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Figure 2.1: Diagram <strong>of</strong> blood vessels in cross section showing the endothelial layer<br />

ExtltNll ElAtllC Xlti'l!8ANE<br />

IMETNAI. ElAtIK<br />

^itilEt^ltE<br />

ARTERY<br />

IUNICA IMNtrA<br />

:NOOTHEUUM<br />

crtcut.At ,$utcttt<br />

tAt cttts<br />

vlsEts 0F ArytNlrn<br />

AOVIN'|I|a<br />

Taken from 'Access Excellence'- <strong>The</strong> Heart and the Circulatory System by Roger E phillips Jr., from<br />

the National Health Museum, "<strong>The</strong> Site for Health, Teachers and-Learners', t-+tl K st, Suite 1300,<br />

Washington DC 2000s.<br />

<strong>The</strong>se and other researchers continued pursuing the identity <strong>of</strong> this substance with the<br />

evolving characteristics becoming increasingly similar to a compound <strong>of</strong> nitrogen, resulting in<br />

experiments comparing 'EDRF' with nitrogen oxides. Furchgott initially announced that<br />

EDRF could actually be the inorganic gas 'NO' at a conference in July 1986 (Khan and<br />

Furchgott 1987)' This same conclusion was proposed at the same conference by Ignarro as a<br />

result <strong>of</strong> his experiments on bovine pulmonary arteries (Ignarro, Buga et al. l9g7; Ignarro,<br />

Byrns et al. 1988). Similarly in 1987, Palmer, Fenige and Moncada showed that vascular<br />

endothelial cells generated NO and that the amounts generated accounted for the biological<br />

activity <strong>of</strong> the named EDRF mediator (Moncada, Palmer et al. 1988). This was a novel<br />

suggestion as - until this time -<br />

mediators.<br />

gases had not been thought capable <strong>of</strong> acting as biological<br />

It had been recognised that endothelium dependant relaxation <strong>of</strong> blood vessels was associated<br />

with increased cyclic guanosine 3', 5' -monophosphate (cGMp) levels in vascular muscle.<br />

This was demonstrated earlier in a number <strong>of</strong> studies using rat aorta (Rapoport and Murad<br />

1983), rabbit aorta (Diamond and Chu 1983, Furchgott, 1983 #415), bovine coronary arteries<br />

(Holzmann 1982) or bovine pulmonary arteries (Ignarro, Burke et al. 1984). Rises in cGMp<br />

are produced by activation <strong>of</strong> soluble guanylate cyclase (sGC), a magnesium sensitive<br />

hexodimer protein which contains two heme molecules. Under basal conditions, the guanylate<br />

59

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