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From the Vascular Signalling Group, Institut für Kardiovaskuläre Physiologie, Johann Wolfgang Goethe-Universität, Frankfurt am Main, Germany.
Correspondence to Ingrid Fleming, PhD, Vascular Signalling Group, Institut für Kardiovaskuläre Physiologie, Johann Wolfgang Goethe-Universität, Theodor-Stern-Kai 7, D-60590 Frankfurt am Main, Germany. E-mail fleming@em.uni-frankfurt.de
See related article, pages 537544
Key Words: endothelium-derived hyperpolarizing factor hypertension membrane potential microcirculation vasodilatation
An extract of the first 250 words of the full text is provided, because this article has no abstract. |
Local vascular tone is generally determined by a variety of factors such as neurotransmitters released from autonomic nerves, circulating vasoactive compounds, tissue metabolites, and endothelium-derived autacoids. The best characterized autacoids are the potent vasodilators nitric oxide (NO) and prostacyclin (PGI2) and the vasoconstrictor peptide endothelin-1. Several studies have, however, convincingly demonstrated the existence of an NO/PGI2-independent component of endothelium-dependent relaxation in various arterial beds, most notably in mesenteric, carotid, cerebral, coronary, and renal arteries. Because the NO/PGI2-independent vasodilatation originally described was coincident with vascular smooth muscle hyperpolarization and was abolished by depolarizing concentrations of potassium, it was proposed to be mediated by an endothelium-derived hyperpolarizing factor or "EDHF."1
When the term EDHF was initially coined, researchers expected to be able to identify a specific chemical entity synthesized in, and released from, the endothelium which hyperpolarizes vascular smooth muscle cells and elicits relaxation. However, there does not seem to be a specific EDHF, as at least 3 principal mechanisms have been linked to the EDHF phenomenon: (1) an increase in endothelial [Ca2+]i after cell stimulation triggers the synthesis of a cytochrome P450 metabolite which is essential for the subsequent EDHF-mediated responses; (2) K+, released from endothelial cells via Ca2+-dependent K+ (K+Ca) channels induces smooth muscle hyperpolarization by activating inwardly rectifying K+ channels or the Na+-K+-ATPase on vascular smooth muscle cells; and (3) endothelial cell hyperpolarization is transmitted to the vascular smooth muscle via gap junctions. The strengths and weaknesses of the arguments
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