Biomedical Engineering Reference
In-Depth Information
Table 8.23. Indirect vasodilators that activate GPCRs on vascular endothelial and smooth my-
ocytes (Source: [ 812 ]). A large number of GPCRs localize to endothelial cells. Their activation
creates an increase in the concentration of free cytosolic Ca 2 + that can generate and release
prostacyclin, nitric oxide, or endothelium-derived hyperpolarizing factors. These agents diffuse
onto the underlying smooth myocyte to activate their cognate GPCRs, soluble guanylate cyclase,
and protein kinase-G, or produce membrane hyperpolarization (CGRP: calcitonin gene-related
peptide).
GPCR Type
Agonist
M 1 / 3
Acetylcholine
α
2a,
β
2/3
Adrenaline
H 1
Histamine
P2Y 1
ADP
P2Y 2
AT P, U T P
AMR
Adrenomedullin
CGPR 1
Adrenomedullin, CGRP
B 1 / 2
Bradykinin
ET B
Endothelin-1
Motilin receptor
Motilin
NK 1
Substance-P
V 1 / 2
Vasopressin
VPAC
Vasoactive intestinal peptide
FP
Prostaglandin-F2
α
PAFR
Platelet-activating factor
CysLT 1
Leukotriene-D4
CysLT 2
Leukotriene-C4
S1P 1 / 3
Sphingosine 1-phosphate
PA R 1
Thrombin
PA R 2
Serine peptidases
Urotensin-2
Urotensin-2 has antagonist effects in distinct vascular networks, as it can behave
as a potent vasoconstrictor or a vasodilator. Besides, it can have no vasoactivity.
Its vasodilation effect requires a functional endothelium. In humans, resistance
coronary arteries are much more sensitive to urotensin-2 than epicardial distribution
arteries [ 812 ]. Urotensin-2 as well as vasodilator ghrelin reside in endothelial
cells and their receptors have been identified on vascular smooth myocytes [ 812 ].
Urotensin-2 is also observed in regions of infiltrating macrophages within the
atheromatous lesion.
Sphingosine 1-Phosphate
Sphingosine 1-phosphate operates as a vasoconstrictor via S1P 2 and/or S1P 3
receptors, whereas endothelium-dependent vasodilation is mediated via S1P 1 and
possibly S1P 3 receptors [ 812 ]. Vasoconstricting effect of S1P may be more impor-
tant in small arteries.
 
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