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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
8885
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pubmed:dateCreated |
1993-12-29
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pubmed:abstractText |
The pathogenesis of Raynaud's disease is unclear; an enhanced response to catecholamines has been hypothesised to contribute to this vasospastic disorder. Impaired endothelium-dependent dilation occurs in other diseases associated with vasospasm, such as coronary atherosclerosis. We investigated both endothelium-dependent and endothelium-independent venodilatory function in Raynaud's disease using the hand-vein compliance technique. Full dose-response curves to noradrenaline were constructed in 10 subjects with primary Raynaud's disease and 10 age and sex matched control subjects. The two groups did not have a different response to noradrenaline. Mean (SD) log values of ED50s (the dose producing half maximum response) were 1.00 (0.59) (geometric mean 10 ng/min) in Raynaud's disease compared with 1.29 (0.66) (20 ng/min) in control subjects (p = 0.16). The efficacy of noradrenaline as a venoconstrictor was similar in the two groups: mean maximum dilation (Emax) to noradrenaline was 81 (14)% in the Raynaud's group and 89 (8)% in the control group (p = 0.08). Full dose-response curves to the endothelium-dependent dilator bradykinin were constructed. Emax to bradykinin was significantly lower in the Raynaud's group than in the control group (65 [21] vs 91 [29%], p = 0.02). ED50 values (doses producing half maximum response) for bradykinin were similar in the two groups. Maximum dilation with nitroprusside, a direct releaser of the vasodilator nitric oxide, was not diminished in the Raynaud's group (94 [23] vs 102 [15]% in controls, p = 0.26). These results suggest that endothelium-dependent venodilation is impaired in peripheral vessels in Raynaud's disease, possibly due to diminished release of nitric oxide, and may contribute to the pathogenesis of the disorder.
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pubmed:grant | |
pubmed:commentsCorrections | |
pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
AIM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Dec
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pubmed:issn |
0140-6736
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:day |
11
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pubmed:volume |
342
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
1451-4
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pubmed:dateRevised |
2007-11-14
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pubmed:meshHeading |
pubmed-meshheading:7902481-Angiotensin II,
pubmed-meshheading:7902481-Bradykinin,
pubmed-meshheading:7902481-Dose-Response Relationship, Drug,
pubmed-meshheading:7902481-Endothelium, Vascular,
pubmed-meshheading:7902481-Female,
pubmed-meshheading:7902481-Hand,
pubmed-meshheading:7902481-Humans,
pubmed-meshheading:7902481-Male,
pubmed-meshheading:7902481-Middle Aged,
pubmed-meshheading:7902481-Nitroprusside,
pubmed-meshheading:7902481-Norepinephrine,
pubmed-meshheading:7902481-Raynaud Disease,
pubmed-meshheading:7902481-Vasodilation,
pubmed-meshheading:7902481-Veins
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pubmed:year |
1993
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pubmed:articleTitle |
Venodilation in Raynaud's disease.
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pubmed:affiliation |
Division of Clinical Pharmacology, Stanford University Medical Center, CA 94305-5113.
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pubmed:publicationType |
Journal Article,
Research Support, U.S. Gov't, P.H.S.
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