Publications of Faculty of Medicine:EFFECT OF ENDOGENOUS ADENOSINE ACCUMULATION ON REGIONAL BLOOD FLOW: Abstract

Title:
EFFECT OF ENDOGENOUS ADENOSINE ACCUMULATION ON REGIONAL BLOOD FLOW
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Abstract:

Adenosine is known to participate in the regulation of several circulatory functions. Its action is mediated through distinct receptor subtypes mainly located in myocardial and vascular endothelial and smooth muscle cells. The hypotensive and vasodilator effect of exogenously administered adenosine has been previously described. However, a vasoconstrictor action of adenosine on some vascular beds has also been reported. This study was designed to explore the effect of modifying trie concentration of endogenous adenosine on the blood flow through three different arterial resistance beds (renal, mesenteric and hindquarters vascular beds). Augmentation of endogenous adenosine concentration was achieved via the use of two agents with two different modes of action: monophosoryl lipid A (MLA), the 5 nucleotidase activator and nitrobenzylthioinosine (NBMPR), the adenosine transport blocker. These two mechanisms lead to the accumulation of both extracellular and intracellular adenosine. MLA and NBMPR were infused in two different dose levels and blood flow through the renal, mesenteric and inferior abdominal aorta was detected using flow probe connected to electromagnetic flowmeter. MLA in low dose induced renal and mesenteric vasodilatation but no change in hindquarters blood flow. In contrast, high dose of MLA induced hypotension, bradycardia, renal and hindquarters vasoconstriction and no change in nit:enteric uluod flow. NBMPR produced qualitatively similar but quantitatively different results. The adenosine (Al and A2) receptor antagonist, 8 p-sulfophenyl theophylline (8SPT) abolished the vasodilator but not the vasoconstrictor effects of both drugs indicating that the vasoconstrictor effects are either indirect through hypotension induced pressor refelexs, or mediated through different adenosine receptor subtype. The dual effect of adenosine may suggest an important role in regulation of these organs blood flow