The influence of endothelium on the direct contractile effects of ouabain in vascular smooth muscle was analyzed in isolated perfused guinea pig carotid arteries. After blocking the neurogenic component of the giycoside contraction with or-adrenergic receptor blocking drugs or treating the animals with reserpine, ouabain-induced contractions were markedly reduced in vessels with intact endothelium. However, removal of the vascular endothelium from reserpinized carotid arteries resulted in ouabain-induced contractions similar to those observed in control arteries. These effects were not mimicked by the inhibitor of nitric oxide A fG -monomethyl L-arginine or by the cyclooxygenase blocker indomethacin. Bioassay experiments suggested that these endothelial effects are mediated by diffusible factors. Uptake of M Rb to measure sodium pump activity was significantly reduced by removal of the endothelium. These results suggest the existence of an inhibitory modulation by the endothelium of contractions induced by ouabain, likely mediated by a diffusible factor (or factors) released from these cells. The nature of this substance is unknown, but it is neither related to prostaglandins nor a nitric oxide-related compound. Its mechanism of action could be the stimulation of vascular sodium pump activity, the antagonism of the pump's inhibition by ouabain, or both. 1 -7 These contractions can be produced by a direct effect on vascular smooth muscle (myogenic component) or are mediated by the release of norepinephrine (NE) from perivascular adrenergic nerve endings (neurogenic component); the predominant component depends on the animal and the vessel studied. 5 -7 -9 On the other hand, ouabain or potassium-free solutions inhibit endothelium-dependent relaxations. 10 -12 This action can be mediated by the blockade of endothelium-derived relaxing factor (EDRF) or nitric oxide (NO) released from endothelial cells 1314 or by the impairment of endothelium-dependent hyperpolarization of smooth muscle cells.12 '
1315Both endothelium and the sodium pump have been involved in the pathogenesis of hypertension.16 -20 However, in spite of the above discussed results, little is known concerning effects of the endothelium on the vascular actions of cardiac glycosides. Therefore, the present work was undertaken to analyze the possible endothelial influence on contractile responses to ouabain in perfused guinea pig carotid arteries. To simplify the experimental model, only the direct effects of the giycoside on vascular smooth muscle (the myogenic component) were analyzed. For this purpose, the possible ouabain-induced vasoconstrictions due to NE release were avoided by using o-adrenergic receptor antagonists or by pretreating the animals with reserpine.
Methods
Perfusion of Arterial SegmentsGuinea pigs of either sex weighing about 500 g (DunkinHarthey, IFFA-CREDO, Domaine des Oncins, France) housed at the facilities of Facultad de Medicina de la Universidad Aut6noma, Madrid, Spain, were anesthetized with 35 mg/kg i.p. sodium pentobar...