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338 SECTION IV Drugs with Important Actions on Smooth Muscle
C ASE STUD Y ANSWER
Prostacyclin analogs have been shown to be effective in G protein-coupled IP receptor, leading to elevated cAMP.
the treatment of pulmonary hypertension. Multiple for- The result is reduced proliferation of vascular smooth mus-
mulations are now available including intravenous, inha- cle cells and vasodilation, key strategies in the treatment of
lational, and more recently, oral. These agents activate the pulmonary hypertension.