Adv Physiol Educ AdInstruments
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
 QUICK SEARCH:   [advanced]


     


Advan. Physiol. Edu. 26: 195-203, 2002;
1043-4046/02 $5.00
This Article
Right arrow Abstract Freely available
Right arrow Full Text (PDF)
Right arrow Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when eLetters are posted
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in ISI Web of Science
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via ISI Web of Science (2)
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Vandier, C.
Right arrow Articles by Bedfer, G.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Vandier, C.
Right arrow Articles by Bedfer, G.
ADV PHYSIOL EDUC 26:195-203, 2002
© 2002 American Physiological Society

TEACHING IN THE LABORATORY

WHAT ARE THE SIGNALING PATHWAYS USED BY NOREPINEPHRINE TO CONTRACT THE ARTERY? A DEMONSTRATION USING GUINEA PIG AORTIC RING SEGMENTS

Christophe Vandier1, Jean-Yves Le Guennec2 and Gilles Bedfer3

1 Laboratoire de Physiopathologie de la paroi arterielle, Croissance et Cancer, EA2103, Faculté de Médecine, 37032 Tours, France
2 Laboratoire de Nutrition, Croissance et Cancer, EA2103, Faculté de Médecine, 37032 Tours, France
3 Departement de Physiologie Animale, Faculté des Sciences, Université de Tours, 37200 Tours, France

Abstract

The laboratory exercise described in this article used a simple preparation and a straightforward protocol to illustrate how the neurotransmitter norepinephrine (NE) induces an increase of tension in an artery. This was a practical class designed for undergraduate students of the University of Tours. The students performed several protocols to understand how NE acts to contract aortic ring vessels, which sources of calcium are mobilized, and whether the calcium sensitivity of the contractile regulatory apparatus is involved. The design of this exercise allowed students to participate actively in an exercise demonstrating that many mechanisms are involved and act additively to allow arterial tone to develop. Furthermore, the students were introduced to an isolated organ chamber technique that is used to study cellular mechanisms of many tissues and that is still important for smooth muscle research.

Key words: vascular contraction; arterial pressure; smooth muscle cell; teaching

The physiology of the vascular smooth muscle cells (VSMCs) is a rapidly changing and complex area of research that has seen recent significant advances impacting on diverse scientific fields. VSMC physiology links cardiac physiology with vascular physiology. For example, aortic pressure oscillations are due to cardiac cycles, and cardiac metabolism is linked to systemic artery (coronary) flow rate.

In the vasculature, the radius of the blood vessel is altered by the contraction of VSMCs. Thus it is possible to predict the effect of stimuli on the vessel and then to extrapolate to blood pressure. One way to demonstrate VSMC contraction is to attach artery ring segments to a force transducer and record changes in tension. These responses can subsequently be used to predict the effects of agents on blood pressure.

We conduct this laboratory exercise each year as part of a cardiovascular physiology course that is required for undergraduate students of our university. This laboratory exercise provides students with an opportunity to examine methods by which physiological data are generated with the use of a relatively easy vascular ring segment preparation. This exercise complements a laboratory exercise designed to demonstrate electrical activity in the cardiovascular system (7a). Teaching such techniques to undergraduate students is important because these skills are needed both in fundamental studies and in applied studies performed in pharmaceutical companies. This exercise is most effective when performed after treatment of related topics on systemic circulation in lectures. These include the anatomy of vessels, the structure and electrophysiological features of smooth muscle cells, excitation-contraction coupling, and the regulation of the contractile apparatus.

In this laboratory exercise, the students perform seven protocols to demonstrate how norepinephrine (NE) contracts VSMCS. They initially check for the absence of a functional endothelium (4), and they observe a tonic contraction. They demonstrate the existence of excitation-contraction coupling (14). They then determine the source of calcium (intracellular/extracellular) involved in the NE contraction. Finally, they generate a diagram representing the different pathways involved in the NE contraction.

This laboratory exercise was inspired by the laboratory exercise described by Gonzalez et al. (5), which was focused on the modulatory role of the endothelium on NE-induced contraction.

MATERIALS AND METHODS

Aortic ring preparation.
In this study, all the protocols were conducted according to the ethical standards of the Ministère Français de l’Agriculture for the care and use of laboratory animals. On the day of the laboratory exercise, one heparinized guinea pig (300 g) was anesthetized with pentobarbital sodium (50 mg/kg ip) and exsanguinated. Thoracic aortic segments were isolated, cleaned of adventitia, and cut into rings. The endothelium was removed by gently rubbing the lumen with the tip of a forceps. Six aortic rings, each 5 mm long (for six groups of two students) were mounted on stainless steel hooks and suspended in a 30-ml jacketed tissue bath with physiological salt solution (PSS) maintained at 37°C and aerated with 95% O2-5% CO2 (Fig. 1).



View larger version (32K):
[in this window]
[in a new window]
 
FIG. 1 Schematic representation of the experimental set-up used for recording aortic mechanical activity. A: an aortic ring was placed in a 30-ml tissue bath (jacketed tissue bath; 1) filled with PSS solution (using another bath; 2) maintained at 37°C by a water bath circulating system (3), and aerated with 95% O2-5% CO2 (5). Force changes were recorded with a transducer (4) connected to an amplifier (6) and a chart recorder (7). B: expanded scale of (1). An aortic ring (8) was mounted on a fixed, stainless steel hook (9) connected to the tissue bath and to another mobile stainless steel hook (10) connected to the transducer.

 
Solutions.
The PSS contained (in mM): 120 NaCl, 5.4 KCl, 1 MgCl2, 0.6 NaH2PO4, 25 NaHCO3, 5.6 glucose, 5 Na-pyruvate, and 2 CaCl2, bubbled with 95% O2-5% CO2. Solutions to be tested were prepared at such concentrations that adding aliquots of them directly in the jacketed tissue bath generated allowed one to get the desired concentration around the aortic rings.

NE was prepared at 10-6 M in the presence of ascorbic acid, and the solution was placed in an amber bottle. Nifedipine was prepared in alcohol, and the final concentration of solvent was <0.1%. A high extracellular K+ solution was prepared by addition of 110 mM KCl (K110) by substitution of NaCl to preserve osmolarity. An external solution without calcium (0Ca) was prepared by omitting calcium and by adding 1 mM EGTA [pCa (= -log10[Ca], where p is potential) calculated to be >9]. The pH was then adjusted to 7.4 using NaOH.

Isometric tension recording.
Isometric force generation was recorded with Grass transducers (FT03; Quincy, MA) connected to an amplifier (Gilles Pinal) and chart recorders (Linseis, Advantec) (Fig. 1A). Artery rings were preloaded to 3 g, which induced passive tension to detect the maximum active tension. After the preload, the aortic rings were equilibrated (stress relaxation) for 1 h. The preload period of 1 h is necessary to fully stretch the intermediate elastic filament to observe contraction. A contraction of 1 g or greater to NE is considered viable.

Students were divided into six groups of two students to promote active participation. Initially, they prepared the PSS solution and the other solutions required for the exercise. In this way, they learned how to make solutions at correct concentrations. For example, students used alcohol to dissolve the nifedipine and make a stock solution as concentrated as possible so that very little alcohol carried over into the final PSS solution (<0.1%). Second, they mounted their own rings, and then the teacher performed the preload to/with 3 g.

The week before the laboratory experiments, we gave students a description (two pages) of the experiments that would be done during the laboratory exercise. Thus they had advance knowledge of all of the drugs and their effects. Furthermore, just before they performed the experiments we reexplained the effects of these drugs.

All of the figures shown in this article were obtained by the students during the class. They are shown in the article as they broadly appeared to the students.

EXPERIMENTAL PROTOCOLS

Protocol 1: mechanical aortic response to NE and endothelium removal test.
The purpose of this first protocol is to observe the contraction of the aortic rings after the addition of 10-6 M NE. The type of contraction is a tonic contraction that develops slowly and is characterized by fast and slow kinetics (Fig. 2A). When the amplitude of the contraction reaches the steady state, the students add 10-6 M acetylcholine in the bath solution to check that the endothelium was effectively removed from the aortic rings (4). The absence of significant relaxation shows that the arteries were denuded of the endothelium (Fig. 2A). Acetylcholine could not have induced a relaxation by releasing NO or other vasodilatators that would have attenuated the amplitude of the contraction (7).



View larger version (55K):
[in this window]
[in a new window]
 
FIG. 2 A: typical recording showing loss of relaxing response of aorta to acetylcholine (Ach) after the removal of endothelial cells (protocol 1). The method used to remove the endothelial cells is indicated in MATERIALS AND METHODS. ACh (10-6 M) was applied in the bath solution when the norepinephrine (NE)-induced contraction reached a plateau. B: evidence that electromechanical and pharmacomechanical coupling coexist in the aortic rings (protocol 2). Active tension was first induced by high-K solution (110 mM), and when it reached a steady state, NE (10-6 M) was applied in the bath solution.

 
Also, the students have to determine how NE induced the tonic contraction. They will demonstrate (later in the practical class) that a pharmacological and/or electromechanical coupling (14) are involved in the tonic contraction induced by NE. Indeed, NE binds to {alpha}1-adrenergic receptors that activate phospholipase C, which generates inositol 1,4,5-triphosphate (IP3) and diacylglycerol (DAG), which activates protein kinase C (PKC). This leads to the release of calcium from the intracellular stores and the transmembrane influx of calcium through receptor-operated channels (ROC) and voltage-operated channels (VOC) (10).

Protocol 2: evidence that two excitation couplings coexist in the aortic rings.
A high concentration of extracellular K+ (K110) produces a sustained contraction (Fig. 2B). The resting membrane potential of the VSMCs is largely (but not exclusively) determined by the ratio between the intracellular concentration and the extracellular concentration of K+ and is thus close to equilibrium potential for K+ (EK) (13). An increase of the extracellular concentration of K+ close to the intracellular concentration of K+ shifts the resting membrane potential toward 0 mV (EK = 0 mV) and consequently causes the complete depolarization of the membrane. This depolarization activates VOC such as L-type calcium channels and induces contraction by increasing the intracellular calcium concentration. The rise of the calcium in the cytosol is instantaneous (within milliseconds), without the prolonged delay associated with the activation of the phosphatidylinositol cascade (12). This is a typical contraction obtained by activation of electromechanical coupling (14).

The addition of NE induces a further contraction. This contraction, in completely depolarized VSMCs (note that this information was communicated to the students during the laboratory exercise), represents the "pure" pharmacological coupling (14) (Fig. 2B).

This protocol demonstrates that, in the aortic VSMCs, two couplings can be activated to induce contraction. These two mechanisms can operate simultaneously to produce a contractile response to NE.

Protocol 3: NE aortic response in presence of nifedipine.
In the presence of nifedipine, an L-type calcium channel blocker, the aortic resting tone is not changed (Fig. 3A). This indicates that the L-type calcium channel is not activated in resting conditions. An addition of NE in the bath solution induces a contraction with an amplitude (steady-state amplitude) similar to the one obtained in the absence of this blocker (Fig. 2A). This shows that NE-induced contraction is due mainly to pharmacological coupling and that VOCs are not activated. Nevertheless, the absence of effect of NE on VOCs and on the resting membrane potential cannot be definitively eliminated, because an absence of activation of electromechanical coupling is still feasible, for example by an increase of PNa and PCl (inducing depolarization) which is canceled by an increase of K permeability (PK) (inducing hyperpolarization).



View larger version (67K):
[in this window]
[in a new window]
 
FIG. 3 Examples of NE-induced contractions obtained in the presence of nifedipine (A; protocol 3) and in the absence of external calcium (B; protocol 4). Addition of nifedipine (10-5 M) had no effect on resting tone. In contrast, NE still induced a tonic contraction. In the absence of external calcium, the segment contracted with NE, but the response was not maintained (phasic contraction). Addition of calcium in the external solution (wash using PSS) produced another transient contraction.

 
Protocol 4: NE aortic response in the absence of extracellular calcium.
In the absence of the extracellular calcium, NE stimulates a transient contraction that reaches a new steady-state tension higher than the one in resting tone (Fig. 3B). This contraction, which is smaller than those in protocols 1–3 (Figs. 2A and 3A), is caused first by the production of IP3 which binds to receptors of the sarcoplasmic reticulum to release calcium from intracellular stores (10). The steady state is caused by the activation of PKC by DAG, which increases the calcium sensitivity of the contractile regulatory apparatus (12, 13). The students can compare this result with the contraction obtained in protocol 3 and can observe that ROCs are important to obtain a larger and longer lasting contraction. The existence of ROCs was first reported by Bolton (1) on the basis that some agonists can induce tonic contractions in fully depolarized smooth muscles (1).

Washing the aortic rings with a solution containing calcium induces a transient contraction (Fig. 3B). This contraction depends on the entry of calcium through calcium channels such as store-operated cation channels (SOCs), which are activated by depletion of intracellular calcium from the sarcoplasmic reticulum (3, 10). Then these channels can also be activated during NE contraction to produce, with ROCs, a long-lasting tonic contraction tonic.

Protocol 5: aortic response to caffeine.
Caffeine penetrates the cell membrane to activate the release of calcium from the sarcoplasmic reticulum and induces a transient contraction (Fig. 4A). This experiment is performed in the absence of extracellular calcium (0Ca). Therefore, the contraction is dependent only on the release of calcium from the intracellular stores. The students wait no longer than 5 min with the 0Ca solution to prevent a decrease of calcium in the sarcoplasmic reticulum. Caffeine induces a transient contraction, which decreases as calcium is removed from the cytosol by calcium transporters (10). The tone reaches a steady state that is lower than the resting tone; then caffeine induces a further relaxation (Fig. 4A). This relaxation is due to another action of caffeine, which is to decrease the calcium sensitivity of the contractile regulatory apparatus by increasing protein kinase A (PKA) activity (12, 13). Indeed, caffeine acts as a 3',5'-cyclic-nucleotide phosphodiesterase inhibitor, which induces an increase of cAMP and then triggers the activation of PKA (6).



View larger version (63K):
[in this window]
[in a new window]
 
FIG. 4 Mechanical responses to caffeine (protocol 5). A: a first application of caffeine (10 mM, 1st arrow) in the absence of external calcium induced a transient contraction when the 2nd application (10 mM, 2nd arrow) elicited only a small response. Further addition of NE induced no response. B: when caffeine was applied in the presence of external calcium and after high-K-induced contraction it produced a large and fast relaxation (protocol 6).

 
The application of NE induces either a small contraction or no additional contraction at all. If a contraction is achieved, it is a slowly developing contraction due to the increasing sensitivity of the contractile protein PKA for calcium. It is of a small amplitude because of the opposite effect of PKA/PKC on calcium sensitivity of the contractile regulatory apparatus. To know whether the artery rings can respond to additional activating agent, the students test the effect of NE 10 min after a caffeine washout.

Protocol 6: aortic response to caffeine in the presence of high external concentration of K+.
A high external concentration of K+ induces contraction by activation of VOC and the consequent increase of the cytoplasmic calcium concentration (Fig. 4B). The application of caffeine induces a fast relaxation that returns to baseline or to lower levels. This experiment confirms that caffeine can not only release calcium from the sarcoplasmic reticulum but also be a powerful relaxant compound due to its phosphodiesterase inhibitor action.

Protocol 7: aortic response to phorbol 12,13-dibutyrate.
Previously in this article, it was found that the VSMCs of the aorta were able to develop and maintain maximum tonic contraction in response to NE. It was shown that the onset of the contraction was linked to an increase of cytosolic calcium concentration and calcium from the sarcoplasmic reticulum. However, NE also activates PKC, which increases the calcium sensitivity of the contractile regulatory apparatus (12, 13). PKC is reported in high concentration in VSMCs and can be directly activated physiologically by DAG and pharmacologically by the tumor-promoting agents, phorbol esters (8, 9). One of these agents often used is the phorbol 12,13-dibutyrate (PDB), which is a potent PKC activator in VSMCs (2, 11). PDB (0.2 x 10-6 M) induces a slowly developing and sustained contraction (Fig. 5). With the kinetics of PDB-induced contraction taken into account, it thus appears that the activation of PKC can be an effective pathway in the maintenance of VSMCs during NE-induced contraction in the aorta.



View larger version (79K):
[in this window]
[in a new window]
 
FIG. 5 Typical experiment showing the effect of phorbol 12.13-dibutyrate (PDB) in aortic smooth muscle (protocol 7). The maximum PBD-induced contraction was obtained 8 min after application of the drug. Caffeine (10 mM) was applied to the vessel when the contraction reached a plateau. This compound induced a transient contraction followed by a slowly developing relaxation to a new steady-state tone.

 
The addition of caffeine, when the contraction reached steady state, first induced a fast contraction followed by a slow relaxation (Fig. 5). This showed that the release of calcium from the sarcoplasmic reticulum was essentially linked to the onset of the contraction. The relaxation was due to an opposite effect of PKC and PKA on calcium sensitivity of the contractile regulatory apparatus. The new level of tone reached in the presence of PDB and caffeine was due to an equilibrium effect of these kinases on calcium sensitivity of the contractile regulatory apparatus.

STUDENT EVALUATIONS

After the practical class experiments, the students took an exam designed to assess the perceived value of the laboratory demonstration. A typical example of such an exercise is given in Fig. 6. For this exam, it was postulated that the recording was a mechanical recording of guinea pig aortic rings, but students had forgotten to put that into the legend, so the students had to guess which modifications (in the bath solution) were performed at the level indicated by the arrows and the letter from a to q. It was possible to give several answers, but only one answer by letter was expected. Finally, the students had to speculate on a possible mechanism of action.



View larger version (10K):
[in this window]
[in a new window]
 
FIG. 6 Example of the students’ evaluation exam. The schema represents mechanical responses to aortic segments in different experimental conditions. The students had to find which modifications were performed at the places indicated by the arrows and the letters.

 
An example of expected answers was:
  1. Addition of NE in the bath solution
  2. Wash
  3. Nifedipine or L-type calcium current blocker
  4. NE (same concentration as in a)
  5. Wash
  6. Removal of external calcium
  7. NE
  8. Wash
  9. NE
  10. Acetylcholine
  11. Wash
  12. K110
  13. Nifedipine or L-type calcium current blocker
  14. Wash
  15. PDB
  16. Caffeine
  17. Wash
The ring described can exhibit active tone by activating electromechanical coupling (l) and/or pharmacomechanical coupling (a). The endothelium of the aortic ring was removed (j), and the contraction induced by NE activated a pharmacomechanical coupling only (same response in a and d). NE-induced contraction was performed by the release of calcium from internal stores (sarcoplasmic reticulum, g), the calcium influx (ROC, SOC) was responsible for the sustained contraction. Activation of PKC by NE was also involved in a sustained contraction by NE (o) by increasing calcium sensitivity of the contractile regulatory apparatus.

DISCUSSION

At the end of this laboratory exercise, students had to generate a diagram (Fig. 7) representing the different pathways involved in the NE contraction, and they had to label it as in Fig. 7. They found that the VSMCs of the aorta were able to develop and maintain maximum tonic contraction in response to NE. The onset of the contraction was linked to an increase of cytosolic calcium concentration and calcium from the sarcoplasmic reticulum (IP3). However, the maintenance of the contraction was due to increasing calcium sensitivity of the contractile regulatory apparatus by PKC and to calcium entry through ROC and SOC channels.



View larger version (7K):
[in this window]
[in a new window]
 
FIG. 7 Schema representing the different pathways involved in NE contraction that students have to reproduce at the end of the laboratory exercise. The onset of the contraction is performed by the release of calcium from internal stores (1), and the calcium influx through plasmic membrane channels (2) and the increased calcium sensitivity of the contractile regulatory apparatus (3) are responsible for the sustained contraction.

 
This laboratory exercise complemented the lecture on the smooth muscle physiology and encouraged students to relate experimental results to lecture topics. A student evaluation test was designed to assess the perceived value of the laboratory demonstration. But it does not prove that learning took place only because of this practical laboratory exercise, because the students could use all their knowledge from other sources. Nevertheless, students had to use their theoretical learning (from lectures), together with this practical exercise, to correctly label Fig. 6. They then should be able to "think" whether an experiment could be performed using vascular ring segments due to the features observed in this practical exercise. Additional topics in VSMC physiology could have been included in this demonstration, for instance the role of endothelium in modulating NE contraction (5).

In summary, the laboratory protocols on the VSMC contraction described in this article reinforced for the students the concept of VSMC physiology. The protocols allowed the students to observe methods by which physiological data are generated by use of an isolated VSMC model, a preparation frequently used in animal physiological and pharmacological studies. This also provided the students the opportunity to interpret results. It was amazing to see the students’ faces when we told them that the role of the endothelium on acetylcholine inducing the relaxation was discovered by using the same experimental set-up that they were using.

These lab experiments can easily be set up with standard equipment found in most cardiovascular physiology laboratories.

Acknowledgments

We thank Maryse Pingaud for technical help to prepare classes, Chantal Boisseau for secretarial assistance, and Gilles Pinal for expertise in electronic devices. We thank Veronique Vandier and Dr. Prem Kumar for language correction. We also thank Gael Rochefort, Patrick Massoma and Rabii Benikdes for making Fig. 1.

Address for reprint requests and other correspondence: C. Vandier, Laboratoire de physiopathologie de la paroi artérielle, Faculté de Médecine, 2 bis Boulevard Tonnellé, 37032 Tours, France (E-mail: vandier{at}univ-tours.fr).

Received for publication December 31, 2001. Accepted for publication May 15, 2002.

REFERENCES

  1. Bolton TB. Mechanisms of action of transmitters and other substances on smooth muscle. Physiol Rev 59: 606–718, 1979.[Free Full Text]
  2. Castagna M, Takai Y, Kaibuchi K, Sano K, Kikkawa U, and Nishizuka Y. Direct activation of calcium-activated, phospholipid-dependent protein kinase by tumor-promoting phorbol esters. J Biol Chem 257: 7847–7851, 1982.[Abstract/Free Full Text]
  3. Freichel M, Schweig U, Stauffenberger S, Freise D, Schorb W, and Flockerzi V. Store-operated cation channels in the heart and cells of the cardiovascular system. Cell Physiol Biochem 9: 270–283, 1999.[Web of Science][Medline]
  4. Furchgott RF. Nobel Lecture. Endothelium-derived relaxing factor: discovery, early studies, and identification as nitric oxide. Angew Chem Int Ed 38: 1870–1880, 1999.
  5. Gonzales RJ, Carter RW, and Kanagy NL. Laboratory demonstration of vascular smooth muscle function using rat aortic ring segments. Adv Physiol Educ 24: 13–21, 2000.[Abstract/Free Full Text]
  6. Hatano Y, Mizumoto K, Yoshiyama T, Yamamoto M, and Iranami H. Endothelium-dependent and -independent vasodilation of isolated rat aorta induced by caffeine. Am J Physiol Heart Circ Physiol 269: H1679–H1684, 1995.[Abstract/Free Full Text]
  7. Ishibashi Y, Duncker DJ, and Bache RJ. Endogenous nitric oxide masks alpha 2-adrenergic coronary vasoconstriction during exercise in the ischemic heart. Circ Res 80: 196–207, 1997.[Abstract/Free Full Text]
  8. Le Guennec J-Y, Vandier C, and Bedfer G. Simple experiments to understand the ionic origins and characteristics of the ventricular cardiac action potential. Adv Physiol Educ 26: 185–194, 2002.[Abstract/Free Full Text]
  9. Nishimura J, Khalil RA, Drenth JP, and van Breemen C. Evidence for increased myofilament Ca2+ sensitivity in norepinephrine-activated vascular smooth muscle. Am J Physiol Heart Circ Physiol 259: H2–H8, 1990.[Abstract/Free Full Text]
  10. Nishizuka Y. The role of protein kinase C in cell surface signal transduction and tumour promotion. Nature 308: 693–698, 1984.[Medline]
  11. Orallo F. Regulation of cytosolic calcium levels in vascular smooth muscle. Pharmacol Ther 69: 153–171, 1996.[Web of Science][Medline]
  12. Savineau JP, Marthan R, and Crevel H. Contraction of vascular smooth muscle induced by phorbol 12,13 dibutyrate in human and rat pulmonary arteries. Br J Pharmacol 104: 639–644, 1991.[Web of Science][Medline]
  13. Somlyo AP and Somlyo AV. Signal transduction and regulation in smooth muscle. Nature 372: 231–236, 1994.[Medline]
  14. Somlyo AP and Somlyo AV. Smooth muscle structure and function. In: The Heart and Cardiovascular System (2nd ed.), edited by HA Fozzard, E Haber, RB Jennings, AM Katz, and HE Morgan. New York: Raven, 1992, p. 1295–1324.
  15. Somlyo AV and Somlyo AP. Electromechanical and pharmacomechanical coupling in vascular smooth muscle. J Pharmacol Exp Ther 159: 129–145, 1968.[Abstract/Free Full Text]



This article has been cited by other articles:


Home page
Adv. Physiol. Educ.Home page
J.-Y. Le Guennec, C. Vandier, and G. Bedfer
SIMPLE EXPERIMENTS TO UNDERSTAND THE IONIC ORIGINS AND CHARACTERISTICS OF THE VENTRICULAR CARDIAC ACTION POTENTIAL
Advan Physiol Educ, September 1, 2002; 26(3): 185 - 194.
[Abstract] [Full Text] [PDF]


This Article
Right arrow Abstract Freely available
Right arrow Full Text (PDF)
Right arrow Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when eLetters are posted
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in ISI Web of Science
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via ISI Web of Science (2)
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Vandier, C.
Right arrow Articles by Bedfer, G.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Vandier, C.
Right arrow Articles by Bedfer, G.


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
Visit Other APS Journals Online