Figures
Abstract
Teaching practicals for receptor physiology/pharmacology in medical and veterinary schools have involved the use of in vitro experiments using tissues from laboratory animals, which have been killed for isolated vascular strip or ring preparations. However, the use of scavenged tissues has been advocated to reduce animal use. Utilising discarded tissues from routine surgical procedures, such as canine neutering, has not previously been investigated. Canine testicular and uterine tissues (discarded tissues) were obtained from routine neutering procedures performed by the veterinary team at a local animal neutering clinic for stray dogs. Rings of uterine and testicular artery were dissected and mounted on a Mulvany-Halpern wire myograph in order to characterize the adrenergic and serotonergic receptors mediating vasoconstriction. Cumulative contractile concentration-response curves were constructed for the alpha adrenoceptor agonists epinephrine (α1 and α2 receptors), phenylephrine (α1 selective) and UK14304 (α2 selective). Pre-treatment with the α1-selective antagonist, prazosin, was also investigated. The response to serotonin (5-HT) receptor agonists were also investigated, including 5-HT (acting at both 5-HT1 and 5-HT2 receptors), 5-carboxamidotryptamine (5-CT; 5-HT1 selective) and α-methyl 5-HT (5-HT2 selective). A contractile response was observed in both canine uterine and testicular arteries to epinephrine and phenylephrine, and prazosin caused a dose-dependent parallel rightward shift in the phenylephrine dose-response curve (pA2 values of 7.97 and 8.39, respectively). UK14304 caused a contractile response in canine testicular arteries but very little appreciable contractile response in uterine arteries. The maximum responses produced by the uterine arteries to 5-HT was significantly lower than those of the testicular arteries. In the testicular artery, the 5-HT2 receptor selective agonist, α-methyl 5-HT, produced a similar contractile response to 5-HT but the administration of 5-CT failed to produce a response in either the testicular or uterine artery segments. These results validate the use of discarded tissue from routine canine neutering procedures as a useful source of vascular tissue for pharmacological teaching, for characterizing alpha and 5-HT receptor contractile responses.
Citation: Mulcahy L, Tudor E, Bailey SR (2020) Validation of canine uterine and testicular arteries for the functional characterisation of receptor-mediated contraction as a replacement for laboratory animal tissues in teaching. PLoS ONE 15(5): e0230516. https://doi.org/10.1371/journal.pone.0230516
Editor: Christopher Torrens, University of Southampton, UNITED KINGDOM
Received: October 2, 2019; Accepted: March 2, 2020; Published: May 26, 2020
Copyright: © 2020 Mulcahy et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Data Availability: All relevant data are within the manuscript and its Supporting Information files.
Funding: The author(s) received no specific funding for this work.
Competing interests: The authors have declared that no competing interests exist.
Introduction
Domestic animal species such as dogs are still widely used for drug design and development, toxicity testing, research and education [1]. Their use has provided a great deal of knowledge about animal physiology and disease, the pharmaco-kinetics and pharmacodynamics of pharmaceutical compounds, and the development and application of many procedures and devices [2]. This information has been extrapolated to provide information relevant to many fields of science, including human medicine, veterinary medicine, pharmacy and dentistry [2]. With an evolving societal awareness of animal welfare, the use of these and other animal species in research has been questioned and debated over many decades. This has culminated in the development and implementation of the principle ‘reduce, refine and replace’ in relation to scientific animal use [3].
The principles of ‘the 3Rs’ (Replacement, Reduction and Refinement) were developed over 50 years ago providing a framework for performing more humane animal research [3]. Since then they have been embedded in national and international legislation and regulations on the use of animals in scientific procedures, as well as in the policies of organisations that fund or conduct animal research. For certain areas of pharmacology, all three principles cannot be applied, e.g. the principle of replacement is difficult to achieve with regulatory toxicology [4]. In contrast, the area of teaching and education is one where all three principles can, and should, be applied.
Traditionally, teaching practicals for receptor physiology/pharmacology in medical and veterinary schools have involved the use of in vitro experiments using tissues from laboratory animals, which have been killed for isolated vascular strip or ring preparations [1]. New methods have been developed in an attempt to reduce animal tissue use. These include scavenged tissue (tissues from deceased animals), secondary use (secondary procedure performed on an animal under anaesthesia) and re-use (individuals/cohorts of animals used as both control and treatment groups) [5]. One method that is not widely described in the literature is utilising discarded tissues from routine surgical procedures, such as neutering. This method of tissue collection does not compromise the animal and is a novel embodiment of the ‘reduce’ principle. This paper utilises this novel source of animal tissue.
Strip preparations of vascular tissue have long been used to demonstrate drug-receptor interactions [6]. In a teaching setting, organ baths are commonly used due to convenience as they facilitate the use of larger vessels [7], while in contrast wire myographs are commonly used in research [7]. It was Mulvany & Halpern [8] who first described a method for examining vessels of 100–500 mm in diameter, which more closely represent resistance vessels rather than conducting vessels. Their method has since been refined, and customised equipment developed, to study the function of these vessels. In this study, the technique of wire myography has been used to classify the post-junctional receptors (adrenoceptors and 5-HT receptors) mediating vasoconstriction in canine testicular and uterine arteries. These muscular arteries are physiologically quite distinct from elastic arteries such as the rat aorta that is commonly used to teach vascular physiology and pharmacology.
The literature has described both adrenoceptors and 5-HT receptors causing a vasoconstrictive response in canine arteries [9, 10]. Characterising these particular blood vessels will facilitate the use of this tissue (usually discarded following routine neutering procedures of pet animals) for the teaching of receptor physiology and pharmacology in veterinary and non-veterinary courses. It is also considered that this may serve as a validated source of tissue in which to replace killed animals in a university setting.
Materials and methods
Vascular tissues
This study involved no live animals, only the secondary use of discarded animal tissues. The Animal Ethics Committee of the University of Melbourne approved the use of scavenged tissues for this study (formal waiver of ethical approval).
Canine testicular and uterine tissues were obtained from routine neutering procedures performed by the veterinary team at a local animal neutering clinic for stray dogs. The tissues were collected from healthy dogs of various ages and breeds. The dogs were not being used for research purposes, but were intended to be adopted after recovery from surgery.
Tissues were placed in ice-cold physiological Krebs solution for transportation.
Second order branches of the uterine artery and the distal region of the testicular artery, representing resistance arteries, were dissected from surrounding tissue using a dissecting microscope. Segments (1-2mm) were placed in physiological Krebs solution and stored at 4°C for up to 48 hours.
Wire myography
The segments were mounted into a Mulvany-Halpern wire myograph using wire of 40 μm diameter (Danish Myo Technologies, Denmark). Physiological Krebs-Henseleit solution (5mL) bathed the tissues in the myograph. The Krebs solution contained 118.0mM/L NaCl, 4.7mM/L KCl, 1.2 mM/L MgSO4, 1.2mM/L KH2PO4, 25.0 mM/L NaHCO3, 11.1mM/L D-glucose and 2.5mM/L CaCl2.
Arteries were maintained in oxygenated (95%O2 and 5%CO2) Krebs solution at 37°C. Preparations were allowed to equilibrate for 30 minutes before a normalization procedure was performed to determine the optimal internal circumference and to normalize the resting tension [7]. A passive length-tension relationship was described by determining the vessel radius at which the wall tension was equivalent to 100mmHg and the tension was subsequently set to achieve this value. After a further period of equilibration, the maximum contractile response to a depolarizing stimulus was obtained by replacing the Krebs solution with an equivalent solution containing 118 mM KCl (Depolarising Kreb’s solution; DKS). Artery segment contraction was expressed as mN per mm segment length and continuously recorded by a computerised acquisition system (Power Lab, ADI Instruments, Oxfordshire, UK).
Receptor agonists and antagonists
The drugs used in the experiment included alpha adrenoceptor agonists epinephrine (acting at both α1 and α2 receptors), phenylephrine (α1 selective) and UK14304 (α2 selective). Pre-treatment with the α1-selective antagonist, prazosin (10-8M or 10-7M), was also used. Serotonin (5-HT) receptor agonists were also used in the study, including 5-HT (acting at both 5-HT1 and 5-HT2 receptors), 5-carboxamidotryptamine (5-CT; 5-HT1 selective) and α-methyl 5-HT (5-HT2 selective). Stock solutions of each drug were produced by dissolving the drug in distilled water. The concentrations presented in the results represent the final molar concentration in the bathing medium. All drugs were obtained from Sigma-Aldrich Ltd (Sydney, NSW).
Concentration-response curves and data analysis
After a period of stabilization of resting tension, agonists were added in a cumulative manner. The tissues were allowed to reach maximum contraction for that agonist concentration, i.e. contract until a steady state was obtained, before the next concentration was added. For the antagonist experiments, the preparations were incubated with the antagonist for 10 mins before agonist concentrations were added to the bathing medium. Blood vessel segments from 4–6 individual animals were used for each treatment, and the effects of antagonists were examined on paired segments from the same animal.
The contractile response to each concentration of agonist was determined for each tissue and expressed as a percentage of the contractile response produced by the depolarizing stimulus (% DKS). A curve-fitting program (Graph Pad Prism, Version 6.02) was used to calculate the maximal response value for each individual curve. The equation used to fit the monophasic concentration-response curves was: E = [Emax AnH/ (AnH + EC50)], where Emax is the maximum response and nH represents the Hill slope.
Statistical analysis was performed on the data using Graphpad Prism (Version 6.02; Graphpad Inc.). A Kruskal-Wallis test was used to compare the values obtained from the testicular artery 5-HT, alpha-methyl 5-HT and 5-CT treatments and a Mann-Whitney test was used on all other data. Statistical significance was accepted at a P-value of <0.05.
Results
Tissue characteristics and force generated
The internal diameter of the uterine and testicular artery segments ranged from 357–1,570 micrometers and 190–716 micrometers, respectively. The maximum tension generated by the uterine artery segments to depolarising Krebs solution reached 2–12 grams, while the testicular artery segments generated 2–8.8 grams tension.
Characterisation of alpha adrenoceptors
A contractile response was observed in both canine testicular and uterine arteries with the administration of the non-selective alpha adrenoceptor agonist, epinephrine (Fig 1). The EC50 values, maximum responses and Hill slope values for all of the experiments are provided in Tables 1 and 2. A statistically significant difference was noted in the EC50 values between uterine (1.1 ± 0.55 x10-6M) and testicular arteries (1.51 ± 0.50 x10-7M); however, there was no significant difference in the maximum response in either tissue, when accounting for the vessel size by expressing the tension as a percentage of the DKS response.
Phenylephrine administration (alpha1 selective agonist) produced a contractile response in both uterine and testicular arteries (Fig 2). No significant difference was observed between the tissues in regards to EC50 or maximum response (Tables 1 and 2). Pre-treatment of canine uterine arteries with the alpha1 selective antagonist, prazosin (10 and 100 nM), caused a dose-dependent parallel rightward shift in the phenylephrine dose-response curve (Fig 3). This produced a pA2 value of 7.97 for prazosin, which is consistent with its actions on a population of α1 adrenoreceptors. Pre-treatment of canine testicular arteries with prazosin (100 nM), also caused a significant rightward shift (25-fold) in the phenylephrine dose-response curve (Fig 4), giving an apparent pA2 value of 8.39. In both the uterine and testicular arteries, there was no significant effect of prazosin on the maximum responses produced by phenylephrine.
There was very little appreciable contractile response to the selective alpha2 adrenoceptor agonist, UK14304, in canine uterine arteries (Fig 3). A maximum response of 4.18 ±0.51% DKS was recorded, but this response was too small to be curve-fitted. However, a dose-dependent strong contractile response was observed in canine testicular arteries to UK14304 (Fig 4), with a maximum response very similar to phenylephrine. A statistically significant difference was seen in the EC50 values between phenylephrine (1.3 ± 0.75 x10-6M) and UK14304 (7.63 ± 3.24 x10-8M) administration.
5-HT receptor characterisation
Both uterine and testicular arteries produced a contractile response to 5-HT administration (Fig 5). There was no significant difference in the EC50 value for either tissue. However, the maximum responses produced by the uterine arteries was significantly lower than those of the testicular arteries when expressed as a percentage of the DKS response (mean of 51.88 ± 17.67% of the DKS response for the uterine arteries and 118.86 ± 16.51% DKS for the testicular arteries).
In the testicular artery, the 5-HT2 receptor selective agonist, α-methyl 5-HT, produced a similar contractile response to 5-HT (Fig 6). In contrast, the administration of 5-CT failed to produce a response. A statistically significant difference was seen in the maximum responses produced by 5-HT, α-methyl 5-HT and 5-CT (118.86 +/- 16.51% DKS, 92.73 +/- 16.11% DKS and 0 +/- 0% DKS respectively). In the uterine artery segments, 5-CT also failed to produce a response.
In the testicular artery, it was possible to fit the data from the 5-HT experiment to a biphasic model, giving an EC50 value for the first phase of 7.1 and the second phase 5.3. However, the R squared value for the goodness of fit for the biphasic model (0.74) was not significantly different to that obtained from the monophasic model (0.73). Therefore it could not be definitively determined whether two different receptor subtypes may have been mediating this response.
Discussion
This study investigated the post-junctional α-adrenergic and 5-HT receptors mediating vasoconstriction in canine uterine and testicular arteries, in order to characterise the receptor populations to see how these blood vessels might be useful for teaching purposes. This study demonstrated that α-adrenergic and 5-HT receptors are present in both canine and testicular arteries, with further characterisation conducted to determine the subtypes. It also demonstrated that the use of discarded tissues from routine neutering procedures is a valid and useful source of experimental tissue. The amount of force generated by the muscular canine uterine and testicular arteries makes them superior tissues for teaching, with force generation of up to 12 and 8.8 grams tension, respectively. Rat aorta is a commonly used tissue for teaching, but this is an elastic artery and equivalent sized rings can only generate around 1.5–2 grams tension [11, 12].
In both tissue types, a vasoconstrictive response was observed in a dose-dependent manner to epinephrine, a non-selective adrenoceptor agonist [13], demonstrating the adrenoceptor-mediated contractile response to the natural ligand. As there was no significant difference between the maximum response produced by both tissues, it can be assumed that epinephrine is equally efficacious in both canine uterine and testicular arteries. The variation in EC50 values suggests that epinephrine may be more potent in the canine testicular artery compared to the uterine artery. It has been shown that different vascular beds have marked differences in their responsiveness to epinephrine, and other vasoactive substances, likely the result of different receptor populations or receptor sensitivity [14]. One potential explanation is the presence of oestrogen on uterine arteries. Oestrogen has been shown to alter ion fluxes in arterial walls and also modulate endothelium-derived factors [15]. An inhibitory effect on smooth muscle is observed in vivo by oestrogen via inhibiting calcium influx and activating potassium efflux [15]. Other studies have also commented on sexually dimorphic vascular responses [16, 17].
To further characterise the adrenoceptor population present in both the uterine and testicular tissue an α1-selective agonist [13], phenylephrine, was administered. A vasoconstrictive response in both tissues occurred in a dose-dependent manner. Previous studies have demonstrated that canine arterial smooth muscle contains α1-adrenoceptors [18]. As no significant difference was seen in the response to phenylephrine on these tissues, it may be presumed that the α1 receptor population is similar in both uterine and testicular arteries. This is an interesting finding as previous studies have shown a variation in α1-adrenoceptor expression as a result of oestrogen presence [19]. Studies have also shown a significant decrease in the maximal arterial vasoconstrictive response produced by phenylephrine in rats treated with 17β-estradiol [17, 20].
In both the uterine and testicular tissues, incubation with prazosin, an α1-selective antagonist [13], during the administration of phenylephrine demonstrated competitive inhibition by causing a parallel rightward shift in the concentration-response curves. This competitive inhibition, with pA2 values of 7.97 and 8.39, further confirms the presence of α1 receptors mediating vasoconstriction in canine uterine and testicular arteries, because these values are consistent with the affinity of prazosin at α1-adrenoceptors in previously characterised tissues [21].
The administration of UK14304, an α2-selective agonist [22], produced almost no contractile response in the canine uterine artery segments, suggesting that very few (if any) α2 adrenoceptors are present in these blood vessels. However in testicular arteries this agonist produced a very clear dose-dependent vasoconstrictive response. In fact, both phenylephrine and UK14304 were similarly efficacious in these arteries. This demonstrates the presence of a mixed population of α-adrenoceptors in the testicular arteries (both α1 and α2 adrenoceptors). The high efficacy and potency of UK14304 suggests that there is a significant population of α2-adrenoceptors in these arteries, although in order to determine the relative functional significance of this receptor population the effect of an α2-adrenoceptor-selective antagonist would need to be examined on the contractile response to a non-selective α agonist (e.g. epinephrine). With an EC50 value of 76 nM, it can be presumed that UK14304 is acting at the α2 receptor population and not activating α1 receptors non-selectively, which can occur with selective agonists administered at high concentrations [13].
There are limited studies evaluating receptor classification in testicular arteries, particularly in the canine model. However, one study indicated that α2-adrenoceptors likely contribute to smooth muscle contraction in the rat testicular capsule [23]. As it has been shown that canine vessels in different body regions have varied α-adrenoceptor subtypes [24], it is likely that α2-adrenoceptors may be more prominent in canine testicular arteries. Relative proportions of alpha adrenoceptors (α1 and α2) vary depending on the diameter of the blood vessel [25] and as a result, due to the differences in the diameters of the uterine and testicular artery rings used in this study (up to 1570μm and 716μm, respectively), a direct comparison with uterine tissue of the proportion of α2-adrenoceptors was not appropriate.
The contractile response produced by both uterine and testicular arteries to 5-HT, the naturally occurring ligand which acts at both 5-HT1 and 5-HT2 receptors [13], demonstrates the presence of these receptors in both tissues. Many studies have shown the presence of 5-HT receptors in various arterial beds [26]. As no significant difference was observed between EC50 values for both uterine and testicular arteries, it appears that the potency of 5-HT is similar in both tissues. The variation in maximum response between the two tissues, however suggests that 5-HT administration is less efficacious in causing vascular contraction in uterine tissue. It has previously been established that blood 5-HT levels are positively influenced by oestradiol presence and it has been demonstrated that ovariectomy reduces blood 5-HT levels [27]. These results may suggest that canine uterine tissue might exhibit desensitisation of 5-HT receptors as a result of the presence of oestrogen pre-neutering causing a prolonged exposure to 5-HT [13]. One human study evaluating uterine artery contractility to sumatriptan, a 5-HT1 receptor agonist [28], showed that tachyphylaxis occurred in uterine arteries and also showed that this does not occur with cerebral arteries [28].
An alternative explanation for the apparent difference in response to 5-HT may be associated with temperature effects. It should be noted that testicular arteries are accustomed to being in a lower temperature environment than uterine arteries. Blood vessels at the extremities, such as cutaneous arteries and veins, that play a role in thermoregulation often exhibit temperature-dependent increases vasoconstriction mediated by adrenergic and/or serotonergic receptors. For example, small arteries within the temperature-sensitive tissues of the equine hoof exhibit cooling-enhanced contraction to 5-HT [29]. The current experiments were all conducted at 37°C, although the in vivo outer temperature of testicular arteries may be slightly cooler. The effects of temperature on testicular artery contractility deserve further investigation.
Another potential explanation for this variation in maximum response is the affinity of 5-HT for α-adrenoceptors [30]. However, although the non-selective α-agonist was more potent in testicular tissue compared to uterine tissue, the maximum responses were similar. Observing the concentration-response curve to 5-HT in the testicular arteries, it could potentially be fitted to a biphasic model, with an EC50 of the first phase of 7.1 and the second phase of 5.3. This would give a maximum response for the first phase closer to that of the 5-HT2 receptor selective agonist, αmethyl 5-HT. However, both biphasic and monophasic curves had a similar goodness of fit (r2 0.74 for fitting to the biphasic model compared with 0.73 for the monophasic model) and with the sample size in the current study it was not possible to determine whether there may be a distinct second phase. An alpha antagonist, such as benextramine, would need to be used in order to investigate this further [30].
The 5-HT receptor population present in the uterine and testicular arteries was further characterised, focussing mainly on the testicular arteries given the more marked contractile response to 5-HT. The administration of α-methyl 5-HT, a 5-HT2 agonist [31], produced a similar dose-response curve to that of 5-HT in the testicular arteries, with a slightly lower maximum response. In contrast, the administration of 5-CT, a 5-HT1 agonist [32], failed to produce a vasoconstrictive response. Similarly, it failed to produce a response in the uterine arteries. These results, therefore, suggest that 5-HT2 receptors are the predominant receptor subtype causing vasoconstriction in these blood vessels. It has been shown by numerous studies that vasoconstriction induced by serotonin is predominantly mediated via 5-HT2 receptors, while vasodilation is sometimes mediated via 5-HT1 receptors [33–35]. Human uterine artery studies have also concluded that vasoconstriction is mainly mediated by 5-HT2 receptors [34]. There are some exceptions however, such as equine digital arteries and veins where both 5-HT1 and 5-HT2 receptors cause vasoconstriction [36].
For the teaching of students in the biological sciences, pharmacology, veterinary or medical education programs, having the students observe first-hand the contraction of blood vessels and the effect of G protein-coupled receptor activation and blockade is a very valuable learning experience. These practical activities greatly enhance their understanding of the effect of different types of antagonists and other physiological modulators on the dose-response relationship to agonists. Given the great importance now placed on ‘the 3Rs’ in modern university teaching programs worldwide, the use of these discarded canine tissues may replace the need to kill rodents, rabbits or guinea pigs to obtain the tissues necessary for these teaching practical classes.
In conclusion, this study has characterised the adrenergic and serotonergic receptors mediating vasoconstriction in canine uterine and testicular arteries. These results validate the use of discarded tissue from routine canine neutering procedures as a legitimate and effective tissue source for teaching, and there is promising potential for future application more widely.
Supporting information
S1 File. Spreadsheet containing raw data from blood vessel experiments.
https://doi.org/10.1371/journal.pone.0230516.s001
(XLSX)
Acknowledgments
The authors would like to thank the Lost Dogs’ Home, North Melbourne (Victoria, Australia) and their clinical colleagues from the Melbourne Veterinary School Department of Clinical Sciences who operate a neutering clinic within the Lost Dogs’ Home.
References
- 1. Jain G, Bodakse SH, Mishra S, Namdev K, Rajput MS. Development of an ex vivo model for pharmacological experimentation on isolated tissue preparation. Journal of Advanced Pharmaceutical Technology and Research 2012;3:176–181. pmid:23057004
- 2. Lairmore MD, Ilkiw J. Animals Used in Research and Education, 1966–2016: Evolving Attitudes, Policies, and Relationships. Journal of veterinary medical education 2015;42:425–440. pmid:26673210
- 3.
Russell WMS, Burch Rl. The Principles of Humane Experimental Technique. london: Methuen, 1959.
- 4. Flecknell P. Replacement, reduction and refinement. Altex 2002;19:73–78.
- 5.
Guidelines for the ethical use of animals in research and teaching. In: Industries DoP, editor. Department of Primary Industries Biosecurity Victoria, 2011.
- 6. Bevan JA, Osher JV. A direct method for recording tension changes in the wall of small blood vessels in vitro. Agents and Actions 1972;2:257–260. pmid:4641160
- 7. Angus JA, Wright CE. Techniques to study the pharmacodynamics of isolated large and small blood vessels. Journal of Pharmacological and Toxicological Methods 2000;44:395–407. pmid:11325582
- 8. Mulvany MJ, Halpern W. (1977). Contractile properties of small arterial resistance vessels in spontaneously hypertensive and normotensive rats. Circulation Research 1977;41, 19–26. pmid:862138
- 9. De Vries P, Sánchez-López A, Centurión D et al. The canine external carotid vasoconstrictor 5-HT1 receptor: blockade by 5-HT1B (SB224289), but not by 5-HT1D (BRL15572) receptor antagonists. European Journal of Pharmacology 1998;362:69–72. pmid:9865532
- 10. Willems EW, Valdivia LF, Ramírez-San Juan E, Saxena PR, Villalón CM. Pharmacological identification of the major subtypes of adrenoceptors involved in the canine external carotid vasoconstrictor effects of adrenaline and noradrenaline. Life Sciences 2001;69:143–153. pmid:11441904
- 11. Shafaroudi MM, McBride M, Deighan C et al. Two "knockout" mouse models demonstrate that aortic vasodilatation is mediated via α2A-adrenoceptors located on the endothelium. Journal of Pharmacology and Experimental Therapeutics 2005;314:804–810. pmid:15878998
- 12. Hsieh CY, Miaw CL, Hsieh CC et al. Effects of chronic 4-n-nonylphenol treatment on aortic vasoconstriction and vasorelaxation in rats. Archives of Toxicology 2009;83:941–946. pmid:19533100
- 13.
Rang HP, Dale MM, Ritter JM, Flower RJ. Rang and Dale's Pharmacology. Sixth edition edn. Churchill Livingstone, Edinburgh, 2007.
- 14. Bohr DF, Goulet PL. Direct tension recording from smooth muscle of resistance vessels from various organs. Angiology 1961;12:478–485. pmid:13870656
- 15. Tostes RC, Nigro D, Fortes ZB, Carvalho MHC. Effects of estrogen on the vascular system. Brazilian Journal of Medical and Biological Research 2003;36:1143–1158. pmid:12937779
- 16. Stallone JN, Crofton JT, Share L. Sexual dimorphism in vasopressin-induced contraction of rat aorta. American Journal of Physiology—Heart and Circulatory Physiology 1991;260.
- 17. Stallone JN. Role of endothelium in sexual dimorphism in vasopressin-induced contraction of rat aorta. American Journal of Physiology—Heart and Circulatory Physiology 1993;265.
- 18. De Mey J, Vanhoutte PM. Uneven distribution of postjunctional alpha1- and alpha2-like adrenoceptors in canine arterial and venous smooth muscle. Circulation Research 1981;48:875–883. pmid:6261986
- 19. Zhang Y, Davidge ST. Effect of estrogen replacement on vasoconstrictor responses in rat mesenteric arteries. Hypertension 1999;34:1117–1122. pmid:10567192
- 20. Thomas G, Ito K, Zikic E et al. Specific inhibition of the contraction of the rat aorta by estradiol 17 β. Journal of Pharmacology and Experimental Therapeutics 1995;273:1544–1550. pmid:7791130
- 21. Jarajapu YPR, Coats P, McGrath JC, Hillier C, MacDonald A. Functional characterization of α 1-adrenoceptor subtypes in human skeletal muscle resistance arteries. British Journal of Pharmacology 2001;133:679–686. pmid:11429392
- 22. Payandemehr B, Bahremand A, Ebrahimi A et al. Protective effects of lithium chloride on seizure susceptibility: Involvement of a α2-adrenoceptor. Pharmacology Biochemistry and Behavior 2015;133:37–42.
- 23. Dantas da Silva Júnior E, Palmieri de Souza B, Quintella Dantas Rodrigues J et al. Effects of clonidine in the isolated rat testicular capsule. European Journal of Pharmacology 2014;726:16–26. pmid:24485887
- 24. Taguchi Y, Yang XP, Chiba S. Existence of α1a- and α1b-adrenoceptor subtypes in canine mandibular alveolar arteries. Clinical and Experimental Pharmacology and Physiology 2001;28:716–720. pmid:11553029
- 25. Langer SZ, Hicks PE. Alpha-adrenoreceptor subtypes in blood vessels: Physiology and pharmacology. Journal of Cardiovascular Pharmacology 1984;6:S547–S558. pmid:6210422
- 26. Watts SW, Morrison SF, Davis RP, Barman SM. Serotonin and blood pressure regulation. Pharmacological Reviews 2012;64:359–388. pmid:22407614
- 27. Gonzales GF, Carrillo C. Blood serotonin levels in postmenopausal women: Effects of age and serum oestradiol levels. Maturitas 1993;17:23–29. pmid:8412840
- 28. Silva SA, Ribeiro CAF. Tachyphylaxis to the sumatriptan-induced contractile effect in the human uterine artery but not in human cerebral blood vessels: Pharmacological demonstration of the 5-HT 1B receptor functionality loss. Pharmacology 2012;89:29–36. pmid:22302025
- 29. Zerpa H, Berhane Y, Elliott J, Bailey SR. The effect of cooling on the contractility of equine digital small lamellar arteries: modulating role of the endothelium. Experimental Physiology. 2010;95(10):1033–42. pmid:20660021
- 30. Grandaw PP, Purdy RE. Serotonin-induced vasoconstriction in rabbit femoral artery: Mediation by both 5-HT2 serotonergic and α1-adrenoceptors. Journal of Cardiovascular Pharmacology 1996;27:854–860. pmid:8761853
- 31. Campos-Bedolla P, Vargas MH, Calixto E et al. α-Methyl-5-HT, a 5-HT2 receptor agonist, stimulates β2-adrenoceptors in guinea pig airway smooth muscle. Pharmacological Research 2006;54:468–473. pmid:17079161
- 32. Simansky KJ. Peripheral 5-carboxamidotryptamine (5-CT) elicits drinking by stimulating 5-HT1-like serotonergic receptors in rats. Pharmacology, Biochemistry and Behavior 1991;38:459–462. pmid:1829233
- 33. Frohlich PF, Meston CM. Evidence that serotonin affects female sexual functioning via peripheral mechanisms. Physiology & Behavior;71:383–393.
- 34. Karlsson C, Bodelsson G, Bodelsson M, Stjernquist M. 5-Hydroxytryptamine contracts human uterine artery smooth muscle predominantly via 5-HT2 receptors. Human Reproduction 1997;12:361–367. pmid:9070726
- 35. De Clerck F, van Nueten JM, Reneman RS. Platelet-vessel wall interactions: Implication of 5-hydroxytryptamine. A review. Agents and Actions 1984;15:612–626. pmid:6397984
- 36. Bailey SR, Elliott J. Evidence for different 5-HT1B/1D receptors mediating vasoconstriction of equine digital arteries and veins. European Journal of Pharmacology 1998;355, 175–187. pmid:9760032