynes/cm2.42 The prevailing wall shear stress at the upstream branches of this vascular site is 20 to 25 dynes/cm2, roughly four times greater than the wall shear stress downstream (5 to 10 dynes/cm2).3 10 Thus, despite the fact that these are all fourth order arterioles, their wall shear stress environment is different, dictated by their location, and we can hypothesize that their NO synthase contents are likely different, making their ability to respond via this pathway quite different as well. We speculate that the ability to send or receive a conducted signal may be a function of the amount of NO-generating ability present at the two locations. Clearly, more work is required to determine the mechanism for the initiation, transmission, and manifestation of the conducted response.
Change in Upstream Responsivity
We report a new phenomenon in this study. Downstream exposure to a
conducted response mediator alters the upstream local responsivity to
L-arginine. This phenomenon suggests that a conducted
signal has upregulated a specific biochemical pathway in the
vasculature. We find the most interesting aspect of this novel response
to be its link to conducted signals. The increased responsivity to
local L-arginine required a conducted signal; it did not
occur when a conducted response was blocked nor when the signaling
pathway was blocked even after the conducted signal was received, and
it could be triggered by two different mediators of conducted
responses. The initial upregulation of this local responsivity requires
no more than 20 minutes from the time of the downstream preexposure
until the upstream branches dilate to local L-arginine (see
"Materials and Methods"). This time frame is much slower than
would be expected for simple enzyme phosphorylation and
is more consistent with the time required for de novo protein
synthesis or extensive protein modification.43
Furthermore, repeated exposure of the downstream region seems to
increase the responsivity of the upstream site to local
L-arginine (compare Fig 2A
with Table 2
).
Interestingly, the altered responsivity may only be related to
conducted dilation and not conducted constriction, such as occurs with
norepinephrine (NE).19 In a previous
study,1 we determined the local response of the branch
arterioles to NE using one concentration of NE per preparation and
alternating the exposure order between branches, as shown in Fig 2
.
Unlike L-arginine exposure (current study), the response to
NE1 was unrelated to exposure order for the concentration
range of 10-9 to 10-3 mol/L. Thus our data
suggest that conducted dilatory pathways are involved in modulating the
local responsivity at remote sites.
Vascular Communication and Coordinated Vascular
Responses
Small arterioles from similar tissues have the same
pharmacological capacity to respond to specific
stimuli.11 13 44 It is known that by varying the
transmural pressure (ie, initial load) or the resting diameter (ie,
initial length) the response of an individual vessel to a specific
stimulus is altered.13 45 46 In the whole animal, these
factors are considered to be nonuniform from vessel to vessel, which
may in part account for the wide range of responses observed in vivo to
low concentrations of a specific tissue-wide
stimulus.1 47 This range of responses, however, is not due
to random variability but instead is predictable with respect to
spatial location.1 2 3 The response patterns are different
for receptor-mediated and metabolic
stimuli,1 2 and specific patterns of response are directly
related to the way blood flow is distributed.3 Such an
organized system likely involves some means of vascular communication
to coordinate upstream versus downstream responses with respect to the
local conditions. We find it interesting that L-arginine,
involved in flow-dependent responses,11 12 13 14 15 also
initiates a conducted signal.
We show that the responses initiated by L-arginine extend up to a maximum of 3190 µm upstream (in that experiment conducted dilation was +19%; local dilation, +15%). Several questions arise. Do these pathways have an active role in the control of vascular responses (eg, blood flow regulation) in the terminal arteriolar bed? How would this pathway be triggered physiologically? For example, could activation of the IK.S potassium channel48 such as occurs in response to increased wall shear stress41 trigger these responses? This would imply that flow changes at one site may control vascular responses, and responsivity, at remote sites. There is growing evidence that capillaries can integrate local stimuli and transiently affect upstream arteriolar resistance49 27 and that arteriolar stimuli can summate via conduction pathways to transiently influence upstream diameters.19 Our data further suggest that the conducted signals have the potential to continually provide a dynamic input to persistently regulate vascular responsivity within a defined microvascular region.
In summary, this study demonstrates that L-arginine induces a conducted dilation without a local dilation. The conducted dilation to both L-arginine and acetylcholine can be blocked by high-osmolar sucrose or halothane (both nonspecific blockers of gap junctions) or by L-NNA (a specific inhibitor of L-arginine). Therefore, the mechanism of this conducted response may involve both gap junction and paracrine communication. We further show that after the conducted dilation is observed upstream (ie, a message is received), the responsivity of the upstream vessel to local L-arginine is altered, now allowing a dilation to upstream locally applied L-arginine. This change in local responsivity requires a conducted signal (by L-arginine or acetylcholine), is not seen when the conducted signal is blocked, and is not seen when the conducted signal pathway is blocked after a conducted response is observed. Thus, the conducted signal pathway may be an ongoing dynamic communication pathway that coordinates vascular responses within a defined microvascular region.
| Acknowledgments |
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Received April 25, 1994; accepted May 25, 1995.
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