(Investigative Ophthalmology and Visual Science. 1999;40:1753-1760.)
© 1999
by The Association for Research in Vision and Ophthalmology, Inc.
Neurogenic Vasoconstriction as Affected by Cholinergic and Nitroxidergic Nerves in Dog Ciliary and Ophthalmic Arteries
Megumi Toda,
Tomio Okamura,
Kazuhide Ayajiki and
Noboru Toda
From the Department of Pharmacology, Shiga University of Medical Science, Ohtsu, Japan.
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Abstract
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PURPOSE. To determine the involvement of noradrenergic and other vasoconstrictor
nerves in the contraction of ocular arteries and the modification by
cholinergic and nitroxidergic nerves of vasoconstrictor nerve function.
METHODS. Changes in isometric tension were recorded in helical strips of the
canine posterior ciliary and external ophthalmic arteries denuded of
the endothelium, which were stimulated by transmurally applied
electrical pulses (5 Hz). Vasoconstrictor mediators were analyzed by
pharmacological antagonists, such as prazosin,
,ß-methylene ATP, a
P2X-purinoceptor antagonist, and BIBP3226, a neuropeptide Y
receptor antagonist.
RESULTS. Transmural electrical stimulation produced contractions that were
potentiated by
NG-nitro-L-arginine (L-NA), a
nitric oxide (NO) synthase inhibitor. The contraction was partially
inhibited by prazosin and abolished by combined treatment with
,ß-methylene ATP but was not influenced by BIBP3226.
Stimulation-induced contraction was attenuated by physostigmine and
potentiated by atropine. Contractions induced by exogenous ATP were
reversed to relaxations by
,ß-methylene ATP. In the strips treated
with L-NA, prazosin, and
,ß-methylene ATP, the addition of
L-arginine elicited relaxations by nerve stimulation. The
ATP-induced relaxation was attenuated by aminophylline, whereas
neurogenic relaxation was unaffected.
CONCLUSIONS. Ciliary and ophthalmic arterial contractions by nerve stimulation are
mediated by norepinephrine and ATP, which stimulate
1-adrenoceptor and P2X purinoceptor,
respectively. ATP from the nerve is unlikely involved in
vasodilatation. Acetylcholine derived from the nerve impairs the
neurogenic contraction, possibly by interfering with the release of
vasoconstrictor transmitters, and neurogenic NO also inhibits the
contraction postjunctionally by physiological antagonism.
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Introduction
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Autonomic innervation in the ocular vasculature plays important
roles in the regulation of vascular tone and blood flow, and
disturbances of the neurogenic control may lead to ophthalmic
dysfunction (e.g., hypoperfusion of the retina and impairment of
aqueous humor circulation, possibly responsible for normal-tension
glaucoma).1
2
Classic knowledge of sympathetic and
parasympathetic innervations in ocular blood vessels consists mainly in
noradrenergic neurogenic vasoconstriction and cholinergic neurogenic
vasodilatation. However, recent advances in the research of vascular
innervation in the eye3
and the other organs and tissues,
including the mesentery, skeletal muscle, heart, brain, and for
example, indicate that the other neurotransmitters4
are
also involved in the neurogenic vascular control. ATP and neuropeptide
Y are postulated to be vasoconstrictors from postganglionic sympathetic
nerves,5
6,
and nitric oxide (NO), vasoactive intestinal
polypeptide, and ATP would be vasodilator
neurotransmitters.7
8
9
10
Acetylcholine released from
cholinergic nerves acts as a vasodilator only when it enables the
stimulation of muscarinic receptors in the endothelium, from which the
relaxing factor (endothelium-derived relaxing factor,
EDRF11
) is liberated, or in the adrenergic nerve
terminals, responsible for the inhibition of transmitter
release.12
We have reported that vasodilatation induced by
perivascular nerve stimulation in isolated retinal, ciliary, and
ophthalmic arteries from dogs, pigs, and monkeys13
14
15
16
is
mediated by NO synthesized from L-arginine and released
from nerve terminals. However, little is known concerning the
mechanisms underlying neurogenic vasoconstriction and the functional
interactions between vasoconstrictor and vasodilator nerves in ocular
arteries.
Aims of the present study were to determine the involvement of
noradrenergic and other vasoconstrictor nerves in the contraction of
isolated canine ciliary and external ophthalmic arteries, to compare
the responsiveness to nerve stimulation in these arteries, to elucidate
modifications by cholinergic and nitroxidergic nerves of
vasoconstrictor nerve function, and to investigate whether a substance
or substances other than NO, such as ATP, are involved in the
neurogenic vasodilatation.
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Materials and Methods
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Preparation
All experimental procedures that used animals conformed to the
ARVO Resolution on the Use of Animals in Ophthalmic and Vision
Research. The institutional review board at our university approved the
use of animal blood vessels in this study.
Beagles of either sex, weighing 9 to 13 kg, were anesthetized with
intravenous injections of sodium thiopental (30 mg/kg) and were killed
by bleeding from the carotid arteries. Eyeballs attached with the optic
nerves and extraocular tissues were removed from the orbital cavities.
Posterior ciliary and external ophthalmic arteries were isolated and
cut into helical strips of approximately 20 mm long. The endothelium
was removed by gently rubbing the intimal surface with a cotton ball,
and the endothelial denudation was verified by a suppression of the
relaxation caused by 10-6 M acetylcholine. The
specimens were fixed vertically between hooks in a muscle bath (20-ml
capacity) containing the modified Ringer-Locke solution maintained at
37°C ± 0.3°C and aerated with a mixture of 95%
O2 and 5% CO2. The hook
anchoring the upper end of the strips was connected to the lever of a
force-displacement transducer (Nihonkohden Kogyo, Tokyo, Japan). The
resting tension was adjusted to 0.7g, which is optimal for
inducing the maximal contraction. The composition of the bathing medium
was as follows (mM): NaCl 120, KCl 5.4, CaCl2
2.2, MgCl2 1.0, NaHCO3 5.0,
and dextrose 5.6. The pH of the solution was 7.38 to 7.43. Before the
start of experiments, all the strips were allowed to equilibrate for 60
to 90 minutes in the bathing media, during which time the medium was
replaced three times every 10 to 15 minutes.
Tension Recording
Isometric contractions and relaxations were recorded on an
ink-writing oscillograph. The contraction induced by 30 mM
K+ was first obtained, and the arterial strips
were repeatedly washed by the fresh media and equilibrated. Only one
specimen per dog per individual type of experiment was used. The
arteries were partially contracted with prostaglandin (PG)
F2
(5 x 10-7 to
3 x 10-6 M); the contraction ranged
between 25% and 40% of the contraction induced by 30 mM
K+. At the end of each experiment, papaverine
(10-4 M) was added to obtain the maximal
relaxation. Relaxations and contractions induced by test drugs were
presented as absolute values or relative values to the relaxation
caused by 10-4 M papaverine and the contraction
caused by 30 mM K+, respectively. Most of the
arteries were placed between platinum electrodes to stimulate nerve
terminals transmurally by the application of electrical square pulses
of 0.2-msec duration at a frequency of 5 Hz for 40 seconds, which
produced submaximal and reproducible responses. The
concentration-response curves of norepinephrine (5 x
10-8 to 2 x 10-6 M)
were obtained by cumulatively applying the amine to the bathing media.
After responses to agonists or electrical stimulation were stabilized,
the strips were treated for 20 to 30 minutes with blocking agents, and
then responses to the agonists or electrical stimulation were obtained.
Histochemical Study
Tissue blocks containing the posterior ciliary arteries were fixed
for 3 hours in ice-cold phosphate-buffered saline (PBS; 0.2 M, pH 7.4)
containing 2% paraformaldehyde and were kept in 15% sucrose at 4°C
until the next stage. The ciliary artery was dissected out
microscopically in ice-cold PBS (0.1 M). NADPH diaphorase staining of
whole-mounts was performed by incubating the free-float arteries with
PBS (0.1 M, pH 8.0), containing NADPH (1 mM; Kohjin, Tokyo, Japan),
nitro blue tetrazolium (2 mM; Sigma Chemical, St. Louis, MO), and 0.3%
(vol/vol) Triton X-100 at 37°C under a dissecting microscope with x8
magnification. The period of incubation was based on staining
intensity. The reaction was terminated by washing the arteries in PBS
(0.1 M). After several washouts with distilled water, the whole-mount
arteries were air-dried on gelatins/chrome-alum-coatedglass and
covered with a coverslip, using xylene (Entellan; Merck, Darmstadt,
Germany). Histochemical control experiments by exclusion of NADPH from
the reaction mixture gave no positive staining.
Statistics and Drugs
The results shown in the text and figures are expressed as
mean ± SEM. Statistical analyses were made using the Students
paired and unpaired t-tests for two groups and the Tukeys
test after one-way ANOVA for more than three groups. Drugs used were
L-arginine, hexamethonium bromide (Nacalai
Tesque, Kyoto, Japan), atropine sulfate (Tanabe Seiyaku, Osaka, Japan),
,ß-methylene ATP, physostigmine sulfate, aminophylline, suramin
sodium salt (Sigma), timolol maleate (Banyu, Tokyo, Japan),
tetrodotoxin (Sankyo, Tokyo, Japan), prazosin hydrochloride (Wako Pure
Chemical Industries, Osaka, Japan), PG F2
(Pharmacia Upjohn, Tokyo, Japan),
NG-nitro-L-arginine
(L-NA),
NG-nitro-D-arginine
(D-NA), neuropeptide Y (Peptide Institute, Osaka, Japan), acetylcholine
chloride (Daiichi, Tokyo, Japan), BIBP3226
[R-N2-(diphenylacetyl)-N-(4-hydroxyphenyl)methyl-argininamide]
(Peninsula Laboratory, Belmont, CA); and papaverine hydrochloride
(Dainippon Pharmaceutical, Osaka, Japan). ODQ,
1H[1,2,4]oxadiazolo[4,3-a]quinoxalin-1-one, was kindly provided
by Salvador Moncada.
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Results
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Experiments with Ciliary Arteries
Vasoconstrictor Nerve.
In canine ciliary artery strips denuded of the endothelium and
partially contracted with PG F2
, transmural
electrical stimulation at 5 Hz produced a contraction that was
abolished by tetrodotoxin (3 x 10-7 M). The
contraction was moderately attenuated by prazosin
(10-6 M) and was reversed to a relaxation by
combined treatment with
,ß-methylene ATP
(10-6 M), a P2X
purinoceptor antagonist,17
which was abolished by
tetrodotoxin (Fig. 1)
or L-NA (10-6 M). Similar results were also
obtained with an additional two strips. Therefore, the mechanism of
contraction induced by electrical stimulation was analyzed in the
strips treated with L-NA (10-5 M).
Treatment with L-NA potentiated the stimulation-induced contraction
from 122 ± 28 mg (n = 11, 25.4% ± 7.7%
relative to contraction caused by 30 mM K+) to
162 ± 36 mg (n = 11, 39.1% ± 7.6% increase,
P < 0.01, paired t-test). D-NA
(10-5 M) did not produce the potentiation
(136 ± 35 versus 134 ± 31 mg, n = 4). The
response in L-NAtreated strips was not influenced by yohimbine
(10-7 M, n = 3) but was
attenuated dose-dependently by 10-7 and
10-6 M prazosin. Raising the concentration of
prazosin to 10-5 M did not produce additional
inhibition (Fig. 2)
. Treatment with
,ß-methylene ATP (10-6 M)
abolished the response. No relaxation was induced by these treatments
in the strips soaked in L-NAcontaining media.

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Figure 2. Modifications by prazosin (PZ, 10-7 to 10-5
M) and , ß-methylene ( , ßmATP, 10-6 M) of the
contractile response to transmural electrical stimulation at 5 Hz of
ciliary arterial strips treated with L-NA (10-5 M). The
arteries were partially contracted with PG F2 . Numbers
in parentheses indicate the number of strips from separate dogs.
Significantly different from control (C),
aP < 0.01; significantly different
from the value with 10-7 M PZ,
bP < 0.01,
cP < 0.05; significantly different
from the value with , ßmATP, dP <
0.01 (Tukeys test). Percentages shown in the columns are relative
values to control. Significantly different from control,
*P < 0.01; significantly different from the value
with 10-7 M prazosin, P < 0.01
(paired t-test). Vertical bars represent SEM.
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In L-NAtreated strips, the neurogenic contraction was significantly
inhibited by physostigmine (10-7 M; n
= 6, 35.4% ± 7.0% inhibition, P < 0.01, paired
t-test) from 132 ± 28 mg. Treatment with atropine
(10-7 M) antagonized the inhibition
(n = 4) or potentiated the contraction in the remaining
two (5.4% and 11.1%), compared with the level before the
physostigmine application.
Vasodilator Nerve.
In the strips treated with prazosin (10-5 M) and
,ß-methylene ATP (10-6 M) and contracted
with PG F2
, transmural electrical stimulation
induced a relaxation that was not significantly influenced by
aminophylline (2 x 10-5 M), a
P1 purinoceptor antagonist18
; mean
values before and after the treatment were 27.8% ± 4.8% and 26.0%
± 3.7% (95.2% ± 3.6% of control, n = 5),
respectively. In these preparations, the response was abolished by L-NA
(10-6 M) and restored by
L-arginine (3 x 10-4
M). The relaxation by electrical stimulation in the strips treated with
aminophylline was also abolished by ODQ (10-6 M;
n = 5), a soluble guanylate cyclase
inhibitor.19
Treatment with physostigmine
(10-7 M) and atropine
(10-7 M) did not affect the relaxation
(n = 4).
Postjunctional Purinoceptors and Adrenoceptors.
In PG F2
contracted strips, ATP
(10-6 M) caused a phasic contraction, which was
reversed to a relaxation by treatment with
,ß-methylene ATP. The
relaxation was significantly attenuated by aminophylline (2 x
10-5 M; Fig. 3
) but was unaffected by suramin (3 x 10-4
M), a nonselective P2X- and
P2Y-purinoceptor antagonist.20
Mean
values of ATP (10-6 M)induced relaxation
before and after suramin were 39.0% ± 4.0% and 44.7% ± 5.3%
(n = 6), respectively. Contractions to norepinephrine
(2 x 10-8 to 2 x
10-6 M) under resting conditions were markedly
inhibited by treatment with prazosin (10-7 and
10-6 M Fig. 4
). L-NA (10-5 M) did not significantly alter the
response to norepinephrine; mean values with 5 x
10-7 and 2 x 10-6 M
norepinephrine were 180 ± 42 and 420 ± 62 mg
(n = 6), respectively, in control media, and those were
176 ± 47 (91.0% ± 8.4% of control) and 419 ± 66 mg
(99.3% ± 3.6% of control), respectively, after treatment with L-NA.
ATP (10-6 M)induced contractions were also
unaffected by L-NA (64 ± 19 versus 60 ± 15 mg,
n = 5).

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Figure 4. Concentration-response curves of norepinephrine before and after
treatment with prazosin (PZ; 10-7 and 10-6 M)
in ciliary artery strips. Contractions induced by 2 x
10-6 M norepinephrine in control media were taken as
100%. Significantly different from corresponding values in the control
media, aP < 0.01 (unpaired
t-test). "n" denotes the number of strips from
separate dogs. Vertical bars represent SEM.
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Experiments with External Ophthalmic Arteries
Vasoconstrictor and Vasodilator Nerves.
In PG F2
contracted, endothelium-denuded
ophthalmic arterial strips, transmural electrical stimulation (5 Hz)
elicited a contraction (Fig. 5)
, which was potentiated by L-NA (10-5 M), from
163 ± 31 mg (19.7% ± 5.8% of 30 mM
K+induced contraction, n = 7)
to 312 ± 56 mg (128% ± 30.4% increase, n = 7,
P < 0.01, paired t-test). Percentage
increase in the response was significantly greater than that in ciliary
arteries (P < 0.01, unpaired t-test).
Prazosin (10-6 M) approximately halved the
stimulation-induced contraction, and
,ß-methylene ATP
(10-6 M) abolished the response (Figs. 5
and 6
, left). After the addition of L-arginine
(10-3 M), electrical stimulation produced a
significant relaxation (Figs. 5
and 6
, right), which was abolished by
tetrodotoxin (3 x 10-7 M). Atropine
(10-7 M) potentiated the response in
prazosin-treated strips (11.2% ± 3.2% increase, n =
4, paired t-test).

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Figure 5. Modifications by prazosin (PZ; 10-6 M) and ,
ß-methylene ATP ( , ßmATP, 10-6 M) of the
contraction induced by transmural electrical stimulation (TES, 5 Hz) in
external ophthalmic artery strips (left) and by
L-arginine (L-Arg.; 10-3 M) of the response to
the electrical stimulation in the strips treated with prazosin, ,
ß-methylene ATP, and L-NA (10-5 M;
right). The arteries were contracted with PG
F2 . In the left panel, the ordinate
represents the absolute value of contraction; percentages shown in the
columns indicate the relative value to control (C). In
the right panel, the ordinate represents relaxations
relative to those induced by 10-4 M papaverine.
Significantly different from control,
aP < 0.01; significantly different
from the value with prazosin, bP <
0.01 (Tukeys test). Significantly different from control,
cP < 0.01 (unpaired
t-test), *P < 0.001 (paired
t-test). Numbers in parentheses indicate the number of
strips from separate dogs. Vertical bars represent SEM.
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Effects of Acetylcholine and Neuropeptide Y.
In L-NAtreated strips, the neurogenic contraction was inhibited by
physostigmine (10-7 M) and potentiated by
atropine (10-7 M; Fig. 7
). These antagonists did not alter the contraction induced by
norepinephrine (n = 3) and ATP (n = 3).
Treatment with BIBP3226, a neuropeptide Y
Y1-receptor antagonist,21
at
10-8 M did not alter the contractile response to
nerve stimulation under L-NA treatment; mean values before and after
the antagonist were 252 ± 74 and 237 ± 91 mg (85.8% ±
7.0% of control, P > 0.05, n = 5).
BIBP3226 in the same concentration abolished the contraction induced by
exogenous neuropeptide Y at 10-9 M
(n = 4) and markedly suppressed the contraction at
3 x 10-9 M (79.8% ± 9.2% of control
[162 ± 58 mg], P < 0.001, n =
6, paired t-test).
Histochemical Study
Figure 8
shows networks of nerve fibers and bundles containing NADPH diaphorase
in the whole-mount preparation of a ciliary artery. Similar findings
were also observed in an additional two preparations from separate
dogs.

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Figure 8. NADPH histochemistry of the whole-mount preparation of a ciliary
artery. There are dense networks of positively stained nerve fibers and
bundles. Scale bar, 50 µm.
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Discussion
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Canine-isolated posterior ciliary and external ophthalmic
arteries contracted in response to electrical nerve stimulation, and
the response was potentiated by L-NA, a NO synthase inhibitor, but not
influenced by the D-enantiomer. L-NA did not increase the contractile
response to exogenous norepinephrine and ATP (present study) or the
release of 3H-overflow by adrenergic nerve
stimulation from superfused canine temporal arteries previously exposed
to 3H-norepinephrine.22
Relaxations
induced by transmural electrical stimulation of canine retinal
and ophthalmic arteries are reportedly mediated by NO released
from perivascular nerves,13
14
and the reciprocal
innervation of adrenergic vasoconstrictor and nitroxidergic vasodilator
nerves is postulated.23
Dense networks of neurons
containing NADPH diaphorase, reported to be identical to NO synthase in
neural tissues,24
were histochemically determined in dog
ciliary arteries. These findings led us to conclude that the
potentiation by L-NA of the stimulation-induced contraction is due to
an elimination of counteracting action of NO rather than a potentiation
by L-NA of the response to norepinephrine and ATP or an increase in the
release of the amine from the nerve. Potentiation by L-NA of the
neurogenic contraction was significantly greater in the ophthalmic
artery than in the ciliary artery (128% versus 39.1%), suggesting
that the NO-mediated vasodilatation more effectively blunts the
contraction to electrical nerve stimulation in the ophthalmic arteries.
In the L-NAtreated ciliary arterial strips, stimulation-induced
contractions were reduced by prazosin in a dose-dependent manner, and
the maximal inhibition was attained at 10-6 M.
The prazosin-resistant contraction in the ciliary and ophthalmic
arteries was abolished by
,ß-methylene ATP, a
P2X-purinoceptor antagonist. Contractions by
exogenously applied norepinephrine were markedly inhibited by prazosin
at 10-7 M, and those by exogenous ATP
(10-6 M) was reversed to relaxations by the
P2X-purinoceptor antagonist. Therefore, the
neurogenic contraction seems to be associated with stimulation of
1-adrenoceptors by norepinephrine and also of
P2X purinoceptors by ATP, both of which are
liberated from stimulated vasoconstrictor nerves.
P2X-purinoceptor activation increases cytosolic
Ca2+, possibly as a consequence of permeation of
the ATP-regulated channel by Ca2+.25
Under the experimental conditions used, the ratios of noradrenergic and
purinergic factors involved in the response are identical (3/2) in the
ciliary and ophthalmic arteries. Histochemical study has demonstrated
the presence of neuropeptide Y in the adrenergic nerve
terminal,26
and this peptide actually contracted the
arteries used in the present study. However, BIBP3226, a neuropeptide Y
Y1-receptor antagonist, in a concentration
sufficient to significantly reduce the neuropeptide Yinduced
contraction (present study and in guinea-pig vena cava27
)
was ineffective in the neurogenic contraction at 5 Hz. Stimulation of
peptidergic nerves may be obtained by the use of a higher frequency of
electrical pulses,4
but this is not the case in canine
ciliary and external ophthalmic arteries, because contractions by
electrical stimulation at 20 Hz were also unaltered by BIBP3223 at the
same concentration (authors unpublished observation). These
results indicate that the release of neuropeptide Y in effective
concentrations may be excluded under the experimental conditions used.
Contractile responses to nerve stimulation were attenuated by
physostigmine, an acetylcholinesterase inhibitor, in a dose that does
not directly stimulate muscarinic receptors,28
and
potentiated by atropine. However, treatment with these inhibitors did
not alter the vasoconstrictor response to norepinephrine and ATP.
Cholinergic innervation in ciliary body blood vessels has been
demonstrated by cholinesterase histochemistry.29
Therefore, acetylcholine liberated from perivascular cholinergic nerves
by electrical stimulation is expected to interfere with the release of
vasoconstrictor neurotransmitters from adrenergic nerves by acting on
muscarinic receptors in the nerve terminal. Similar prejunctional
inhibition by exogenous acetylcholine has been widely recognized in
other arteries from studies on mechanical responses and measurements of
the norepinephrine release from adrenergic nerves.30
31
32
Transmural electrical stimulation elicited a relaxation in the arteries
treated with prazosin and
,ß-methylene ATP, which was abolished by
L-NA and restored by L-arginine, as demonstrated in
isolated ocular arteries from a variety of
mammals.13
14
15
16
33
34
The response was also abolished by
ODQ, an inhibitor of soluble guanylate cyclase, suggesting an
involvement of cyclic guanosine monophosphate. The stimulation-induced
relaxation was not inhibited by aminophylline, a P1
purinoceptor antagonist, in a concentration (2 x
10-5 M) sufficient to significantly depress the
ATP-induced relaxation. Relaxations by
P1-receptor stimulation are reportedly mediated
by cAMP,35
contrary to NO (which relaxes arteries by a
mediation of cyclic guanosine monophosphate).36
These
findings support the idea that NO, but not ATP, liberated from nerve
terminals is involved in the response. The data shown in Figure 6
indicate that in the L-NA and prazosin-treated strip, relaxation is
not evoked even when the P2X-receptor antagonist
in a concentration sufficient to reverse the ATP-induced contraction to
a relaxation is used but is restored by the addition of
L-arginine, a substrate of NO synthesis. The distinct
effectiveness of nerve-derived ATP may be explained as followed:
P2X receptors are present in smooth muscle cell
membranes of synaptic and extrasynaptic areas, whereas
P1 purinoceptors, responsible for relaxation, are
located mainly in the extrasynaptic area; thus, endogenous ATP fails to
induce significant relaxation, but exogenous ATP does. Suramin, a
P2X- and P2Y-receptor
antagonist, did not inhibit the relaxation to ATP, suggesting that
P2Y purinoceptors do not contribute to the
relaxation of the arteries used in the present study. Therefore, ATP
might act solely as a vasoconstrictor neurotransmitter in the arteries
tested.
Autonomic innervations and effects of neurotransmitters on canine
ciliary and ophthalmic arteries are summarized in Figure 9
. The contractile response to perivascular nerve stimulation of the
arteries appears to be mediated by norepinephrine and ATP liberated
from adrenergic nerves. The response is impaired by acetylcholine
released from cholinergic nerves that stimulates prejunctional
muscarinic receptors. The M2 receptor subtype is
reportedly involved in the prejunctional inhibition of adrenergic nerve
function in dog saphenous veins37
and cat cerebral
arteries.38
Although similar prejunctional inhibition by
cholinergic nerve of nitroxidergic nerve has been reported in monkey
cerebral arteries,39
this is not the case for canine
ciliary and external ophthalmic arteries. The neurogenic relaxation is
expected to be mediated solely by NO and not by ATP.

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Figure 9. Scheme of adrenergic, cholinergic, and nitroxidergic innervations and
roles of neurotransmitters in the regulation of nerve and smooth muscle
functions in ciliary and ophthalmic arteries. Squares in nerve terminal
and smooth muscle represent receptors. NOS, NO synthase; L-Arg.,
L-arginine; L-Citru., L-citrulline; ATPex,
exogenous ATP; PIP2, phosphatidyl inositol bisphosphate;
IP3, inositol trisphosphate; DG, diacylglycerol; AC,
adenylate cyclase; GC, soluble guanylate cyclase; minus in adrenergic
nerve, inhibition.
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Footnotes
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Reprint requests: Noboru Toda, Department of Pharmacology, Shiga University of Medical Science, Ohtsu 520-2192, Japan.
Submitted for publication October 28, 1998; revised February 18, 1999;
accepted March 10, 1999.
Proprietary interest category: N.
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