Adrenomedullin (ADM) is a new endogenous hypotensive and vasorelaxing
peptide that may play an important role in the regulation of cardiovas
cular function. Although ADM was originally isolated from pheochromocy
toma, ADM-like immunoreactivity has also been widely detected in vario
us tissues, including the cardiovascular system. Based upon the report
s that ADM mRNA and ADM-like immunoreactivity are present in the heart
, the present study was designed to investigate the immunohistochemica
l localization of ADM in the canine heart and aorta. In the canine hea
rt, immunohistochemical examination revealed positive immunostaining w
ithin the myocardia in both atria and ventricles. ADM immunoreactivity
was observed within the cytoplasm of myocardium, and was widely distr
ibuted in the peripheral cytoplasm. ADM immunoreactivity was more inte
nse in the atria than in the ventricles. In the canine aorta, vascular
smooth muscle cells of the aorta and vasa vasorum were also immunopos
itive for ADM. ADM immunoreactivity was mostly localized in the perinu
clear position within the smooth muscle cells. There was no immunoreac
tivity in endothelium, endocardium, epicardium, adventitia, or connect
ive tissues. The current study demonstrates for the first time that im
munoreactive ADM by immunohistochemistry is present in the cardiovascu
lar system. As ADM has hypotensive and vasorelaxing actions and circul
ates in the body, ADM is a cardiovascular peptide hormone that may pla
y an important role in the regulation of cardiovascular system.