Bradykinin stimulates the release of tissue plasminogen activator in human coronary circulation: effects of angiotensin-converting enzyme inhibitors
| Autor: | Hajime Horie, Naoto Ohira, Masahiko Kinoshita, Kazuo Minai, Tetsuya Matsumoto, Hiroyuki Takashima, Hiroshi Yokohama |
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| Rok vydání: | 2001 |
| Předmět: |
Male
medicine.medical_specialty Cardiac Catheterization Chest Pain medicine.medical_treatment Vasodilator Agents Myocardial Ischemia Bradykinin Angiotensin-Converting Enzyme Inhibitors Coronary Angiography Tissue plasminogen activator Coronary circulation chemistry.chemical_compound Enalapril Internal medicine Coronary Circulation Papaverine Fibrinolysis medicine Humans Analysis of Variance biology business.industry T-plasminogen activator Hemodynamics Angiotensin-converting enzyme Drug Synergism Middle Aged Acetylcholine Echocardiography Doppler medicine.anatomical_structure Endocrinology chemistry Tissue Plasminogen Activator ACE inhibitor biology.protein Female business Cardiology and Cardiovascular Medicine Plasminogen activator Blood Flow Velocity medicine.drug |
| Zdroj: | Journal of the American College of Cardiology. 37(6) |
| ISSN: | 0735-1097 |
| Popis: | OBJECTIVES The goal of this study was to determine: 1) whether bradykinin (BK) directly stimulates tissue plasminogen activator (tPA) secretion in human coronary circulation, and 2) whether angiotensin-converting enzyme (ACE) inhibition favorably alters the fibrinolytic balance regulated by BK. BACKGROUND Bradykinin is a potent stimulator of tPA secretion in endothelial cells; however, the effect of BK on tPA release in the human coronary circulation has not been studied. METHODS Fifty-six patients with atypical chest pain were randomly assigned to two groups: 25 patients were treated with the ACE inhibitor enalapril (ACE inhibitor group), and 31 were not treated with ACE inhibitors (non-ACE inhibitor group). Graded doses of BK (0.2, 0.6, 2.0 μg/min), acetylcholine (ACh) (30 μg/min) and papaverine (PA) (12 mg) were administered into the left coronary artery. Coronary blood flow (CBF) was evaluated by Doppler flow velocity measurement. Blood samples were taken from the aorta (Ao) and the coronary sinus (CS). RESULTS Bradykinin induced similar increases in CBF in both groups. The net tPA release induced by BK was dose-dependently increased in both groups, and the extent of that increase in the ACE inhibitor group was greater than that in the non-ACE inhibitor group. Bradykinin did not alter plasminogen activator inhibitor-1 (PAI-1) levels in the Ao or CS in either group. Neither ACh nor PA altered tPA levels or PAI-1 levels in either group. CONCLUSIONS Intracoronary infusion of BK stimulates tPA release without causing any change in PAI-1 levels in the human coronary circulation. In addition, this effect of BK is augmented by an ACE inhibitor. |
| Databáze: | OpenAIRE |
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