Schwietert R, Wilhelm D, Wilffert B, van Zwieten P A
Department of Pharmacotherapy, Academic Medical Centre, University of Amsterdam, The Netherlands.
J Cardiovasc Pharmacol. 1993 May;21(5):739-48. doi: 10.1097/00005344-199305000-00008.
The effects of Ca(2+)-entry blockade by nifedipine, K+ channel opening by cromakalim, and of omitting extracellular Ca2+ on the contractile response elicited by a supramaximum concentration of the "full" and selective alpha 1-adrenoceptor agonist phenylephrine (10(-4) M) were compared with those elicited by a supramaximal concentration of KCl (50 mM) in isolated rat portal vein. The contractile response to phenylephrine appeared to be biphasically composed of an early "transient" phase and a slowly developing "sustained" phase that reached maximum values after 30 s and 5 min after initiation of contraction, respectively. The contractile response to KCl (50 mM) exhibited a triphasic pattern consisting of "spike," "transient", and "sustained" components that peaked after 8 s, 25 s, and 10 min, respectively. Nifedipine was able to eliminate all components of the contractions in response to both phenylephrine and KCl almost completely. Nifedipine was approximately 10 times more potent at suppressing the slowly developing sustained components of the contractions in response to both stimuli than the early transient components. The spontaneous myogenic contractions were inhibited by nifedipine with intermediate potency. Cromakalim, in contrast to nifedipine, selectively eliminated the early transient components of the contractions in response to both phenylephrine and KCl. The sustained components of the contractions in response to both stimuli were relatively resistant to K+ channel opening, although higher concentrations (> 1 microM) of cromakalim were capable of antagonizing the sustained response to phenylephrine accompanied by oscillations in tone. Cromakalim was most potent in counteracting spontaneous myogenic contractions. When phenylephrine and KCl were added with or without external Ca2+ after different periods of equilibration in nominally Ca(2+)-free medium, different washout kinetics for the different components of the contractions in response to both stimuli were observed. The early transient phases of tension development in response to both stimuli were completely lost after approximately 6 min of equilibration in nominally Ca(2+)-free medium, whereas the slowly developing sustained components of the contractions were immediately lost after the change to nominally Ca(2+)-free medium. Externally added Ca2+, when administered together with phenylephrine or KCl after the preparations had been exposed for different times to nominally Ca(2+)-free medium, could not restore the early transient components.(ABSTRACT TRUNCATED AT 400 WORDS)
在离体大鼠门静脉中,比较了硝苯地平对钙离子内流的阻断作用、克罗卡林对钾通道的开放作用以及去除细胞外钙离子对由超最大浓度的“完全”和选择性α1 -肾上腺素能激动剂去氧肾上腺素(10⁻⁴ M)引发的收缩反应的影响,同时也与超最大浓度氯化钾(50 mM)引发的收缩反应进行了比较。去氧肾上腺素引起的收缩反应似乎呈双相,由早期的“瞬时”相和缓慢发展的“持续”相组成,分别在收缩开始后30秒和5分钟达到最大值。对氯化钾(50 mM)的收缩反应呈现三相模式,包括“峰电位”“瞬时”和“持续”成分,分别在8秒、25秒和10分钟达到峰值。硝苯地平几乎能完全消除对去氧肾上腺素和氯化钾收缩反应的所有成分。硝苯地平抑制对两种刺激的收缩反应中缓慢发展的持续成分的效力比对早期瞬时成分强约10倍。硝苯地平以中等效力抑制自发性肌源性收缩。与硝苯地平相反,克罗卡林选择性地消除了对去氧肾上腺素和氯化钾收缩反应的早期瞬时成分。对两种刺激的收缩反应的持续成分对钾通道开放相对不敏感,尽管较高浓度(>1 μM)的克罗卡林能够拮抗伴随着张力振荡的去氧肾上腺素的持续反应。克罗卡林在对抗自发性肌源性收缩方面效力最强。当在名义上无钙的培养基中平衡不同时间后添加或不添加外部钙离子的去氧肾上腺素和氯化钾时,观察到对两种刺激的收缩反应的不同成分有不同的洗脱动力学。在名义上无钙的培养基中平衡约6分钟后,对两种刺激的张力发展的早期瞬时相完全消失,而收缩反应中缓慢发展的持续成分在换成名义上无钙的培养基后立即消失。当在制剂暴露于名义上无钙的培养基不同时间后,将外部添加的钙离子与去氧肾上腺素或氯化钾一起给药时,无法恢复早期瞬时成分。(摘要截短于400字)