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Departments of Anesthesiology and Physiology, Medical College of Wisconsin, and Veterans Affairs Medical Center, Milwaukee, Wisconsin
Submitted 21 March 2005 ; accepted in final form 9 May 2005
| ABSTRACT |
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-methylene ATP (107 to 103 M), phenylephrine (107 to 104 M), and acetylcholine (109 to 105 M), with tissue bath temperature adjusted to 35, 37, and 41°C. Dose-response curves were fit using nonlinear regression analysis to calculate the EC50 and slope. The peak tension was lower with
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-methylene ATP during 41°C (1.49 ± 0.14 g) compared with 35°C (2.08 ± 0.09 g) and 37°C (1.94 ± 0.09 g; P < 0.05). Slope and EC50 were not affected by temperature. Tension produced by phenylephrine and relaxation to acetylcholine were not affected by temperature. These data indicate that the vasoconstrictor response to
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-methylene ATP is sensitive to temperature. Moderate cooling does not potentiate P2X-mediated vasoconstriction, but elevated temperature attenuates the vasoconstrictor response to P2X purinergic receptors. cold; adenosine 5'-triphosphate; femoral artery; sympatholysis
1- and
2-postjunctional receptors on vascular smooth muscle. However, recent evidence from our laboratory implicates P2X purinergic receptors on vascular smooth muscle in tonic vasoconstriction in skeletal muscle at rest and during exercise (2, 4). These receptors are activated by ATP, which is a cotransmitter released with norepinephrine from the sympathetic nerves (11, 12, 15, 24).
Our laboratory has previously shown that the responsiveness of vascular P2X receptors is attenuated with heavy exercise in dogs (2). A similar attenuation of sympathetic responsiveness also occurs with
2-receptors (3, 6, 28) and is termed "functional sympatholysis" (21). Although this phenomenon is well described, the mechanism by which sympatholysis occurs is not well understood. Heavy exercise causes a variety of chemical and environmental changes in the interstitium of exercising skeletal muscle. In particular, acidic pH and elevated temperature have the potential to influence vascular function (16, 18, 26). Previous research found that vasoconstriction via
2-receptors in skeletal muscle is enhanced by cold and attenuated by heat (7, 8, 14, 17, 22). The effect of temperature on P2X receptors in skeletal muscle is not known. However, heat is known to attenuate the response to activation of P2X receptors in smooth muscle of the bladder (32, 33).
Therefore, we wanted to explore whether P2X receptors in skeletal muscle arteries were sensitive to physiological temperature extremes equivalent to core body temperatures that would be seen during moderate hypothermia (35°C) and heavy exercise (41°C) (5). We hypothesized that cold would potentiate, whereas heat would attenuate, P2X receptor-mediated vasoconstriction in skeletal muscle conduit arteries.
| METHODS |
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Protocols.
The response to the P2X agonist,
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-methylene ATP (mATP; 107 to 103 M), was measured with tissue bath temperature adjusted to 35, 37, and 41°C with a Haake B3 Fisons circulating water bath (Karlsruhe, Germany) and monitored by a digital thermometer. After a change in temperature, the vessels were allowed to equilibrate for at least 3 min before agonists were added. The order of the temperatures was randomized with 35 and 37°C. Because of evidence that prior heating affects receptor-mediated vasoconstriction, the 41°C condition was always performed last (22).
Baths were rinsed five times over 15 min between each concentration to avoid P2X desensitization by mATP. The order of mATP concentrations was randomized within each temperature. Cumulative
1-agonist, phenylephrine, curves using bath concentrations of 107 to 104 M were performed in 12 rats at 35, 37, and 41°C. To assess the temperature sensitivity of the endothelium, the artery rings from six rats were preconstricted with phenylephrine (105 M), and then a cumulative acetylcholine curve (109 to 105 M) was performed with the organ baths at 35, 37, and 41°C.
Data analysis. Results are expressed as means ± SE. Data are expressed in absolute tension in grams and as percentage of the maximal tension produced during the potassium chloride and norepinephrine challenge. Dose-response curves were fit using nonlinear regression analysis to calculate the concentration of the drug that produces 50% of the peak tension (EC50) and the slope. Percent maximal values were used for regression analysis. Statistical analysis of minimum tension, peak tension, EC50, and the slope for mATP, phenylephrine, and acetylcholine were assessed using a one-way analysis of variance followed by Tukey's post hoc test when appropriate.
| RESULTS |
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| DISCUSSION |
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1-agonist, phenylephrine, was temperature insensitive. Furthermore, endothelium-dependent dilation with acetylcholine was not altered by temperature, suggesting that the endothelium was not responsible for the effect of temperature on vasoconstriction to mATP. In agreement with Ziganshin et al. (32, 33), we found that heat attenuated P2X-mediated constriction. To our knowledge, there are no other studies that have looked at the effect of heat on P2X-mediated vasoconstriction in vascular smooth muscle. There are several mechanisms that should be considered as potential explanations for our findings, including alterations in calcium channels, the endothelium, ATP availability, or the P2X receptor.
A previous study suggested that changes in vasoconstriction with heat is caused by calcium channel activation. In vessels pretreated with phenylephrine or potassium chloride, calcium channels were sensitive to heat, resulting in an increase in tension (16). However, this effect appears to be specific to the heating protocol used because Massett et al. (16) also found no effect of heating on tension when phenylephrine was added after heating had occurred. In agreement with the latter observation, we found no effect of temperature on tension produced by the
1-agonist, phenylephrine. The heating protocol where the vessel is allowed to equilibrate at the temperature before addition of an agonist is the more traditional protocol for examining the effect of heating and has been used in numerous studies (14, 16, 17, 20, 22, 32, 33). On the basis of our results, it seems unlikely that calcium channels are involved in the effect of heat on P2X-mediated vasoconstriction.
The endothelium is also a potential source of temperature sensitivity in the femoral artery. There is some evidence that heat can increase endothelial nitric oxide release and intracellular calcium concentration in endothelial cells (9, 29). However, we found no effect of temperature on vascular smooth muscle relaxation to acetylcholine. This finding is in agreement with Ryan et al. (22), who found no effect of heat on dilation to acetylcholine until temperature exceeded 43°C. Additionally, Massett et al. (16) found that endothelium removal did not alter the effect of heating on vascular responses to phenylephrine and potassium chloride. Together with previous data, our acetylcholine curves suggest that endothelial modulation of vascular smooth muscle tone is not affected by temperature.
Although our data indicate that P2X receptors are sensitive to heat, the mechanism by which heat influences the bioavailability of ATP, ATP binding to the P2X receptor, or the P2X receptor itself is not well understood. It is conceivable that heat may cause an increase in the activity of ecto-ATPase and thus reduce the bioavailability of ATP. Although this mechanism may occur in vivo, it is unlikely in the present study because we used mATP, which is resistant to breakdown by ATPase (33).
In view of the above considerations, it appears that the mechanism of heat-induced decrease in tension with mATP application is most likely due to an intrinsic change in the P2X receptor. It should be noted that the increased tension produced by mATP is attributable solely to activation of P2X receptors such that the purinergic-2 antagonist, pyridoxal-phosphate-6-azophenyl-2'4'-disulfonic acid, totally abolishes the response (13). In agreement with Ziganshin et al. (33) we saw a significant decrease in maximal tension produced by mATP at the three highest doses with heat but no effect of heat on EC50 or slope of the dose-response curve. The lack of change in EC50 or the slope of the dose-response curve suggests that the sensitivity of the P2X receptor to ATP is unchanged by heat (27). Furthermore, Stoop et al. (27) suggested that a decrease in peak current to ATP application is an indicator of a reduction in ion pore permeability rather than a modification in the ligand or ligand binding. We speculate that this may be the mechanism whereby heat attenuates P2X-mediated vasoconstriction; however, this hypothesis would have to be confirmed by patch clamp experiments.
Our data indicate that moderate cooling did not potentiate vasoconstriction mediated by P2X receptors. Other studies that have shown significant cold potentiation in the bladder, cutaneous veins, and the mesenteric arterial bed employed temperatures of 30°C or lower, which indicates that there may be a threshold temperature for cold potentiation of P2X-mediated vasoconstriction (8, 30, 32). Although these very low temperatures may occur in the cutaneous circulation and during anesthetized surgery, we were specifically interested in temperatures that could occur in deep arteries under normal ambulatory conditions (8, 30). Therefore, we used a cold temperature of 35°C because deep arterial blood should be near core temperature with 35°C equivalent to moderate hypothermia (intense shivering and impaired coordination) (5). In summary, we did not observe cold potentiation of P2X-mediated vasoconstriction in skeletal muscle arteries. Although we cannot exclude the possibility that cold potentiation occurs, it happens at temperatures lower than would normally be encountered.
The physiological significance of these findings is that they provide a potential mechanism to explain observations regarding skeletal muscle vasculature during exercise (2, 4). Recently, our laboratory demonstrated that P2X receptors mediate tonic vasoconstriction in exercising skeletal muscle (4). However, the amount of vasoconstriction to exogenously administered mATP was attenuated during heavy exercise. We hypothesized that the mechanism of this attenuation may be related to changes in pH or temperature within the leg during exercise. Previously, we have shown that P2X receptors are sensitive to pH (13). These findings in conjunction with the present data suggest that acidosis and heat in the interstitium of exercising skeletal muscle provide a plausible mechanism for the observation of reduced sensitivity of vascular P2X receptors during dynamic exercise (2, 4).
In conclusion, P2X receptors on the femoral artery are not sensitive to moderate cooling, but they are sensitive to heating. Heating resulted in an attenuation of tension with mATP but did not affect tension produced by phenylephrine and relaxation with acetylcholine. It is unlikely that the effect of heating in femoral artery rings is a result of factors such as calcium channels or the endothelium. Further study using patch clamping of cloned receptors will be required to elucidate the mechanism by which P2X receptors are affected by heat.
| GRANTS |
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| ACKNOWLEDGMENTS |
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| FOOTNOTES |
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The costs of publication of this article were defrayed in part by the payment of page charges. The article must therefore be hereby marked "advertisement" in accordance with 18 U.S.C. Section 1734 solely to indicate this fact.
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