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Haemodynamic effects of adrenomedullin in human resistance and capacitance vessels

Aims The haemodynamic effects of adrenomedullin and calcitonin gene‐related peptide (CGRP) were studied in resistance and capacitance vessels of healthy volunteers. Methods Adrenomedullin and CGRP were infused into the brachial artery of eight healthy subjects on two separate occasions at doses betw...

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Published in:British journal of clinical pharmacology 1997-07, Vol.44 (1), p.57-60
Main Authors: Cockcroft, John R., Noon, Joseph P., Gardner‐Medwin, Janet, Bennett, Terry
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creator Cockcroft, John R.
Noon, Joseph P.
Gardner‐Medwin, Janet
Bennett, Terry
description Aims The haemodynamic effects of adrenomedullin and calcitonin gene‐related peptide (CGRP) were studied in resistance and capacitance vessels of healthy volunteers. Methods Adrenomedullin and CGRP were infused into the brachial artery of eight healthy subjects on two separate occasions at doses between 0.3–30 pmol min−1. Forearm blood flow was measured using venous occlusion plethysmography. Venodilatation to adrenomedullin and CGRP was assessed in a further eight subjects by infusing the peptides at doses between 0.3–10 pmol min−1 into a dorsal hand vein preconstricted with noradrenaline. Venodilator responses were measured as percentage reduction in noradrenaline preconstriction. Results Adrenomedullin and CGRP at a dose of 30 pmol min−1, produced an increase in forearm blood flow of 288±42% and 252±30% respectively (mean±s.e. mean, P
doi_str_mv 10.1046/j.1365-2125.1997.00622.x
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Methods Adrenomedullin and CGRP were infused into the brachial artery of eight healthy subjects on two separate occasions at doses between 0.3–30 pmol min−1. Forearm blood flow was measured using venous occlusion plethysmography. Venodilatation to adrenomedullin and CGRP was assessed in a further eight subjects by infusing the peptides at doses between 0.3–10 pmol min−1 into a dorsal hand vein preconstricted with noradrenaline. Venodilator responses were measured as percentage reduction in noradrenaline preconstriction. Results Adrenomedullin and CGRP at a dose of 30 pmol min−1, produced an increase in forearm blood flow of 288±42% and 252±30% respectively (mean±s.e. mean, P&lt;0.001). At doses between 3 and 10 pmol min−1 adrenomedullin was significantly more potent than CGRP. The vasodilatation to both peptides was of similar duration with a biological half‐life of approximately 18 min. Adrenomedullin reversed constriction in dorsal hand veins by 84±2% (P&lt;0.001) at a dose of 10 pmol min−1. CGRP produced a similar effect reversing constriction by 72±12% at the same dose (P&lt;0.01). In veins, adrenomedullin was also more potent than CGRP at doses between 0.3 and 3 pmol min−1. Conclusions The lowest dose of adrenomedullin producing significant arteriolar dilatation was calculated to produce plasma levels similar to those found in heart failure. These findings suggest that in pathophysiological conditions such as heart failure circulating levels of adrenomedullin may be within a range capable of influencing vascular resistance directly.</description><identifier>ISSN: 0306-5251</identifier><identifier>EISSN: 1365-2125</identifier><identifier>DOI: 10.1046/j.1365-2125.1997.00622.x</identifier><identifier>PMID: 9241097</identifier><identifier>CODEN: BCPHBM</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Science Ltd</publisher><subject>Adrenomedullin ; Adult ; arteries ; Biological and medical sciences ; blood flow ; Brachial Artery - drug effects ; Brachial Artery - physiology ; Calcitonin Gene-Related Peptide - pharmacology ; CGRP ; Female ; Forearm - blood supply ; Fundamental and applied biological sciences. Psychology ; Hand - blood supply ; Hemodynamics. Rheology ; Humans ; Male ; Muscle, Smooth, Vascular - drug effects ; Muscle, Smooth, Vascular - physiology ; Original ; Peptides - pharmacology ; Plethysmography ; Regional Blood Flow - drug effects ; Vascular Capacitance - drug effects ; Vascular Resistance - drug effects ; Vasodilation - drug effects ; Vasodilator Agents - pharmacology ; veins ; Veins - drug effects ; Veins - physiology ; Vertebrates: cardiovascular system</subject><ispartof>British journal of clinical pharmacology, 1997-07, Vol.44 (1), p.57-60</ispartof><rights>1997 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5632-e4d7cc1238eb87c34fcdeb88dccc5609b78bf534036fd84ddf9770f433f0703d3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,776,780,881,27903,27904</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=2751015$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/9241097$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Cockcroft, John R.</creatorcontrib><creatorcontrib>Noon, Joseph P.</creatorcontrib><creatorcontrib>Gardner‐Medwin, Janet</creatorcontrib><creatorcontrib>Bennett, Terry</creatorcontrib><title>Haemodynamic effects of adrenomedullin in human resistance and capacitance vessels</title><title>British journal of clinical pharmacology</title><addtitle>Br J Clin Pharmacol</addtitle><description>Aims The haemodynamic effects of adrenomedullin and calcitonin gene‐related peptide (CGRP) were studied in resistance and capacitance vessels of healthy volunteers. Methods Adrenomedullin and CGRP were infused into the brachial artery of eight healthy subjects on two separate occasions at doses between 0.3–30 pmol min−1. Forearm blood flow was measured using venous occlusion plethysmography. Venodilatation to adrenomedullin and CGRP was assessed in a further eight subjects by infusing the peptides at doses between 0.3–10 pmol min−1 into a dorsal hand vein preconstricted with noradrenaline. Venodilator responses were measured as percentage reduction in noradrenaline preconstriction. Results Adrenomedullin and CGRP at a dose of 30 pmol min−1, produced an increase in forearm blood flow of 288±42% and 252±30% respectively (mean±s.e. mean, P&lt;0.001). At doses between 3 and 10 pmol min−1 adrenomedullin was significantly more potent than CGRP. The vasodilatation to both peptides was of similar duration with a biological half‐life of approximately 18 min. Adrenomedullin reversed constriction in dorsal hand veins by 84±2% (P&lt;0.001) at a dose of 10 pmol min−1. CGRP produced a similar effect reversing constriction by 72±12% at the same dose (P&lt;0.01). In veins, adrenomedullin was also more potent than CGRP at doses between 0.3 and 3 pmol min−1. Conclusions The lowest dose of adrenomedullin producing significant arteriolar dilatation was calculated to produce plasma levels similar to those found in heart failure. These findings suggest that in pathophysiological conditions such as heart failure circulating levels of adrenomedullin may be within a range capable of influencing vascular resistance directly.</description><subject>Adrenomedullin</subject><subject>Adult</subject><subject>arteries</subject><subject>Biological and medical sciences</subject><subject>blood flow</subject><subject>Brachial Artery - drug effects</subject><subject>Brachial Artery - physiology</subject><subject>Calcitonin Gene-Related Peptide - pharmacology</subject><subject>CGRP</subject><subject>Female</subject><subject>Forearm - blood supply</subject><subject>Fundamental and applied biological sciences. Psychology</subject><subject>Hand - blood supply</subject><subject>Hemodynamics. Rheology</subject><subject>Humans</subject><subject>Male</subject><subject>Muscle, Smooth, Vascular - drug effects</subject><subject>Muscle, Smooth, Vascular - physiology</subject><subject>Original</subject><subject>Peptides - pharmacology</subject><subject>Plethysmography</subject><subject>Regional Blood Flow - drug effects</subject><subject>Vascular Capacitance - drug effects</subject><subject>Vascular Resistance - drug effects</subject><subject>Vasodilation - drug effects</subject><subject>Vasodilator Agents - pharmacology</subject><subject>veins</subject><subject>Veins - drug effects</subject><subject>Veins - physiology</subject><subject>Vertebrates: cardiovascular system</subject><issn>0306-5251</issn><issn>1365-2125</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1997</creationdate><recordtype>article</recordtype><recordid>eNqNUV2LFDEQDKKce6c_QZgH8W3mOslkMgMi6OJ9wIEi-hyyScfLksmsyc55--_NusvivQmBdFPV1U0VIRWFhkLbXa4byjtRM8pEQ4dBNgAdY83jM7I4Ac_JAjh0tWCCviTnOa8BKKedOCNnA2spDHJBvt1oHCe7i3r0pkLn0GxzNblK24RxGtHOIfhYlXc_jzpWCbPPWx0NVjrayuiNNv7QP2DOGPIr8sLpkPH18b8gP64-f1_e1Hdfrm-XH-9qIzrOamytNIYy3uOql4a3zthS9daYQoBhJfuVE7wF3jnbt9a6QUpwLecOJHDLL8iHg-5mXpU7DcZt0kFtkh912qlJe_UUif5e_ZweFIOW9RSKwLujQJp-zZi3avTZYAg64jRnJQcquk6wQuwPRJOmnBO60xIKap-HWqu97Wpvu9rnof7moR7L6Jt_jzwNHgMo-NsjrrPRwaXipM8nGpOCAhWF9v5A--0D7v57vfq0_FoK_gc_OahK</recordid><startdate>199707</startdate><enddate>199707</enddate><creator>Cockcroft, John R.</creator><creator>Noon, Joseph P.</creator><creator>Gardner‐Medwin, Janet</creator><creator>Bennett, Terry</creator><general>Blackwell Science Ltd</general><general>Blackwell Science</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>199707</creationdate><title>Haemodynamic effects of adrenomedullin in human resistance and capacitance vessels</title><author>Cockcroft, John R. ; Noon, Joseph P. ; Gardner‐Medwin, Janet ; Bennett, Terry</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5632-e4d7cc1238eb87c34fcdeb88dccc5609b78bf534036fd84ddf9770f433f0703d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1997</creationdate><topic>Adrenomedullin</topic><topic>Adult</topic><topic>arteries</topic><topic>Biological and medical sciences</topic><topic>blood flow</topic><topic>Brachial Artery - drug effects</topic><topic>Brachial Artery - physiology</topic><topic>Calcitonin Gene-Related Peptide - pharmacology</topic><topic>CGRP</topic><topic>Female</topic><topic>Forearm - blood supply</topic><topic>Fundamental and applied biological sciences. Psychology</topic><topic>Hand - blood supply</topic><topic>Hemodynamics. Rheology</topic><topic>Humans</topic><topic>Male</topic><topic>Muscle, Smooth, Vascular - drug effects</topic><topic>Muscle, Smooth, Vascular - physiology</topic><topic>Original</topic><topic>Peptides - pharmacology</topic><topic>Plethysmography</topic><topic>Regional Blood Flow - drug effects</topic><topic>Vascular Capacitance - drug effects</topic><topic>Vascular Resistance - drug effects</topic><topic>Vasodilation - drug effects</topic><topic>Vasodilator Agents - pharmacology</topic><topic>veins</topic><topic>Veins - drug effects</topic><topic>Veins - physiology</topic><topic>Vertebrates: cardiovascular system</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Cockcroft, John R.</creatorcontrib><creatorcontrib>Noon, Joseph P.</creatorcontrib><creatorcontrib>Gardner‐Medwin, Janet</creatorcontrib><creatorcontrib>Bennett, Terry</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>British journal of clinical pharmacology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Cockcroft, John R.</au><au>Noon, Joseph P.</au><au>Gardner‐Medwin, Janet</au><au>Bennett, Terry</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Haemodynamic effects of adrenomedullin in human resistance and capacitance vessels</atitle><jtitle>British journal of clinical pharmacology</jtitle><addtitle>Br J Clin Pharmacol</addtitle><date>1997-07</date><risdate>1997</risdate><volume>44</volume><issue>1</issue><spage>57</spage><epage>60</epage><pages>57-60</pages><issn>0306-5251</issn><eissn>1365-2125</eissn><coden>BCPHBM</coden><abstract>Aims The haemodynamic effects of adrenomedullin and calcitonin gene‐related peptide (CGRP) were studied in resistance and capacitance vessels of healthy volunteers. Methods Adrenomedullin and CGRP were infused into the brachial artery of eight healthy subjects on two separate occasions at doses between 0.3–30 pmol min−1. Forearm blood flow was measured using venous occlusion plethysmography. Venodilatation to adrenomedullin and CGRP was assessed in a further eight subjects by infusing the peptides at doses between 0.3–10 pmol min−1 into a dorsal hand vein preconstricted with noradrenaline. Venodilator responses were measured as percentage reduction in noradrenaline preconstriction. Results Adrenomedullin and CGRP at a dose of 30 pmol min−1, produced an increase in forearm blood flow of 288±42% and 252±30% respectively (mean±s.e. mean, P&lt;0.001). At doses between 3 and 10 pmol min−1 adrenomedullin was significantly more potent than CGRP. The vasodilatation to both peptides was of similar duration with a biological half‐life of approximately 18 min. Adrenomedullin reversed constriction in dorsal hand veins by 84±2% (P&lt;0.001) at a dose of 10 pmol min−1. CGRP produced a similar effect reversing constriction by 72±12% at the same dose (P&lt;0.01). In veins, adrenomedullin was also more potent than CGRP at doses between 0.3 and 3 pmol min−1. Conclusions The lowest dose of adrenomedullin producing significant arteriolar dilatation was calculated to produce plasma levels similar to those found in heart failure. These findings suggest that in pathophysiological conditions such as heart failure circulating levels of adrenomedullin may be within a range capable of influencing vascular resistance directly.</abstract><cop>Oxford, UK</cop><pub>Blackwell Science Ltd</pub><pmid>9241097</pmid><doi>10.1046/j.1365-2125.1997.00622.x</doi><tpages>4</tpages><oa>free_for_read</oa></addata></record>
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subjects Adrenomedullin
Adult
arteries
Biological and medical sciences
blood flow
Brachial Artery - drug effects
Brachial Artery - physiology
Calcitonin Gene-Related Peptide - pharmacology
CGRP
Female
Forearm - blood supply
Fundamental and applied biological sciences. Psychology
Hand - blood supply
Hemodynamics. Rheology
Humans
Male
Muscle, Smooth, Vascular - drug effects
Muscle, Smooth, Vascular - physiology
Original
Peptides - pharmacology
Plethysmography
Regional Blood Flow - drug effects
Vascular Capacitance - drug effects
Vascular Resistance - drug effects
Vasodilation - drug effects
Vasodilator Agents - pharmacology
veins
Veins - drug effects
Veins - physiology
Vertebrates: cardiovascular system
title Haemodynamic effects of adrenomedullin in human resistance and capacitance vessels
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