Department of Pharmacology, Federal University of São Paulo (UNIFESP), Brazil.
Department of Pharmacology, Federal University of São Paulo (UNIFESP), Brazil.
Eur J Pharmacol. 2015 Dec 5;768:199-206. doi: 10.1016/j.ejphar.2015.10.054. Epub 2015 Oct 31.
Autonomic nerves release ATP, which is processed into adenosine in the synaptic cleft. Adenosine and ATP exert a negative chronotropic effect in the heart. This study aims to evaluate adenosine and P2 receptors and cellular signalling in cardiac arrest produced by purines in the heart. Right atria of adult Wistar rats were used to evaluate the effects of adenosine, ATP and CPA (an adenosine A1 receptor agonist), in the presence and absence of DPCPX, an adenosine A1 receptor antagonist. Effects of adenosine A2 and A3 receptors agonists and antagonists were also investigated. Finally, involvement of calcium and potassium channels in these responses was assessed using BayK 8644 and 4-Aminopyridine. Cumulative concentration-effect curves of adenosine and CPA resulted in a negative chronotropic effect culminating in cardiac arrest at 1000μM (adenosine) and 1µM (CPA). Furthermore, ATP produced a negative chronotropic effect at 1-300µM and cardiac arrest at 1000μM in the right atrium. ATPγS (a non-hydrolysable analogue of ATP) reduced chronotropism only. The effects of adenosine, CPA and ATP were inhibited by DPCPX, a selective adenosine A1 receptor antagonist. The selective adenosine A2 and A3 receptors antagonists did not alter the chronotropic response of adenosine. 4-Aminopyridine, a blocker of potassium channels at 10mM, prevented the cardiac arrest produced by adenosine and ATP, while BayK 8644, activator of calcium channels, did not prevent cardiac arrest. Adenosine A1 receptor activation by adenosine and ATP produces cardiac arrest in the right atrium of Wistar rats predominantly through activation of potassium channels.
自主神经释放 ATP,该物质在突触间隙中被加工成腺苷。腺苷和 ATP 对心脏产生负性变时作用。本研究旨在评估嘌呤类物质诱发心脏骤停时心脏中的腺苷和 P2 受体及细胞信号转导。使用成年 Wistar 大鼠右心房评估腺苷、ATP 和 CPA(腺苷 A1 受体激动剂)的作用,同时存在和不存在腺苷 A1 受体拮抗剂 DPCPX。还研究了腺苷 A2 和 A3 受体激动剂和拮抗剂的作用。最后,使用 BayK 8644 和 4-氨基吡啶评估这些反应中钙和钾通道的参与情况。腺苷和 CPA 的累积浓度-效应曲线导致负性变时作用,最终在 1000μM(腺苷)和 1μM(CPA)时导致心脏骤停。此外,ATP 在 1-300μM 时产生负性变时作用,在 1000μM 时在右心房导致心脏骤停。ATPγS(ATP 的非水解类似物)仅减少变时作用。腺苷、CPA 和 ATP 的作用被 DPCPX 抑制,DPCPX 是一种选择性腺苷 A1 受体拮抗剂。选择性腺苷 A2 和 A3 受体拮抗剂不会改变腺苷的变时反应。10mM 的 4-氨基吡啶,钾通道阻断剂,可防止腺苷和 ATP 引起的心脏骤停,而激活钙通道的 BayK 8644 则不能防止心脏骤停。腺苷和 ATP 通过激活钾通道主要在 Wistar 大鼠右心房中激活腺苷 A1 受体,从而导致心脏骤停。