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From the Medizinische Klinik und Poliklinik für Innere Medizin II, Universität Regensburg, Germany.
Correspondence to Prof H. Schunkert, MD, Klinik und Poliklinik für Innere Medizin II, Universität Regensburg, Franz-Josef-Strauss-Allee, D-93042 Regensburg, FRG. E-mail heribert.schunkert{at}klinik.uni-regensburg.de
AbstractTraditionally, a
hypothalamo-neurohypophysial system is thought to be the exclusive
source of arginine vasopressin (AVP), a potent antidiuretic,
vasoconstricting, and growth-stimulating neuropeptide. We have
identified de novo synthesis of AVP in the heart as well as release of
the hormone into the cardiac effluents. Specifically, molecular cloning
of sequence tags amplified from isolated, buffer-perfused, and
pressure-overloaded rat hearts allowed the detection of cardiac AVP
mRNA. Subsequent experiments revealed a prominent induction of AVP mRNA
(peak at 120 minutes, 59-fold, P<0.01 versus baseline)
and peptide (peak at 120 minutes, 11-fold, P<0.01
versus baseline) in these isolated hearts. Newly induced vasopressin
peptide was localized most prominently to endothelial
cells and vascular smooth muscle cells of arterioles and perivascular
tissue using immunohistochemistry. In addition to pressure overload,
nitric oxide (NO) participated in these alterations, because inhibition
of NO synthase by
N
-nitro-L-arginine methyl
ester markedly depressed cardiac AVP mRNA and peptide induction.
Immediate cardiac effects related to cardiac AVP induction in isolated,
perfused, pressure-overloaded hearts appeared to be coronary
vasoconstriction and impaired relaxation. These functional changes were
observed in parallel with AVP induction and largely prevented by
addition of a V1 receptor blocker (10-8 mol/L
[deamino-Pen1, O-Me-Tyr2,
Arg8]-vasopressin) to the perfusion buffer. Even more
interesting, pressure-overloaded, isolated hearts released the peptide
into the coronary effluents, offering the potential for
systemic actions of AVP from cardiac origin. We conclude that the
heart, stressed by acute pressure overload or NO, expresses vasopressin
in concentrations sufficient to cause local and potentially
systemic effects.
Key Words: gene expression pressure overload heart nitric oxide vasoconstriction
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