Tritthart H A, Windisch H, Heuberger S
Naunyn Schmiedebergs Arch Pharmacol. 1981 Apr;316(2):172-7. doi: 10.1007/BF00505313.
Alinidine (ST 567, N-Allyl-Clonidine) exerted concentration-dependent negative chronotropic effects in isolated, spontaneously-beating sinus node cells and Purkinje fibres of guinea pigs and in ventricular strips of chick embryonic myocardium. Reduction of beat frequency by 30% was found after addition of 8.6 mumol/l alinidine in the former. A chronotropic effect was not seen during Ba2+-induced automaticity or triggered activity in guinea-pig papillary muscles and in enzymatically disaggregated cells of embryonic chick myocardium, which lose the beta-adrenoceptor responsiveness of the intact embryonic ventricle. In contrast to alinidine, D600 showed very pronounced and quinidine minor negative chronotropic effects in these latter experiments. Reduction of excitability, rate of rise of the action potential and velocity of repolarization as well as prolongation of the refractory period were seen after applications of very high concentrations of alinidine (285 mumol/l). In electrically-driven atria isometric peak tension was only slightly changed (increased by 85.5 mumol/l, decreased by 285 mumol/l) but it was reduced (to 36.8%) by alinidine (85.5 mumol/l) in papillary muscles. Both in atria and in papillary muscles, the maximum rate of rise of the action potential was unchanged by alinidine up to 85.5 mumol/l and the slight reduction following 285 mumol/l alinidine application was independent of the rate of stimulation. The present findings confirm the selectivity of the bradycardic effects of alinidine which has a main mode of action different to that of membrane stabilizing compounds or inhibitors of the slow inward current.
阿利尼定(ST 567,N-烯丙基可乐定)对豚鼠离体自发搏动的窦房结细胞和浦肯野纤维以及鸡胚心肌心室条带具有浓度依赖性负性变时作用。在前述实验中,加入8.6 μmol/L阿利尼定后,搏动频率降低了30%。在豚鼠乳头肌以及鸡胚心肌酶解细胞的Ba2+诱导的自律性或触发活动期间未观察到变时作用,这些细胞失去了完整胚胎心室的β-肾上腺素能受体反应性。与阿利尼定相反,在这些后续实验中,D600显示出非常明显的负性变时作用,奎尼丁的负性变时作用较小。应用非常高浓度的阿利尼定(285 μmol/L)后,兴奋性降低、动作电位上升速率和复极化速度减慢以及不应期延长。在电驱动的心房中,等长收缩峰值张力仅略有变化(85.5 μmol/L时增加,285 μmol/L时降低),但在乳头肌中,阿利尼定(85.5 μmol/L)使其降低(至36.8%)。在心房和乳头肌中,高达85.5 μmol/L的阿利尼定对动作电位的最大上升速率均无影响,应用285 μmol/L阿利尼定后略有降低,且与刺激速率无关。目前的研究结果证实了阿利尼定致心动过缓作用的选择性,其主要作用方式与膜稳定化合物或慢内向电流抑制剂不同。