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LETTER TO THE EDITOR
Drs. Madden and Packer (2) both intimate that one possible explanation for the loss of HPV following endothelial denudation could be that some experimentalists damage the underlying smooth muscle during the denudation process. However, it has been reported several times that denudation eliminates sustained HPV, whereas smooth muscle-specific contractile responses, such as potassium-induced depolarization, are unaffected (e.g., Ref. 4).
Indeed, when considering potential "damage" to smooth muscle and the resultant effects on function, I would concur with Dr. Wadsworth (2) when posing the question as to whether enzymatically dispersed cells in culture are behaving normally?
Dr. Wadsworth makes a case for sustained HPV being the result of an inhibition of the release of endothelium-derived nitric oxide by hypoxia. As with many aspects of HPV, there is evidence both for and against this hypothesis. However, the balance of data seems to tip against this possibility, and it is more probable that NO may be increased in HPV rather than decreased (discussed in Ref. 1).
Drs. Meldrum, Lahn, and Yuan (2) seek to bring an accord to the current debate by suggesting that HPV is comprised of a concert of inter- and intradependent signal transduction pathways acting in a harmonious fashion to elicit the desired contractile response. At this point, we must put this notion in the context of the Point:Counterpoint debate, which is to avoid objectivity and be completely subjective. Objectively, I concur with Drs. Meldrum, Lahn, and Yuan and agree that HPV is most certainly a well orchestrated multi-factorial process. Subjectively, it's the endothelium, dummy!
FOOTNOTES
Address for reprint requests and other correspondence: T. P. Robertson, Univ. of Georgia, Athens, GA 30605 (e-mail: troberts{at}vet.uga.edu)
REFERENCES
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