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Departments of Medicine and Pharmaceutics and Pharmacodynamics, University of Illinois at Chicago, and West Side Department of Veterans Affairs Medical Center, Chicago, Illinois 60612
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ABSTRACT |
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The purpose of this study
was to determine whether vasoactive intestinal peptide (VIP) modulates
vasoconstriction elicited by phenylephrine and ANG II in vivo and, if
so, to begin to elucidate the mechanisms underlying this phenomenon.
Using intravital microscopy, we found that suffusion of phenylephrine
and ANG II elicits significant vasoconstriction in the in situ hamster
cheek pouch that is potentiated by VIP-(10
28), a VIP receptor
antagonist, but not by VIP-(1
12) (P < 0.05). Aqueous VIP has no significant effects on phenylephrine- and
ANG II-induced vasoconstriction. However, VIP on sterically stabilized
liposomes (SSL), a formulation where VIP assumes a predominantly
-helix conformation, significantly attenuates this response. Maximal
effect is observed within 30 min and is no longer seen after 60 min.
Empty SSL are inactive. Indomethacin has no significant effects on
responses induced by VIP on SSL. The vasodilators ACh, nitroglycerin,
calcium ionophore A-23187, 8-bromo-cAMP, and isoproterenol have no
significant effects on phenylephrine- and ANG II-induced
vasoconstriction. Collectively, these data suggest that
vasoconstriction modulates VIP release in the in situ hamster cheek
pouch and that
-helix VIP opposes
-adrenergic- and ANG II-induced
vasoconstriction in this organ in a reversible, prostaglandin-, NO-,
cGMP-, and cAMP-independent fashion.
microcirculation; arteriole; vasomotor tone; vasodilation; sterically stabilized liposomes; neuropeptide; hamster
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INTRODUCTION |
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VASOACTIVE INTESTINAL PEPTIDE (VIP), a 28-amino acid peptide localized in perivascular nerves (12, 24), elicits potent albeit short-lived endothelium-dependent and -independent vasodilation (2, 10, 14-16, 32-34). To this end, recent work from our laboratory showed that partitioning of VIP into phospholipids potentiates and prolongs its vasorelaxant effects in vivo relative to aqueous VIP (8, 27, 31, 32, 35, 36). However, the mechanisms underlying this process are uncertain.
A growing body of experimental evidence suggests that vasodilators are
elaborated during vasoconstriction and restore vasomotor tone to
baseline, thereby promoting tissue perfusion and oxygenation (1, 17,
19, 37, 38). For instance, Kanagy et al. (19) and Vo et al. (37) showed
that NO, which is produced by VIP (2, 15, 32), decreases the
sensitivity of isolated rat vascular smooth muscle to vasoconstrictors,
including phenylephrine, an
-adrenergic agonist, through
cGMP-dependent and -independent mechanisms.
VIP has been shown to interact with the
-adrenergic system and ANG
II in various species (1, 3-5, 17, 23). Mas et al. (23) showed
that VIP opposes
-adrenoceptor stimulation of the cardiovascular
system in newborn dogs. Importantly, Iwabuchi et al. (17) showed that
VIP abrogates pulmonary vasoconstriction elicited by ANG II and KCl in
isolated perfused rat lung, in part, by elaborating prostaglandins. In
addition, ANG II has been shown to stimulate VIP release from ovine
fetus adrenocortical cells in vitro and to decrease VIP catabolism in
rabbits in vivo (4, 5). Although these data suggest that
-adrenergic- and ANG II-dependent metabolic pathways interact with
VIP, the role these interactions play in regulating vasomotor tone in
vivo is uncertain.
Hence, the purpose of this study was to begin to address this issue by determining whether VIP modulates vasoconstriction elicited by phenylephrine and ANG II in vivo and, if so, to begin to elucidate the mechanisms underlying this phenomenon.
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METHODS |
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General Methods
Preparation of animals.
Adult male Golden Syrian hamsters (n = 46; 132 ± 6 g body wt) were anesthetized with pentobarbital sodium
(6 mg/100 g body wt ip). A tracheostomy was performed to facilitate
spontaneous breathing. A femoral vein was cannulated to administer
supplemental pentobarbital sodium (2-4 mg · 100 g body
wt
1 · h
1)
during the experiment. A femoral artery was cannulated to monitor and
record systemic arterial pressure. Body temperature was monitored and
maintained constant (37-38°C) throughout the experiment by using a heating pad.
Determination of arteriolar diameter. The cheek pouch microcirculation was visualized with a microscope (Nikon, Tokyo, Japan) coupled to a 100-W mercury light source at a magnification of ×40. The microscope image was projected through a low-light television camera (Panasonic TR-124 MA, Matsushita Communication Industrial, Yokohama, Japan) onto a video screen (Panasonic). The inner diameter of second-order arterioles (baseline diameter 48-60 µm) was determined during the experiment from the video display of the microscope image using a videomicrometer (model VIA 100, Boeckler Instruments, Tucson, AZ). In each animal, the same arteriolar segment was used to measure vessel diameter during the experiment.
Preparation of VIP on sterically stabilized liposomes.
To prepare VIP on sterically stabilized liposomes (SSL), we used a
method previously described in our laboratory (31, 32). Briefly, egg
yolk phosphatidylcholine, egg yolk phosphatidylglycerol, cholesterol,
and polyethylene glycol (molecular mass 2,000) linked to
distearoyl-phosphatidylethanolamine (molar ratio 5:1:3.5:0.5; phospholipid content 17 mmol) were dissolved and mixed in chloroform. The solvent was evaporated at 45°C in a rotary evaporator under vacuum overnight. The resulting lipid film was rehydrated in 250 µl
of saline, vortexed, bath sonicated for 5 min, and extruded through
stacked polycarbonate filters using the LiposoFast apparatus (pore size
200, 100, and 50 nm; AVESTIN, Ottawa, ON, Canada). Human VIP (0.4 mg)
and trehalose (30 mg) were added to the extruded suspension, which was
then frozen in an acetone-dry ice bath and lyophilized overnight at
46°C under constant pressure (Foreseen 6, Labconco, Kansas
City, MO). Thereafter, the lyophilized "cake" was resuspended in
250 µl of deionized water. VIP associated with SSL was separated from
free VIP by column chromatography (Bio-Gel A-5m, Bio-Rad Laboratories,
Richmond, CA) and stored at 4°C for 15 days. The size of SSL was
246 ± 29 nm, as determined by quasi-elastic light scattering
(Nicomp model 270 submicron particle sizer, Pacific Scientific, Menlo
Park, CA). The phospholipid concentration in SSL was determined by the
Barlett inorganic phosphate assay. VIP concentration in SSL was
determined by a commercially available ELISA kit (Peninsula
Laboratories, Belmont, CA) after SSL was dissolved with 1% SDS. The
recovery was 30% for VIP and 50% for phospholipids, resulting in
0.004 mol VIP/mol phospholipids.
Experimental Protocols
Effects of a VIP receptor antagonist on vasoconstriction.
The purpose of these studies was to determine whether VIP-(10
28), a
VIP receptor antagonist that abrogates VIP-induced vasodilation in the
cheek pouch (32), potentiates phenylephrine- and ANG II-induced
vasoconstriction. Bicarbonate buffer was suffused for 45 min
(equilibration period). Then phenylephrine (0.01 µM) or ANG II (0.01 nM) was suffused on the cheek pouch for 7 min. In preliminary studies,
we determined that these concentrations elicit submaximal response (see
below). Forty-five minutes after suffusion of phenylephrine or ANG II
was stopped and arteriolar diameter returned to baseline, VIP-(10
28)
(10.0 nmol) was suffused for 30 min before and during suffusion of
phenylephrine (0.01 µM) or ANG II (0.01 nM) for 7 min. In another
series of experiments, VIP-(1
12) (10.0 nmol), an inactive peptide
fragment of VIP (32), was used. Arteriolar diameter was determined
immediately before suffusion, at every minute during suffusion of each
agonist, and at 5-min intervals thereafter for the entire duration of
the experiment. In preliminary studies we determined that repeated
suffusions of phenylephrine and ANG II were associated with
reproducible results. In addition, suffusion of VIP-(10
28) and
VIP-(1
12) alone for 30 min and saline (vehicle) for the entire
duration of the experiment was not associated with significant changes in arteriolar diameter. The concentrations of phenylephrine, ANG II,
VIP-(10
28), and VIP-(1
12) used in these studies are based on
previous and preliminary studies in our laboratory and reports in the
literature (22, 25, 32, 33, 39).
Effects of VIP on vasoconstriction. The purpose of these studies was to determine whether VIP attenuates phenylephrine- and ANG II-induced vasoconstriction and, if so, whether this response is amplified by liposomal VIP. In one series of experiments, after the equilibration period, two concentrations of phenylephrine (0.01 and 0.1 µM) or ANG II (0.01 and 0.1 nM) were suffused on the cheek pouch for 7 min each in an arbitrary order. At least 30 min elapsed between subsequent suffusions of agonists. Suffusion of higher concentrations of phenylephrine and ANG II was associated with systemic absorption, as evidenced by an increase in systemic arterial pressure. Thirty minutes after suffusion of phenylephrine or ANG II was stopped and arteriolar diameter returned to baseline, VIP (1.0 nmol) was suffused for 7 min, and then the corresponding agonist was suffused again. In another series of experiments, VIP on SSL (0.1 and 1.0 nmol) or empty SSL (1.0 nmol) rather than VIP was used. Arteriolar diameter was determined during each intervention, as outlined above. In preliminary studies, we determined that arteriolar diameter returns to baseline within 2 and 18 min after suffusion of VIP and VIP on SSL is stopped, respectively. In addition, repeated suffusions of phenylephrine (0.1 µM), ANG II (0.1 nM), VIP, and VIP on SSL (0.1 and 1.0 nmol) were associated with reproducible results. The concentrations of phenylephrine, ANG II, VIP, and VIP on SSL used in these studies are based on previous and preliminary studies in our laboratory and reports in the literature (22, 25, 32-36, 39).
Duration of VIP on SSL-induced responses. The purpose of these studies was to determine the duration of VIP-on-SSL attenuation of phenylephrine- and ANG II-induced vasoconstriction. The experimental design was similar to that outlined above, except that phenylephrine (0.1 µM) or ANG II (0.1 nM) was now suffused 30, 45, or 60 min after suffusion of VIP on SSL (0.1 nmol for 7 min) was stopped. Arteriolar diameter was determined during each intervention.
Mechanisms of responses evoked by VIP on SSL. To begin to probe the mechanisms by which VIP on SSL attenuates phenylephrine- and ANG II-induced vasoconstriction in the cheek pouch, we determined the role of vasodilator prostaglandins and intracellular effector systems in mediating this response.
Role of prostaglandins. The purpose of these studies was to determine whether attenuation of vasoconstriction by VIP on SSL is mediated, in part, by local production of vasodilator prostaglandins, because VIP has been previously shown to elaborate these mediators (15, 17). After the equilibration period, phenylephrine (0.1 µM) or ANG II (0.1 nM) was suffused on the cheek pouch for 7 min. Thirty minutes after suffusion of phenylephrine or ANG II was stopped and arteriolar diameter returned to baseline, indomethacin (10 mg/kg) was infused intravenously over a 30-min period using an infusion pump (Sage Instruments; final volume 1 ml), and suffusion of phenylephrine or ANG II was repeated. In another series of experiments, phenylephrine (0.1 µM) or ANG II (0.1 nM) was suffused for 7 min. Once suffusion of phenylephrine or ANG II was stopped and arteriolar diameter returned to baseline, indomethacin (10 mg/kg) was infused intravenously, then VIP on SSL (0.1 nmol) was suffused for 7 min. Thirty minutes thereafter, suffusion of phenylephrine or ANG II was repeated. Arteriolar diameter was determined during each intervention. In preliminary studies, we determined that intravenous infusion of indomethacin (10 mg/kg) for 30 min has no significant effects on arteriolar diameter. The concentration of indomethacin used in these studies has been previously shown to inhibit cyclooxygenase- and arachidonic acid-induced vasodilation in the cheek pouch (28-30).
Role of NO-, cGMP-, and cAMP-dependent intracellular effector pathways. The purpose of these studies was to determine whether NO-, cGMP-, or cAMP-dependent intracellular signal transduction pathways that mediate VIP vasorelaxation in the cheek pouch and other vascular beds are involved in attenuation of phenylephrine- and ANG II-induced vasoconstriction by VIP on SSL (2, 10, 15, 16, 32). To accomplish this goal, we determined whether other vasodilators that activate NO-, cGMP-, and cAMP-dependent intracellular signal transduction pathways in the peripheral microcirculation also attenuate phenylephrine- and ANG II-induced vasoconstriction (7, 9, 15, 18, 19, 30, 32-38). The experimental design was similar to that outlined above, except that phenylephrine (0.1 µM) or ANG II (0.1 nM) was suffused for 7 min before and 30 min after suffusion of ACh (1.0 µM), an endothelium- and NO-dependent vasodilator; nitroglycerin (0.1 µM), an endothelium-independent, NO-dependent vasodilator; calcium ionophore A-23187 (1.0 µM), a receptor-independent, endothelium- and NO-dependent vasodilator; 8-bromo-cGMP (8-BrcGMP, 20 µM), a receptor-, endothelium-, and NO-independent vasodilator; or isoproterenol (0.01 µM), an endothelium-independent, cAMP-dependent vasodilator for 7 min each. Arteriolar diameter was determined during each intervention. In preliminary studies, we determined that the magnitude of vasodilation elicited by the vasodilators at concentrations used in these studies is similar to that elicited by VIP (1.0 nmol) and VIP on SSL (0.1 nmol).
Drugs. Egg yolk phosphatidylcholine, egg yolk phosphatidylglycerol, cholesterol, trehalose, indomethacin, ACh, isoproterenol, calcium ionophore A-23187 hemimagnesium salt, and 8-BrcGMP were purchased form Sigma Chemical (St. Louis, MO). Human VIP was purchased from American Peptide (Sunnyvale, CA). Nitroglycerin was purchased from American Reagent Laboratories (Shirley, NY). Indomethacin was dissolved in sodium bicarbonate. All drugs were diluted in saline to the desired concentrations on the day of the experiment.
Data and statistical analyses. When a compound was suffused on the cheek pouch, we determined the maximal change in arteriolar diameter and used it as the response to that compound in each animal. Arteriolar diameter was expressed as the ratio of experimental to control diameter, with control diameter normalized to 100%, to account for intra- and interanimal variability. Values are means ± SE, except for the size of VIP on SSL and body weight, which are means ± SD, because these data are not used for comparison between experimental groups. Statistical analysis was performed on actual values using repeated-measures ANOVA with Newman-Keuls multiple-range post hoc test to detect values that were different from control values. P < 0.05 was considered significant; n is the number of experiments, with each experiment representing a separate animal.
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RESULTS |
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Mean arterial pressure was 97 ± 2 mmHg at the start and 96 ± 1 mmHg at the conclusion of the experiments (n = 46, P > 0.5).
Effects of a VIP Receptor Antagonist on Vasoconstriction
Suffusion of phenylephrine and ANG II elicits a significant, concentration-dependent decrease in arteriolar diameter from baseline (Figs. 1-3; n = 4/group, P < 0.05). Moreover, phenylephrine (0.01 µM)- and ANG II (0.01 nM)-induced vasoconstriction is significantly potentiated by VIP-(10
28) (10.0 nmol; Fig. 1; n = 4/group,
P < 0.05). Arteriolar diameter
decreased by 8.1 ± 0.8 and 8.7 ± 1.1% from baseline during
suffusion of phenylephrine (0.01 µM) and ANG II (0.01 nM) alone,
respectively, and by 14.1 ± 0.9 and 13.2 ± 0.6% from baseline
during suffusion of phenylephrine (0.01 µM) and ANG II (0.01 nM) with
VIP-(10
28) (10.0 nmol), respectively (Fig. 1;
P < 0.05). Suffusion of VIP-(1
12)
(10.0 nmol) had no significant effects on phenylephrine- and ANG
II-induced responses (Fig. 1; n = 4/group, P > 0.5).
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Effects of VIP on Vasoconstriction
Suffusion of aqueous VIP (1.0 nmol) and VIP on SSL (0.1 and 1.0 nmol) elicits a significant increase in arteriolar diameter from baseline (23.7 ± 1.2, 25.6 ± 0.6, and 39.6 ± 1.4%, respectively, n = 4/group, P < 0.05). Suffusion of empty SSL has no significant effects on arteriolar diameter (n = 4, P > 0.5). Vasoconstriction elicited by phenylephrine (0.1 µM) and ANG II (0.1 nM) was similar before (15.5 ± 0.6 and 15.5 ± 1.0% decrease from baseline, respectively) and after (15.6 ± 1.7 and 14.5 ± 0.7% decrease from baseline, respectively) suffusion of aqueous VIP (1.0 nmol; Fig. 2A; n = 4/group, P > 0.5). By contrast, suffusion of VIP on SSL (0.1 nmol) significantly attenuates phenylephrine- and ANG II-induced vasoconstriction in a concentration-dependent fashion (Fig. 3; n = 4/group, P < 0.05). Arteriolar diameter decreased by 15.8 ± 0.7 and 16.2 ± 0.6% from baseline during suffusion of phenylephrine (0.1 µM) and ANG II (0.1 nM) before and by 6.7 ± 1.3 and 6.2 ± 0.2% after suffusion of VIP on SSL (0.1 nmol), respectively (Fig. 3; n = 4/group, P < 0.05). Empty SSL had no significant effects on responses evoked by phenylephrine (0.1 µM) and ANG II (0.1 nM; Fig. 3; n = 4/group, P > 0.5).Duration of VIP on SSL-Induced Responses
Attenuation of phenylephrine (0.1 µM)- and ANG II (0.1 nM)-induced vasoconstriction by VIP on SSL (0.1 nmol) was related to the time interval between conclusion of VIP-on-SSL suffusion and subsequent suffusions of both vasoconstrictors. Maximal attenuation was observed within 30 min and was no longer present 60 min after suffusion of VIP on SSL (0.1 nmol) was stopped (Fig. 4; n = 4/group, except for initial response groups to phenylephrine and ANG II, where n = 12).
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Mechanisms of Responses Evoked by VIP on SSL
Role of prostaglandins. Pretreatment with indomethacin had no significant effects on VIP-on-SSL (0.1 nmol) attenuation of phenylephrine (0.1 µM)- and ANG II (0.1 nM)-induced vasoconstriction (Fig. 5; n = 4/group, P > 0.5).
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Role of NO-, cGMP-, and cAMP-dependent intracellular effector pathways. Suffusion of ACh (1.0 µM), nitroglycerin (0.1 µM), calcium ionophore A-23187 (1.0 µM), 8-BrcGMP (20 µM), and isoproterenol (0.01 µM) elicits a significant increase in arteriolar diameter from baseline (20.3 ± 0.5, 20.9 ± 0.8, 21.1 ± 0.3, 21.7 ± 0.6, and 20.2 ± 0.8% increase from baseline, respectively, n = 4/group, P < 0.05). However, suffusion of phenylephrine (0.1 µM) and ANG II (0.1 nM) elicits similar vasoconstriction before and after suffusion of ACh, nitroglycerin, calcium ionophore A-23187, 8-BrcGMP, and isoproterenol (Table 1; n = 4/group, P > 0.5).
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DISCUSSION |
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There are two new findings of this study. First, we found that
VIP-(10
28), a VIP receptor antagonist that abrogates VIP-induced vasodilation in the cheek pouch (32), but not VIP-(1
12), an inactive
peptide fragment, significantly potentiates phenylephrine- and ANG
II-induced vasoconstriction in the in situ hamster cheek pouch. These
data suggest that phenylephrine and ANG II modulate VIP release from
nerve endings in this organ. Whether this process is modulated by other
vasoconstrictors in different microvascular beds and species remains to
be determined.
Second, suffusion of aqueous VIP, which assumes a predominantly random
coil conformation (11, 27), has no significant effects on
phenylephrine- and ANG II-induced vasoconstriction. By contrast,
association of VIP with SSL, which alters peptide conformation to a
predominantly
-helix (11, 27), elicits significant and reversible
attenuation of phenylephrine- and ANG II-induced responses. Maximal
effect is observed within 30 min and is no longer seen after 60 min.
These effects are not mediated by the phospholipid moiety of SSL,
because empty SSL are inactive.
The concentration of VIP in the in situ cheek pouch microcirculation during suffusion of aqueous VIP and VIP on SSL was not determined in this study. However, it is not feasible to determine VIP concentration directly in the vicinity of in situ cheek pouch arterioles during suffusion of VIP on SSL, because the peptide remains associated with liposomes for a relatively prolonged period of time (8, 11, 26, 27, 31). Rather, isolated cheek pouch arterioles exposed to aqueous VIP and VIP on SSL in the absence and presence of a detergent to dissolve SSL would have to be used to address this issue (27, 31, 32, 39).
The hamster cheek pouch is an established model to study regulation of
vasomotor tone in the peripheral microcirculation under normal and
pathophysiological conditions (7, 18, 21, 22, 25, 27-35). Xia et
al. (39) showed that phenylephrine and KCl, two potent
vasoconstrictors, elicit similar transient local and conducted
depolarization in smooth muscle and endothelium of isolated cheek pouch
arterioles. Importantly, Suzuki et al. (35) showed that VIP-induced
vasodilation is blunted in the in situ cheek pouch of hamsters with
spontaneous hypertension relative to normotensive hamsters.
Partitioning of VIP into phospholipids amplifies and restores VIP
vasorelaxation relative to aqueous VIP in the in situ cheek pouch of
normotensive and spontaneously hypertensive hamsters, respectively (11,
26, 27, 32, 35, 36). By contrast, Myers et al. (25) showed that ANG
II-induced vasoconstriction is amplified in the cheek pouch of hamsters
with experimentally induced renovascular hypertension. These data,
coupled with the results of this study, suggest that VIP regulation of
vasomotor tone during phenylephrine- and ANG II-induced
vasoconstriction is dependent, in part, on secondary structure of the
peptide. Further studies are warranted to determine the role of
-helix VIP in modulating vasoconstriction elicited by other
agonists.
The mechanisms underlying the salutary effects of VIP on SSL in the cheek pouch were not identified in this study. Nonetheless, they are not related to local elaboration of vasodilator prostaglandins, because indomethacin, at a concentration that inhibits cyclooxygenase- and arachidonic acid-induced vasodilation in the cheek pouch (28-30), has no significant effects on attenuation of phenylephrine- and ANG II-induced vasoconstriction by VIP on SSL (17). In addition, the effects of VIP on SSL are not mediated by NO-, cGMP-, or cAMP-dependent intracellular effector mechanisms in the peripheral microcirculation, because selected vasodilators that activate these pathways have no significant effects on phenylephrine- and ANG II-induced vasoconstriction.
On balance, these data suggest that
-helix VIP opposes
-adrenergic- and ANG II-induced vasoconstriction in the in situ
peripheral microcirculation by activating a specific plasma
membrane-dependent process(es) rather than by eliciting vasodilation
that overwhelms vasoconstriction or by nonspecific effects on vascular
smooth muscle contractility (13, 18, 20, 26). Clearly, additional studies using isolated microvascular smooth muscle cells and plasma membranes are indicated to characterize this process(es).
Perspectives
This study suggests that
-adrenergic- and ANG II-dependent metabolic
pathways interact with VIP to regulate vasomotor tone in the in situ
peripheral microcirculation. This process may be related, in part, to
vasoconstriction-induced release of VIP from nerve endings. The peptide
thus released may interact with plasma membrane phospholipids in target
cells, change its conformation from predominantly random coil in
interstitial fluid to
-helix in phospholipid bilayer, and activate a
specific plasma membrane-dependent process(es) that promotes
vasoconstrictolysis.
In summary, the results of this study suggest that vasoconstriction
modulates VIP release from nerve endings in the in situ hamster cheek
pouch. They indicate that
-helix VIP, the optimal conformation for
ligand-receptor interaction (3, 16, 26, 32), opposes
-adrenergic-
and ANG II-induced vasoconstriction in this organ in a reversible,
prostaglandin-, NO-, cGMP-, and cAMP-independent fashion.
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ACKNOWLEDGEMENTS |
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We thank Manisha Patel for preparing VIP on SSL and empty SSL.
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FOOTNOTES |
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This study was supported, in part, by National Institute of Dental Research Grants DE-10347 and DE-00386. I. Rubinstein is a recipient of a University of Illinois Scholar Award.
Address for reprint requests: I. Rubinstein, Dept. of Medicine (M/C 787), University of Illinois at Chicago, 840 S. Wood St., Chicago, IL 60612-7323.
Received 4 December 1997; accepted in final form 17 April 1998.
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