Effects of isosorbide dinitrate (ISDN) on coronary flow and arterial prostaglandin (PG) concentrations were investigated, using dog heart-lung preparations. Two kinds of gases (low and high CO
2 gases) were used for the arti-ficial respiration. Low CO
2 gas contained 55% O
2 and 0.2% CO
2, whereas high CO
2 gas contained 55% O
2 and 8% CO
2. Administration of ISDN into a blood reservoir at high CO
2 caused an increase in coronary sinus blood flow, which was blocked by indomethacin, but not at low CO
2. In the absence of ISDN, the arterial concentration of thromboxane (TX) B
2 was larger at high CO
2 than at low CO
2. ISDN attenuated such an increase in TXB
2 concentration caused by CO
2. The arterial concentration of 6-keto PGF
1α was altered by neither CO
2 nor ISDN, but slightly increased with time. Indomethacin lowered the concentrations of 6-keto PGF
1α and TXB
2. These results suggested that the arterial CO
2 tension enhanced the TXA
2 synthesis and that ISDN inhibited such a relation between CO
2 and TXA
2 synthesis. Additionally, the vasodilatory effects of PGI
2 was enhanced by elevating the arterial CO
2 tension. Thus, the increase in canine coronary flow at high CO
2 in the presence of ISDN may be related to the inhibitory effects of ISDN on the TXA
2 synthesis enhanced by the high arterial CO
2 tension and the facilitatory effects of CO
2 on the PGI
2-induced vasodilation.
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