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. 2016 Sep 7;96(4):1449–1508. doi: 10.1152/physrev.00003.2016

Table 2.

Local mediators of vascular tone and vessel patency

Pathway Early Pathway Events Downstream Signaling Effects Main Physiological Function Reference Nos. Evidence for Pathway Modulated by Hmox1
Myogenic constriction Activation of an unknown mechanosensor Increase in phospholipase C, inositol 1,4,5-trisphosphate, protein kinase C, VSMC depolarization, VSMC [Ca2+]i, myosin light-chain Ca2+ sensitivity and actin polymerization Constriction Autoregulation of blood flow, capillary pressure stabilization 178, 253, 366, 588 379
Cytochrome P-450 metabolism of arachidonic acid Formation of 20-hydroxyeicosatetraenoic acid, increase in protein kinase C, decrease in VSMC potassium channel opening, increase in VSMC [Ca2+]i Constriction Autoregulation of blood flow, capillary pressure stabilization 270, 330 102
Cyclooxygenase metabolism of arachidonic acid Production of prostacyclin and stimulation of IP receptor Increase in adenylate cyclase, cAMP, protein kinase A activity, VSMC hyperpolarization and decrease in VSMC [Ca2+]i Relaxation Flow mediated dilation, endothelium-dependent, observed when other mediators are inhibited, renal blood flow regulation, platelet inhibition 93, 94, 197, 256 299
Production of PGE2 and stimulation of EP1, EP2, EP3 and EP4 receptors EP2, EP4: Increase in adenylate cyclase, protein kinase A, K+ efflux, decrease in VSMC [Ca2+]i EP2, EP4: relaxation Renin secretion and systemic vascular tone 4, 88, 431, 469, 527 47, 165
EP1, EP3: Increase in phospholipase C, inositol 1,4,5-trisphosphate and decrease in cAMP EP1, EP3: constriction
Production of thromboxane A2 and stimulation of TP receptors Increase in phospholipase C, inositol 1,4,5-trisphosphate, VSMC [Ca2+]i, and myosin light-chain Ca2+ sensitivity, decrease in adenylate cyclase and cAMP, increase in phosphodiesterase expression, inhibition of endothelial hyperpolarization, increase in superoxide production Constriction Regulation of vascular tone, inhibition of EC-derived hyperpolarization, increase in reactive species, cross-reactivity with other prostanoid receptors under disease conditions 191, 287, 355, 364, 378 471
Nitric oxide sGC Increase in cGMP, protein kinase G, receptor modulation, VSMC hyperpolarization; decrease in [Ca2+]i and myosin light-chain Ca2+ sensitivity Relaxation Blood pressure regulation, relaxation, inhibition of platelet aggregation, regulation of cardiac contractility 44, 87, 443, 463, 526 216
Carbon monoxide sGC/BKca Increase in; cGMP, protein kinase G and activation of BKca channels Relaxation Blood pressure regulation, relaxation 147, 216, 379, 574, 587, 603
High CO concentration in skeletal muscle Negative modulation of the NO pathway Constriction 203, 212
EC-derived hyperpolarization of VSMC (not mediated by NO or cyclooxygenase-derived products) K+ efflux through endothelial calcium-activated K+ channels Activation of VSMC Kir and Na+-K+-ATPase channels, VSMC hyperpolarization leading to decreased VSMC [Ca2+]i Relaxation Regulation of vascular tone in resistance arteries, regulation of blood pressure, conduction of relaxation along arterial branches 49, 97, 125, 253, 254, 479 298
Electrical conductance through junctional proteins Connexins mediate electrical conduction of hyperpolarization along EC and VSMC leading to decreased VSMC [Ca2+]i Relaxation Regulation of vascular tone of potential importance during functional antagonism of relaxation, conducted relaxation 127, 345, 608
Small molecule movement through myoendothelial gap junctions Inositol 1,4,5-trisphosphate or Ca2+ movement through myoendothelial gap junctions, increase in EC [Ca2+]i, activation of eNOS and/or IKCa channels, subsequent activation of pathways described above Relaxation Regulation of vascular tone, VSMC negative feedback to counteract constriction 274, 387, 460, 545
Cytochrome P-450 metabolism of arachidonic acid Epoxyeicosatrienoic acid act in: 1) autocrine manner raising EC [Ca2+]i through TRP receptors and subsequently activating Ca2+-activated K+ channels; and/or 2) paracrine action whereby epoxyeicosatrienoic acids diffuse to VSMC activating unidentified receptors, VSMC Ca2+- activated K+ channels and subsequent hyperpolarization and closure of voltage-gated Ca2+ channels Relaxation Regulation of vascular tone in response to cyclic stretch and shear flow and produced in inflammatory states 58, 137, 190, 562 453, 454
Lipoxygenase metabolism of arachidonic acid Formation of trihydroxyeicosatrienoic acids, hydroxyepoxyeicosatrienoic acids, and hydroxyeicosatetraenoic acids; VSMC hyperpolarization through K+ efflux Relaxation Regulation of vascular tone through hyperpolarization, roles in inflammation 151153, 638
EC source of hydrogen peroxide Oxidation of protein kinase G1α, activation of BKCa channels, VSMC hyperpolarization, decrease in VSMC [Ca2+]i Relaxation Proposed EC-derived hyperpolarizing factor. Mice with protein kinase G1α increased blood pressure despite normal response to NO 53, 376, 429
EC source of hydrogen sulfide Formation of sulfide, nitrogen hybrid groups, enhanced NO donor activity, oxidation of protein kinase G1α, VSMC hyperpolarization, and decrease in [Ca2+]i Relaxation Proposed EC-derived hyperpolarizing factor 95, 96, 300, 512
EC source of bradykinin Activation of B1 and B2 receptors, increase in EC [Ca2+]i, EC hyperpolarization, formation of epoxyeicosatrienoic acids, activation of BKCa channels Relaxation Inflammatory responses, relaxation and pain 125, 589
Endothelin-1 ETA receptor Increase in phospholipase C, inositol 1,4,5-trisphosphate, diacylglycerol, protein kinase C, and VSMC [Ca2+]i, increased superoxide production Constriction Regulation of vascular tone, more pronounced effects in age and disease 105, 251, 284, 602
ETB Receptor Increase in EC [Ca2+]i, increased prostacyclin and NO production Relaxation 105, 126, 632
Angiotensin Angiotensin type 1 receptor Increase in phospholipases C, A2 and D; inositol 1,4,5-trisphosphate; diacylglycerol; VSMC [Ca2+]I; RhoA kinase activation. Stimulation of protein kinase C, BKca channel internalization, NADPH oxidase activation, increased superoxide production Constriction Regulation of vascular tone, electrolyte and blood volume and systemic blood pressure 280, 356
Angiotensin type 2 receptor Angiotensin II metabolism to angiotensin (1–7), III, and IV; increased NO release Relaxation 154, 155 189