Contractile synergism between serotonin (5-hydroxytryptamine, 5-HT) an
d other vasoconstrictor substances has been observed in a number of pe
ripheral and cerebrovascular blood vessels. This phenomenon may play a
n important role in certain pathological states such as hypertension,
peripheral vascular disease, and coronary spasm. In the present review
, we summarize studies on the synergism between serotonin and other va
soconstrictor agents and focus on a recently described type of vasocon
strictor synergism in which precontraction with a non-5-HT receptor ag
onist yields an enhanced contractile response to serotonin which is me
diated by previously inactive or ''silent'' 5-HT receptor subtypes.