Cocaine abuse has been increasingly associated with cerebrovascular di
sease. We have studied the vasoactive properties of cocaine in branche
s of human middle cerebral artery and in goat middle cerebral artery i
solated in an organ bath for isometric tension recording. Cocaine (10(
-5) - 3 x 10(-4) M) induced small contractions, while higher concentra
tions (10(-3) - 3 x 10(-3) M) induced relaxation of human arteries at
resting tension. In human arteries precontracted with KCl (50 mM), pro
staglandin F-2 alpha (10(-5) M) or endothelin - 1 (10(-9) M), cocaine
(10(-6) - 3 x 10(-3) M) induced concentration-dependent relaxations wh
ich differed in terms of EC(50) or maximum effect (E(max)). With regar
d to goat arteries, cocaine (10(-6) - 3 x 10(-3) M) induced almost neg
ligible changes in resting tension, and induced concentration-dependen
t relaxations of the arterial tone induced with KCl (50 mM). By contra
st, goat arteries precontracted with prostaglandin F-2 alpha (10(-5) M
) or endothelin-1 (10(-9) M) showed biphasic concentration-response cu
rves with concentration-dependent contractions to cocaine (10(-5) - 10
(-3) M) and relaxation to the highest concentration (3 x 10(-3) M). Pr
eincubation with cocaine (10(-4) - 10(-3) M) inhibited the contractile
responses to CaCl2 (10(-6) - 10(-2) M) in depolarizing, Ca2+-free med
ium, and this inhibition was reversed by preincubation with the Ca2+ e
ntry activator Bay K8644 (10(-10) - 10(-8) M). Therefore, cocaine indu
ces tension changes in cerebral arteries which depend on the species,
the arterial tone and the contractile agent inducing it. The relaxant
effects could be attributed to the interference of cocaine with the ro
le of Ca2+ in the maintenance of arterial tone, at least in part by bl
ocking Ca2+ entry through membrane channels.