1982 Volume 22 Issue 7 Pages 507-512
Current investigations have indicated that prolonged vasoconstriction in vasospasm following subarachnoid hemorrhage due to rupture of intracranial aneurysms is the result of a combined action of various vasoconstrictive agents such as serotonin, oxyhemoglobin, thrombin and prostaglandins. PGI2 (prostacyclin), on the other hand, has been known to possess antagonistic actions to some of the above agents.
To elucidate the role of PGI2 as a natural protecting factor against the occurrence of vasospasm, its inhibitory action against vasoconstrictions induced by serotonin, oxyhemoglobin, PGA2, PGD2, PGE2 and PGF2α was studied in vitro using the canine basilar artery. PGI2 in concentration of 10-6 M caused vasodilation ranging between 20 to 70% of the basal contraction developed by each agonist. Thus it was revealed that PGI2 caused a significant dilation of the artery which had been constricted by any of the above agents. Since the progressive diminution in PGI2 synthesis in experimental SAH has been previously demonstrated, the result of the present study indicates a possible benefit of the us2 of PGI2 as well as the need for preservation of PGI2 synthesis in any pharmacological treatment of vasospasm.