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European Heart Journal 1990 11(Supplement B):35-42; doi:10.1093/eurheartj/11.suppl_B.35
Copyright © 1990 by the European Society of Cardiology.
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© 1990 The European Society of Cardiology

Endothelium-dependent modulation of vascular tone and platelet function

U. Pohl and R. Busse

Institute of Applied Physiology, University of Freiburg F.R.G.

Address for correspondence: Dr Ulrich Pohl, Inst. of Applied Physiology, Hermann-Herder-Straβe 7, D-7800 Freiburg, F.R.G.

Endothelial cells exert potent effects on vascular tone and platelet activity by the release of autacoids. One of the functionally most important autacoids is the endothelium-derived relaxant factor (EDRF). It inhibits platelet and vascular smooth muscle activation by cGMP-dependent attenuation of the agonist-induced rise of intracellular free Ca2+. Recent experiments suggest that EDRF has a physiologic role in the control of the vascular tone of large arteries and resistance vessels. Furthermore, there is evidence that an impairment of EDRF release may be a significant pathophysiologic factor in myocardial ischaemia. Coronary vascular tone might be also affected by the endothelium-derived vasoconstrictor peptide, endothelin, but its significance for the control of coronary blood flow remains to be elucidateded.

Key Words: Endothelium-derived relaxant factor (EDRF) • endothelin • platelets • cyclic GMP • antiaggregation


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