Calcitonin gene-related peptide (CGRP) is a 37-amino acid peptide that is a potent coronary vasodilator. Although CGRP is found in high concentrations around coronary arteries, its precise function in the control of coronary vasomotor tone remains unclear. We studied the distribution of specific receptors for CGRP in guinea pig and human hearts and found that the highest concentration of specific receptors for CGRP was in the major coronary arteries, which is consistent with the hypothesis that CGRP is implicated in control of coronary vasomotor tone. Areas of coronary artery with atheroma contained significantly decreased (158+±35 grains/1,000 jLm2 tissue, n=3) binding sites compared with binding sites in normal arteries (266±10 grains/1,000 ,um2 tissue, n=11; p<0.001, t test). The decrease in receptors for CGRP around atheroma may predispose these vessels to coronary spasm. (Circulation 1990;81:741-747) C alcitonin gene-related peptide (CGRP) is a 37-amino acid peptide, the existence of which was predicted by analysis of the calcitonin gene.1 CGRP has been detected in various tissues, including the thyroid gland,2 neuroendocrine cells,3 and peripheral sensory nerves, and its physiologic importance is unknown.CGRP is an extremely potent vasodilator in animal and human vessels,4 including coronary arteries.5 Immunohistochemical studies of animal and human tissues have shown that CGRP is localized to the nerves around the coronary arteries and arterioles.6 CGRP may be detected in the circulation in picomolar concentrations,4 and infusion of CGRP into the coronary arteries causes dilatation of large and small vessels.57 However, because CGRP almost certainly has its major effects by local release from nerves, the relevance of infusion studies may be questioned. receptor-binding studies of membrane preparations do not give information about the localization of receptors, we investigated the distribution of CGRP receptors with an autoradiographic technique in human hearts removed at cardiac transplantation and in guinea pig hearts.
Methods
Tissue PreparationHuman coronary arteries and hearts were removed at cardiac transplantation. Five human hearts were studied, and all the patients were suffering from end-stage ischemic heart disease. The myocardial sections were taken from grossly noninfarcted tissue, and the arteries were a mixture of angiographically normal, stenosed, and occluded vessels. Guinea pig hearts were removed from freshly killed animals.The