Tran Quang T, Rozec B, Audigane L, Gauthier C
INSERM, UMR915, l'Institut du Thorax, Nantes, France.
Br J Pharmacol. 2009 Feb;156(4):601-8. doi: 10.1111/j.1476-5381.2009.00074.x. Epub 2009 Feb 4.
Nebivolol is a highly selective beta(1)-adrenoceptor antagonist with beta(3)-adrenoceptor agonist properties and is a racemate mixture of D- and L-enantiomers. However, the cellular mechanisms of the effects of each enantiomer are not yet clear and are a matter for debate. The aim of the present experiments was to determine the adrenoceptors involved in the vascular effects of D- and L-enantiomers of nebivolol in rat thoracic aorta.
Responses to nebivolol enantiomers were evaluated in rings of thoracic aorta from male Sprague-Dawley rats.
D-nebivolol (0.1-10 micromol.L(-1)), but not L-nebivolol, significantly shifted to the right the concentration-response curve to phenylephrine, an alpha(1)-adrenoceptor agonist, in a concentration-dependent manner. For the following experiments, aortic rings were constricted with endothelin 1 and now both enantiomers produced an endothelium-dependent relaxation of the rings involving the nitric oxide pathway. This relaxation was not modified by 1 micromol.L(-1) CGP 20,712A (beta(1)-adrenoceptor antagonist), but significantly blunted by 7 micromol.L(-1) L-74,8337 (beta(3)-adrenoceptor antagonist). However, only the vasorelaxation induced by D-nebivolol was significantly reduced by 1 micromol.L(-1) ICI 118,551 (beta(2)-adrenoceptor antagonist).
Our results suggest that the nebivolol enantiomers act on different targets. D-nebivolol induced vasorelaxation by activating beta(2)- and beta(3)-adrenoceptors and antagonizing alpha(1)-adrenoceptors. L-nebivolol induced vasorelaxation by activating only beta(3)-adrenoceptors in our model. Our results emphasize that nebivolol is a beta(1)-adrenoceptor antagonist with several important pharmacological differences from other beta(1)-adrenoceptor antagonists.
奈必洛尔是一种具有β₃-肾上腺素能受体激动特性的高选择性β₁-肾上腺素能受体拮抗剂,是D-和L-对映体的外消旋混合物。然而,每种对映体作用的细胞机制尚不清楚,仍是一个有争议的问题。本实验的目的是确定奈必洛尔的D-和L-对映体在大鼠胸主动脉血管效应中涉及的肾上腺素能受体。
在雄性Sprague-Dawley大鼠的胸主动脉环中评估对奈必洛尔对映体的反应。
D-奈必洛尔(0.1 - 10 μmol·L⁻¹),而非L-奈必洛尔,以浓度依赖的方式使α₁-肾上腺素能受体激动剂去氧肾上腺素的浓度-反应曲线显著右移。在接下来的实验中,用内皮素1收缩主动脉环,此时两种对映体均产生涉及一氧化氮途径的内皮依赖性血管舒张。这种舒张不受1 μmol·L⁻¹ CGP 20,712A(β₁-肾上腺素能受体拮抗剂)的影响,但被7 μmol·L⁻¹ L-74,8337(β₃-肾上腺素能受体拮抗剂)显著减弱。然而,只有D-奈必洛尔诱导的血管舒张被1 μmol·L⁻¹ ICI 118,551(β₂-肾上腺素能受体拮抗剂)显著降低。
我们的结果表明奈必洛尔对映体作用于不同靶点。在我们的模型中,D-奈必洛尔通过激活β₂-和β₃-肾上腺素能受体以及拮抗α₁-肾上腺素能受体诱导血管舒张。L-奈必洛尔仅通过激活β₃-肾上腺素能受体诱导血管舒张。我们的结果强调奈必洛尔是一种β₁-肾上腺素能受体拮抗剂,与其他β₁-肾上腺素能受体拮抗剂存在若干重要的药理学差异。