95 Short Communications Dependence of Cerebral Arterial Contractions on Intracellularly Stored Ca+ + TOMIO SASAKI, M . D . , D . M . S c , N E A L F. KASSELL, M . D . , AND MARIO ZUCCARELLO, M.D. SUMMARY The purpose of the present study was to evaluate the dependence of the arterial contractions induced by different vasoactive agents upon intracellularly stored calcium in canine versus monkey cerebral arteries. The potency for inducing contractions in Ca + +-free media was in the order of 9,1 l-epithio-11,12metano-thromboxane A2 (STXAj) > prostaglandin F^ (PGF^) > > serotonin > k + in canine basilar arteries, and STXA2 >PGF 2a » serotonin = K + in monkey basilar arteries. Stroke Vol 17, No 1, 1986 Downloaded from http://stroke.ahajournals.org/ by guest on June 17, 2017 PREVENTION OF THE CEREBRAL VASOSPASM following subarachnoid hemorrhage (SAH) with calcium channel blockers is of contemporary interest. Although the pathogenesis of cerebral vasospasm is still unknown, contraction of arterial smooth muscle resulting from an increase in transmembrane Ca + + influx may be the underlying common mechanism. Furthermore, constrictor responses of cerebral arteries are more dependent on extracellular Ca + + than those of other vessels.1^1 It has been reported that calcium channel blockers increase cerebral blood flow after ischemic stroke,4-5 and prevent symptomatic vasospasm following SAH. 6 However, the effect of calcium channel blockers on the diameter of spastic cerebral arteries is controversial. Several investigators have reported that calcium channel blockers showed little or no vasodilating effect on the spastic cerebral arteries following SAH.7"9 Presumably, multiple vasoactive agents participate in the genesis of chronic vasospasm, and the dependence of the contractions induced by different vasoactive agents upon intracellularly stored Ca + + may not be uniform. The dependence of cerebral artery contractions, induced by different vasoactive agents, upon intracellularly stored C a + + has not been extensively investigated. It also seems to be important to compare the dependence of the contractions upon intracellularly stored Ca + + among different species, since the role of intracellularly stored Ca + + in the constrictor responses of cerebral arteries to serotonin has been suggested to be species-dependent.10- " The present studies compare the role of intracellularly stored Ca + + in the constrictor responses of cerebral arteries to STXA2, PGF^ and serotonin in canine versus monkey basilar arteries. The STXA2 described here is a new stable TXA2 analogue and structurally more similar to natural TXA2 than carbocyclic TXA 2 . l2 From the Department of Neurological Surgery, University of Virginia, Charlottesville, Virginia 22908. Address correspondence to: Neal F. Kassell, M D., Department of Neurological Surgery, University of Virginia, Charlottesville, Virginia 22908. Received October 18, 1984; revision #1 accepted June 12, 1985. Physiological action of STXA2 in cerebral vessels has not been extensively investigated. Materials and Methods Adult mongrel dogs and cynomolgus monkeys (macaca fascicularis) of either sex were anesthetized with sodium pentobarbital (30 mg/kg) and sacrificed by exsanguination from the femoral artery. Under magnification, the basilar arteries were dissected from the brain and placed immediately in modified Kreb's bicarbonate solution [(mM): NaCl 120: KC1 4.5: MgSo4 1.0; NaHCO3 27.0; KH2PO4 1.0; CaCl2 2.5; and dextrose 10.0] at 37°C, which was gassed with 95% O2 and 5% CO2. The pH of the solution ranged from 7.40 to 7.50. The arteries were cut into 4 mm long ring segments and were suspended between L-shaped stainless steel holders in organ baths with 10-ml working volumes. The preparations were allowed to equilibrate at 37°C for 60 minutes before use. Resting tension was adjusted to 1.5g. Contractile force was recorded isometrically using a Grass FT .03 force-displacement transducer. The transducer signal was then amplified and displayed on a Gould 260 multichannel recorder. In order to check the contractile activity of each specimen, the contractile response to 40 mM KC1 was first obtained on each ring segment. Only the specimens which showed good response to 40 mM KC1 were used. It was confirmed in the preliminary experiments that the exposure of the preparations to Ca ++ -free media containing 0.5 mM EGTA for 15 minutes inhibited completely the contractile activity of 80 mM K G . Therefore, in the present experiments examining the dependence of the contractions induced by serotonin, PGF^ or STXA2 upon intracellular Ca + + , the preparations were exposed to Ca + + -free media containing 0.5 mM EGTA for 15 minutes. After 15 minutes exposure to the Ca ++ -free media containing 0.5 mM EGTA, either 10" 6 M serotonin, lO' 5 M P G F ^ o r S x 10~ 8 M STXA2 was added. After the contraction had been stabilized, 2.5 mM Ca + + was then added. Contractile responses to 10"6 M serotonin, 10" 5 M PGF^ or 3 X 10~8 M STXA2 in Ca ++ -free media containing 0.5 mM STROKE 96 Monkey Basilar VOL 17, No 1, JANUARY-FEBRUARY 1986 Artery (gin) - - - FIGURE 1. Contractile responses of monkey basilar arteries to serotonin (10~6 M), PGF2a (W5 M) and 57X42 (3 X 10~8 M) in the absence and presence of external Ca++ (2.5 mM). The contraction induced by PGF2a or STXA2 is dependent on intracellular Ca + + to a greater extent than that induced by serotonin. 5-HT = serotonin. ^' i - • ^ t 5(1 - (2. - * • PGF 2a (IO-'M) Ca++ (2.5mM) TXA2 (3xl0"*M) 5nM) c a* ) — Ca*+(-)- -1 Downloaded from http://stroke.ahajournals.org/ by guest on June 17, 2017 EGTA relative to the responses following the addition of 2.5 mM Ca ++ were evaluated. With respect to the concentration of each agonist, the concentration producing approximately the maximum contraction was used in the present study. The preliminary experiments revealed that 10"6 M serotonin, 10"5 M PGF^ or 3 x 10"8 M STXA2 produces approximately the maximum contraction in either canine or monkey cerebral arteries. Statistical analyses of the experimental results were made using the Student's t test. Drugs and solutions used in this study were 5-hydroxytryptamine (Sigma Chemical Co.), prostaglandin F2" (Sigma Chemical Co.), 9,11-epithio-l 1, 12-methano-thromboxane A2 (Ono Pharmaceutical Co., Ltd.) and ethyleneglycol-bis(/3-aminoethylether)-N,N'-tetraacetic acid (Sigma Chemical Co.). STXA2 was dissolved in '/,5 M phosphate buffer (pH 7.4) to make a stock solution (3 x 10"5 M) and diluted with distilled water before use. Results Serotonin (10~6 M) elicited only slight contractile responses in monkey basilar arteries exposed for 15 minutes to Ca+ + -free media containing 0.5 mM EGTA, while the addition of 2.5 mM Ca+ + produced much stronger contractile responses (fig 1). PGF^ (10"5 M) or STXA2 (3 x 10"8 M) elicited more marked contractile responses than serotonin (10~6 M) in Ca++-free media containing 0.5 mM EGTA. The contractile responses to 10"6 M serotonin, 10~5 M PGF2a and 3 x 10"8 M STXA2 in Ca+ + , were 0.4 ± 0.3 (mean ± S.E), 15.0 ± 2.7 and 23.2 ± 1.8%, respectively, in monkey basilar arteries, and 3.3 ± 0.7, 9.4 ± 1.4 and 25.4 ± 1.5%, respectively, in canine basilar arteries (fig 2). In either monkey or canine basilar arteries, the mean value of the serotonininduced contractions in Ca++-free media containing 0.5 mM EGTA relative to those induced by the addition of 2.5 mM Ca+ + was significantly less (p < 0.05) than the value with PGF^ or STXA2. The mean value of the STXA2-induced contractions in Ca++-free media containing 0.5 mM EGTA relative to those induced by the addition of 2.5 mM Ca ++ was significantly larger (P < 0.05) than the value with PGF^. Between monkey and canine basilar arteries, no significant difference of the value with serotonin, PGF^ or STXA2 was observed. Discussion Varying effects of Ca ++ channel blockers on the constrictor responses of vascular smooth muscles to different vasoactive agents are considered to relate to the difference of the role played by intracellularly stored Ca ++ in the constrictor responses.2 Cerebral artery contractions induced by K + , norepinephrine or serotonin have been well known to be extently dependent on transmembrane influx of extracellular Ca+ + .3-10- '3 By contrast, constrictor responses of canine basilar arteries to carbocyclic TXA2 have recently been reported to be relatively associated with the release of Ca ++ from intracellular storage sites.14 The present results in canine basilar arteries using STXA2 appear to be almost consistent with the previous report using carbocyclic TXA2.14 The potency for inducing contractions of canine basilar arteries in 5-HT(IO 100 9 6 M) PGF 2 0 (IO M) TxA2(3xl0 M] r 50 0 L Dog Monkey <n=!2) (n=3) Dog Monkey (n=l2) (n=!2) Dog Monkey (n=l2) (n = l2) FIGURE 2. Values of contractions induced by serotonin, PGF2a, andSTXA2 in Ca+ + -free media relative to those in the media contaning 2.5 mM Ca+ + . Contractions induced by the agonists in the media containing 2.5 mM Ca+ + were taken as 100%. Results are expressed as mean ± SEM. n = number of arterial specimens examined, a: significantly different from the value with serotonin, b: significantly different from the value with PGF2a. 5-HT = serotonin. PHARMACOLOGICAL ACTION OF THROMBOXANE MSasaki et al Downloaded from http://stroke.ahajournals.org/ by guest on June 17, 2017 Ca+ +-free media was in the order of STXA2 > ^ > > serotonin > K + . On the other hand, it has been reported that contractions of canine basilar arteries induced by serotonin are almost entirely dependent on transmembrane influx of extracellular Ca + + , while those of bovine basilar arteries are relatively dependent on intracellularly stored Ca+ + . Therefore it appears to be important to compare the potencies of vasoactive agents for inducing contractions in Ca ++ -free media among different species. Such potencies have not been evaluated in monkey cerebral arteries, which possess pharmacological characteristics similar to those in human cerebral arteries." The present results revealed that the ability to release intracellularly stored calcium for the constrictor responses was in the order of STXA2 > PGF^ > > serotonin = K + in monkey basilar arteries. No significant difference was observed in the ability of any vasoactive agent to release intracellularly stored calcium for the constrictor responses between canine and monkey basilar arteries. The pathogenesis of chronic cerebral vasospasm following SAH has not been clarified yet. However, there are several previous studies suggesting that arachidonic acid metabolites such as PGFjJ 6 - 17 or TXA218- "• w play important roles in the pathogenesis of chronic vasospasm. On the other hand, present results revealed that the ability of STXA2 or PGF^ to release intracellularly stored Ca + + is significantly greater than that of serotonin or K + in either monkey or canine cerebral arteries. The beneficial effects of calcium channel blockers in the treatment of chronic cerebral vasospasm may be partial, if vasoactive agents such as PGF^ or TXA2 are involved in the genesis of the cerebral vasospasm, since their contractile action is relatively dependent on intracellular CA + + References 1. Allen GS, Banghart SB: Cerebral arterial spasm: part 9 In vitro effects of nifedipine on serotonin-, phenylephnne- and potassiuminduced contractions of canine basilar and femoral arteries. Neurosurgery 4: 37-42, 1979 2. Shimizu K, OhtaT, Toda N Evidence for greater susceptibility of isolated dog cerebral arteries to Ca antagonists than peripheral arteries. Stroke 11: 261-266, 1980 3. McCalden TA, Bevan JA: Sources of activator calcium in rabbit basilar artery. 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HandaJ, Yoneda , MatsudaM, HandaH: Effects of prostaglandins A,, E|, E2, and F2<, on the basilar artery of cats. Surg Neurol 2: 251-255, 1974 18. Ellis EF, Nies AS, Oates JA. Cerebral arterial smooth muscle contraction by thromboxane A 2 . Stroke 8: 480-483, 1977 19. Sasaki T, Murota S, Wakai S, Asano T, Sano K: Evaluation of prostaglandin biosynthetic activity in canine basilar artery following subarachnoid blood injection. J Neurosurg 55: 771-778, 1981 20. Sasaki T, Wakai S, Asano T, Takakura K, Sano K: Prevention of cerebral vasospasm following subarachnoid hemorrhage with a thromboxane synthetase inhibitor, OKY-1581. J Neurosurg 57: 74-82, 1982 Dependence of cerebral arterial contractions on intracellularly stored Ca++. T Sasaki, N F Kassell and M Zuccarello Stroke. 1986;17:95-97 doi: 10.1161/01.STR.17.1.95 Downloaded from http://stroke.ahajournals.org/ by guest on June 17, 2017 Stroke is published by the American Heart Association, 7272 Greenville Avenue, Dallas, TX 75231 Copyright © 1986 American Heart Association, Inc. All rights reserved. Print ISSN: 0039-2499. Online ISSN: 1524-4628 The online version of this article, along with updated information and services, is located on the World Wide Web at: http://stroke.ahajournals.org/content/17/1/95 Permissions: Requests for permissions to reproduce figures, tables, or portions of articles originally published in Stroke can be obtained via RightsLink, a service of the Copyright Clearance Center, not the Editorial Office. Once the online version of the published article for which permission is being requested is located, click Request Permissions in the middle column of the Web page under Services. 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