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Physiology Objectives 17 1. Three ways that organ blood flow is controlled: a. Autonomic control b. Myogenic and metabolic control c. Humoral control 2. Myogenic theory: the cause of autoregulation; as flow decreases, a reflex response causes vasoconstriction to keep flow constant and vice versa when flow increases Metabolic theory: metabolites (ADP, H+, K+, lactate, CO2) cause vasodilation, when they are washed out from the increased flow, the blood vessel contracts back to normal size 3. Local influences on organ blood flow: metabolic factors, NO, ADH, angiotensin II, histamine, bradykinin, serotonin, and prostaglandins can all have effects on blood flow with vasoactive effects Nitric oxide: produced by nitric oxide synthase, NO diffuses into smooth muscle cells and activates a cGMP pathway and vasodilation (similar to ACh) NOS is activated by several agonists, most notably shear stress which causes intracellular Ca2+ levels to increase and vasodilation (flow induced vasodilation)