MacLeod K M, Diamond J
J Pharmacol Exp Ther. 1986 Jul;238(1):313-8.
Cyclic GMP (cGMP) has been proposed to be involved in mediating negative inotropic responses to muscarinic agonists in the presence of cyclic AMP (cAMP)-generating agents in the heart. In order to investigate this hypothesis, the effects of the novel cGMP lowering agent, LY83583, on carbachol-induced increases in cGMP levels and decreases in tension were measured in rabbit isolated left atria and right ventricular papillary muscles, in the presence and absence of the adenylate cyclase activator, forskolin. In vehicle-treated preparations, negative inotropic responses to 3 microM carbachol in the presence of 3 microM forskolin were accompanied by significant increases in cGMP levels. Carbachol had no significant effect on forskolin-induced increases in cAMP levels. LY83583 (10 microM) reduced basal tension and basal cGMP levels, and completely abolished carbachol-induced increases in cGMP both in left atria and in papillary muscles. The LY83583 significantly reduced the magnitude of the negative inotropic responses of papillary muscles to carbachol in the presence of forskolin, but had no effect on these responses in left atria. Although a causal relationship has not been established, these data suggest that cGMP may be involved in negative inotropic responses to muscarinic stimulation in the presence of cAMP-generating agonists in ventricular muscle, but not in atria.
有人提出,在心脏中存在环磷酸腺苷(cAMP)生成剂的情况下,环磷酸鸟苷(cGMP)参与介导对毒蕈碱激动剂的负性肌力反应。为了研究这一假设,在兔离体左心房和右心室乳头肌中,在存在和不存在腺苷酸环化酶激活剂福斯可林的情况下,测量了新型cGMP降低剂LY83583对卡巴胆碱诱导的cGMP水平升高和张力降低的影响。在 vehicle 处理的制剂中,在存在 3 microM 福斯可林的情况下,对 3 microM 卡巴胆碱的负性肌力反应伴随着 cGMP 水平的显著升高。卡巴胆碱对福斯可林诱导的 cAMP 水平升高没有显著影响。LY83583(10 microM)降低了基础张力和基础 cGMP 水平,并完全消除了卡巴胆碱在左心房和乳头肌中诱导的 cGMP 升高。LY83583 在存在福斯可林的情况下显著降低了乳头肌对卡巴胆碱的负性肌力反应的幅度,但对左心房的这些反应没有影响。尽管尚未建立因果关系,但这些数据表明,在心室肌中存在 cAMP 生成激动剂的情况下,cGMP 可能参与对毒蕈碱刺激的负性肌力反应,但在心房中则不然。