In the present study, we investigated if the relaxant effects of phosp
hodiesterase (PDE) III inhibitors on human vessels could be inhibited
by a nitric oxide synthase blocker. L-NAME, or by a blocker of ATP-sen
sitive potassium channels (K-ATP), glibenclamide. The experiments were
performed using an isometric myograph in isolated human s.c. small ar
teries obtained from healthy donors. After a priming procedure consist
ing of exposure to high potassium (120 mmol litre(-1)) solutions, phen
ylephrine 10 mu mol litre(-1) and an equilibrium period of 30 min, the
preparations were contracted with a thromboxane A(2) mimetic agent, U
46619 1 mu mol litre(-1). Subsequently, cumulative concentration-respo
nse curves were constructed for the selective PDE III inhibitors amrin
one, milrinone and enoximone, and for theophylline and dipyridamole, w
ith and without the addition of L-NAME 100 mu mol litre(-1) or glibenc
lamide 1 mu mol litre(-1). Addition of L-NAME to the organ bath result
ed in significantly higher pEC(50) values (-log of the concentration r
equired for 50% relaxation) for milrinone compared with the control: 2
.77 (SEM 0.24) mol litre(-1) (n = 5) vs 3.49 (0.17) mol litre(-1) (n =
7) (P < 0.05). There was no significant difference between any other
group. From our data we conclude that the relaxant properties of amrin
one, enoximone, theophylline and dipyridamole are not dependent on nit
ric oxide release or on interaction with K-ATP channels. However, the
effect of milrinone may be partly endothelium-dependent in human vesse
ls in vitro.