Ishikawa S, Ito Y, Itoh T, Kanmura Y, Kuriyama H, Makita Y
Br J Pharmacol. 1983 Jul;79(3):737-50. doi: 10.1111/j.1476-5381.1983.tb10012.x.
To investigate the mechanism of the anti-anginal actions of isosorbide dinitrate (ISDN), the effects of this agent on smooth muscle cells of intact and skinned preparations of the rabbit mesenteric artery and vein, and of the coronary artery were studied. ISDN (less than 10(-5) M) had no effect on the membrane potential or resistance of smooth muscle cells of the mesenteric artery and vein under resting conditions, nor when the membrane was depolarized by the presence of various concentrations of [K]o or noradrenaline (NA). The amplitude of spike evoked by outward current pulse after pretreatment with 10 mM tetraethylammonium (TEA) in the mesenteric artery was slightly inhibited by application of 10(-5) M ISDN. The K-induced and NA-induced contractions in the mesenteric artery were not affected by 10(-5) M ISDN, while those evoked in the mesenteric vein were inhibited in concentrations above 10(-6) M. The amplitude and facilitation of excitatory junction potentials evoked by perivascular nerve stimulation in the mesenteric artery were not affected by 10(-5) M ISDN. In skinned muscles, the free calcium concentration (pCa)-tension relationships observed in the mesenteric artery and vein were not affected by 10(-5) M ISDN. This agent had no effect on Ca accumulation into and Ca release from the stores in muscle cells of the mesenteric artery and vein, in skinned preparations. In the rabbit coronary artery, the membrane potential, resistance and spike evoked in the presence of 10 mM TEA were not affected by application of 10(-5) M ISDN. The contraction evoked by excess concentrations of [K]o was not affected. The contraction evoked by a low concentration of acetylcholine (3 X 10(-7) M) but by high concentrations (greater than 10(-6) M) was slightly inhibited by 10(-5) M ISDN. A tonic contraction induced in 39 mM [K]o was reduced by 10(-5) M nitroglycerine but not by 10(-5) M ISDN. Thus in rabbit vascular tissues, ISDN mainly acts on the venous system in vitro. The induced vasodilatation may lead to a reduction in the venous return and hence, reduce oxygen consumption in the cardiac muscles. This effect of ISDN may relate to the anti-anginal actions.
为研究硝酸异山梨酯(ISDN)抗心绞痛作用的机制,研究了该药物对兔肠系膜动脉、静脉及冠状动脉完整和去膜标本平滑肌细胞的影响。在静息状态下,以及在存在不同浓度的细胞外钾离子([K]o)或去甲肾上腺素(NA)使细胞膜去极化时,ISDN(小于10⁻⁵ M)对肠系膜动脉和静脉平滑肌细胞的膜电位或电阻均无影响。用10 mM四乙铵(TEA)预处理后,肠系膜动脉外向电流脉冲诱发的锋电位幅度,在应用10⁻⁵ M ISDN时略有抑制。肠系膜动脉中钾离子诱导和NA诱导的收缩不受10⁻⁵ M ISDN影响,而肠系膜静脉中高于10⁻⁶ M浓度的ISDN可抑制这些收缩。肠系膜动脉中血管周围神经刺激诱发的兴奋性接头电位的幅度和易化作用不受10⁻⁵ M ISDN影响。在去膜肌肉中,肠系膜动脉和静脉中观察到的游离钙浓度(pCa)-张力关系不受10⁻⁵ M ISDN影响。在去膜标本中,该药物对肠系膜动脉和静脉肌肉细胞中钙的摄取和从储存库中的释放均无影响。在兔冠状动脉中,应用10⁻⁵ M ISDN对10 mM TEA存在时的膜电位、电阻和锋电位均无影响。过高浓度[K]o诱发的收缩不受影响。低浓度乙酰胆碱(3×10⁻⁷ M)诱发的收缩不受影响,但高浓度(大于10⁻⁶ M)诱发的收缩在应用10⁻⁵ M ISDN时略有抑制。在39 mM [K]o中诱导的强直收缩,10⁻⁵ M硝酸甘油可使其减弱,但10⁻⁵ M ISDN则无此作用。因此,在兔血管组织中,ISDN在体外主要作用于静脉系统。诱导的血管舒张可能导致静脉回流减少,从而降低心肌的氧消耗。ISDN的这种作用可能与其抗心绞痛作用有关。