Thromboxane A2 and serotonin mediate coronary blood flow reductions in unsedated dogs.

Thromboxane A2 and serotonin mediate coronary blood flow reductions in unsedated dogs.
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血栓素 A2 和血清素会介导未镇静狗的冠状动脉血流量减少。

DOI:
10.1152/ajpheart.1989.257.3.h873
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发表时间:
1989
期刊:
The American journal of physiology
影响因子:
--
通讯作者:
Willerson,JT
Willerson,JT
中科院分区:
--
文献类型:
--
作者:
Eidt,JF;Ashton,J;Golino,P;McNatt,J;Buja,LM;Willerson,JT

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We have shown in anesthetized open-chest dogs that recurrent platelet aggregation at the site of coronary artery stenosis and endothelial injury results in a pattern of cyclical variations in coronary blood flow (CFVs) and that serotonin and thromboxane A2 are important mediators of CFVs. In the present study, we tested the following hypotheses: 1) severe spontaneous reductions in coronary blood flow occur in awake closed-chest dogs with coronary artery stenoses and endothelial injury; 2) there is a progression from CFVs to persistent low coronary blood flow; and 3) serotonin and thromboxane A2 are important mediators of coronary blood flow reductions in this model. In 17 of 20 awake closed-chest unsedated dogs with experimental coronary artery stenoses and endothelial injury, either intermittent CFVs (n = 3), persistent low flow (n = 4), or progression from CFVs to low flow (n = 10) occurred during the first postoperative week. A serotonin receptor antagonist (ketanserin or LY 53857) or a thromboxane synthesis inhibitor (dazoxiben) or receptor antagonist (SQ 29548) abolished platelet-dependent CFVs in 80% of dogs. Thus 1) severe spontaneous reductions in coronary blood flow occur in awake closed-chest unsedated dogs with coronary artery stenoses and endothelial injury; 2) there is a progression from CFVs to persistent low coronary blood flow and final coronary artery occlusion; and 3) serotonin and thromboxane A2 are important mediators of coronary blood flow reductions in this experimental model.