1994
DOI: 10.1111/j.1476-5381.1994.tb14755.x
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Study on the vascular reactivity and α1‐adrenoceptors of portal hypertensive rats

Abstract: 1 Vascular hyporesponsiveness in portal hypertension has been demonstrated to various vasoconstrictors including noradrenaline (NA). The present study aimed to determine whether the attenuated vascular responsiveness to NA is due to a change in the affinity or the number of ol-adrenoceptors.

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Cited by 47 publications
(26 citation statements)
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“…Regarding this, the hypothesis of pronounced postjunctional ''smooth muscle desensitization'' has to be supplemented, for it seems that the pronounced depletion of pressure response to sustained SNS activity is at least partly attributable to an enhanced prejunctional depletion of NA release and deficient NPY release. This concurs with the fact that vascular hyporesponsiveness in cirrhosis is not due to changes in the affinity and/or number of postsynaptic a 1 -1 adrenoceptors [37]. Since NPY is a potent amplifier of the vasoconstrictive response to NA [13][14][15][16], it appears that not the absolute amount, but rather the proportion of transmitter/cotransmitter release is essential for vasoconstriction.…”
Section: Discussionsupporting
confidence: 67%
“…Regarding this, the hypothesis of pronounced postjunctional ''smooth muscle desensitization'' has to be supplemented, for it seems that the pronounced depletion of pressure response to sustained SNS activity is at least partly attributable to an enhanced prejunctional depletion of NA release and deficient NPY release. This concurs with the fact that vascular hyporesponsiveness in cirrhosis is not due to changes in the affinity and/or number of postsynaptic a 1 -1 adrenoceptors [37]. Since NPY is a potent amplifier of the vasoconstrictive response to NA [13][14][15][16], it appears that not the absolute amount, but rather the proportion of transmitter/cotransmitter release is essential for vasoconstriction.…”
Section: Discussionsupporting
confidence: 67%
“…This hyporeactivity is not caused by ␣ 1 -adrenoceptor down-regulation 34,35 but by endothelial NO overproduction. 3,5,7,9,10,12,31,35,36 In this study, however, hyporeactivity to phenylephrine in superior mesenteric arteries during NO inhibition was caused by baseline EDHF-induced relaxation.…”
Section: Discussionmentioning
confidence: 86%
“…The observed vasoconstrictor dysfunction is systemic in nature in that it is not limited to the splanchnic vascular territory (13,18,19). This finding has been attributed to a postreceptor defect in vascular smooth muscle excitation contraction coupling (21,24). Additional evidence supports the contention that prolonged elevation in cyclic nucleotide-dependent vasodilators plays an important role in this defect inasmuch as vasoconstrictor effectiveness in portal hypertension can be restored by protein kinase A (PKA) inhibition (31).…”
mentioning
confidence: 78%