Pericardial fluid of cardiac patients elicits arterial constriction: Role of endothelin-1

Zoltan Nemeth, Attila Cziraki, Sandor Szabados, Ivan Horvath, Akos Koller

Research output: Contribution to journalArticle

4 Citations (Scopus)


Recently, several vasoactive molecules have been found in pericardial fluid (PF). Thus, we hypothesized that in coronary artery disease due to ischemia or ischemia–reperfusion, the level of vasoconstrictors, mainly endothelin-1 (ET-1), increases in PF, which can increase the vasomotor tone of arteries. Experiments were performed using an isometric myograph. Vasomotor effects of PF from patients undergoing coronary artery bypass graft (PFCABG, n = 14) or valve replacement (PFVR, n = 7) surgery were examined in isolated rat carotid arteries (N = 14; n = 26). Vasomotor responses to KCl (40 or 60 mmol/L) were also tested. The selective endothelin A receptor antagonist BQ123 (10−6 mol/L) was used to elucidate the role of ET-1. Both the first and the second additions of KCl elicited increases in the isometric force of the isolated arteries (KCl1, 6.1 ± 0.2 mN; KCl2, 6.5 ± 0.9 mN). PFCABG and PFVR elicited substantial increases in the isometric force of arteries (PFCABG, 3.1 ± 0.7 mN; PFVR, 3.0 ± 0.9 mN; p > 0.05). The presence of the selective endothelin A receptor blocker significantly reduced arterial contractions to PFCABG (before BQ123, 2.6 ± 0.5 mN vs. after BQ123, 0.8 ± 0.1 mN; p < 0.05). This study is the first to demonstrate that PFs of patients elicit substantial arterial constrictions, which is mediated primarily by ET-1. Interfering with the vasoconstrictor action of PF could be a potential therapeutic target to improve coronary blood flow in cardiac patients.

Original languageEnglish
Pages (from-to)779-785
Number of pages7
JournalCanadian journal of physiology and pharmacology
Issue number9
Publication statusPublished - Apr 15 2015


  • Coronary bypass
  • ET-1 receptor
  • Isometric contraction
  • Pericardial fluid
  • Valve replacement

ASJC Scopus subject areas

  • Physiology
  • Pharmacology
  • Physiology (medical)

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