myogenic, and paracrine. Comprehension of the regulation of circulation of specific organs is a matter
of knowing the relative importance of each of the building blocks in a particular organ in a particular
circumstance. The coronary and cutaneous circula- tions are contrasting examples in that regulation of
coronary blood flow greatly influenced by local meta- bolic events and cutaneous blood flow is predomi-
nantly influenced by neural control related to central temperature regulation. However, in both organs
other building blocks are needed to achieve a com- plete working model of the circulatory control.
Address for reprint requests and other correspondence: H. V. Sparks, Jr., 241 Giltner Hall, Dept. of Physiology, Michigan State
Univ., East Lansing, MI 48824 E-mail: sparkspsl.msu.edu.
Refer ences
1. Antepohl, W., and S. Herzig. Problem-based learning versus
lecture-based learning in a course of basic pharmacology: a controlled, randomized study.
Med. Educ. 33: 106–113, 1999.
2. Bevan, J. A. Shear stress, the endothelium and the balance
between flow-induced contraction and dilation in animals and man.
Int. J. Microcirc. Clin. Exp. 17: 248–256 1997.
3. Borici-Mazi, R., S. Kouridakis, and K. Kontou-Fili. Cutane-
ous responses to substance P and calcitonin gene-related peptide in chronic urticaria: the effect of cetirizine and dimeth-
indene. Allergy 54: 46–56, 1999.
4. Davis, M. J., and M. A Hill. Signaling mechanisms underlying the
vascular myogenic response. Physiol. Rev. 79: 387–423, 1999.
5. Doyle, A. C. Com plete Sherlock Holm es. A Study in Sca rlet.
New York: Doubleday, 1960.
6. Downey, J. M. Extravascular coronary resistance. In: Physiol-
ogy a nd Pa thophysiology of the Hea rt 2nd ed., edited by N. Sperelakis. Boston: Kluwer Academic, 1989.
7. Feigl, E. O. Coronary physiology. Physiol. Rev. 63: 1–205, 1983
8. Fleming, I., and R. Busse. NO: the primary EDRF. J. Mol. Cell.
Ca rdiol. 31: 5–14, 1999.
9. Goldstein, I., T. F. Lue, H. Padma-Nathan, R. C. Rosen, W. D. Steers, and P. A. Wicker. Oral sildenafil in the treatment
of erectile dysfunction. N. Engl. J. Med. 338: 1397–1404,
1998.
10. Laughlin, M. H., R. J. Korthuis, D. J. Duncker, and R. J. Bache. Control of blood flow to cardiac and skeletal muscle
during exercise. In: Ha ndbook of Physiology. Exercise: Regula -
tion a nd Integra tion of Multiple System s. Bethesdsa, MD: Am. Physiol. Soc., 1996, sect. 12, chapt. 16, p. 705–769.
11. Owman, C. Peptidergic vasodilator nerves in the peripheral