Serotonin and Raynaud's phenomenon.

Abstract:

:No single pathophysiologic mechanism explains adequately cold-induced vasospasm in all forms of Raynaud's phenomenon. Local serotonin release from activated platelets is a contributory element in those disorders typified by structural arterial change, e.g., systemic sclerosis (scleroderma). Selective antagonism of S2-serotonergic receptors with ketanserin improves both maximal digital artery flow and cold tolerance. Platelet-derived growth factors, and serotonin itself, may contribute to the fibrotic arteriosclerosis of this disorder. In contrast, in primary (spastic) Raynaud's phenomenon, ketanserin relieves but does not prevent cold-induced vasospasm, which suggests that the role of serotonin is in maintenance of but not provocation of an attack. Antiplatelet therapies could benefit both disorders.

journal_name

J Cardiovasc Pharmacol

authors

Seibold JR

subject

Has Abstract

pub_date

1985-01-01 00:00:00

pages

S95-8

eissn

0160-2446

issn

1533-4023

journal_volume

7 Suppl 7

pub_type

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