PURPOSE. To unmask the vasoconstricting effect of angiotensin II (Ang II) o
n retinal smooth muscle by studying its interaction with endothelium-derive
d paracrine substances. This study focused specifically on determining the
changes in vascular diameter and the release of endothelial-derived vasodil
ators, nitric oxide (NO) and prostaglandin (PG) I-2, from isolated retinal
microvessels.
METHODS. Bovine retinal central artery and vein were cannulated, and arteri
oles and venules were perfused with oxygenated/heparinized physiological sa
lt solution at 37 degrees C. This ex vivo perfused retinal microcirculation
model was used to observe the contractile effects of Ang II on arterioles
and venules of different diameters. The NO and PGI(2) synthase inhibitors,
1-NOARG and flurbiprofen, respectively, were used to unmask Ang II vasocons
triction; the changes in vascular diameters were then measured. Enzyme immu
noassays were used to measure the release of cGMP tan index of NO release)
and 6-keto-PG-F-1 alpha (a stable metabolite of PGI(2)) from isolated bovin
e retinal vessels.
RESULTS. Topically applied Ang II (10(-10) M to 10(-4) M) caused significan
t (P < 0.05) arteriolar and venular constrictions in a dose-dependent manne
r, with the smallest retinal arterioles (7 +/- 0.2 mu m luminal diameter) a
nd venules (12 +/- 2 mu m luminal diameter) significantly more sensitive th
an larger vessels. After the inhibition of endogenous NO and PGI(2) synthes
is bp 1-NOARG and flurbiprofen, respectively, the vasoconstriction effects
of Ang II became more pronounced. Again, the smallest vessels tested were s
ignificantly more sensitive, and synthesis of endothelial-derived relaxing
factor (EDRF), therefore, may be most important in these vessels, Vasoactiv
e doses of Ang II (10(-10) M to 10(-4) M) caused a dose-dependent increase
in the release of NO and PGI(2) from isolated bovine retinal vessels, indic
ating that the increase in EDRF may nullify direct Ang II-induced vasoconst
riction. Interestingly, intraluminal administration of Ang II caused only v
asodilation.
CONCLUSIONS. This study demonstrates that the retinal vascular endothelium
acts as a buffer against the vasoconstricting agent Ang II via release of v
asodilators NO and PGI(2), and the vasoconstriction effects due to Ang II a
re most prominent in the smallest diameter vessels.