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  • 1
    Electronic Resource
    Electronic Resource
    Springer
    Naunyn-Schmiedeberg's archives of pharmacology 320 (1982), S. 152-159 
    ISSN: 1432-1912
    Keywords: α- and β-Adrenoceptors ; Positive inotropic effect ; Acetylcholine ; Accentuated antagonism ; Rabbit papillary muscle
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary The influence of acetylcholine (ACh) on the positive inotropic responses to α- as well as β-adrenoceptor stimulation was investigated in the isolated electrically driven rabbit ventricular muscle. 1. Stimulation of muscarinic receptors by ACh (10−9–10−4 mol/l) reduced the positive inotropic effect evoked by isoprenaline (10−8 mol/l) via β-adrenoceptor stimulation, but enhanced the positive inotropic effect of the α-adrenoceptor stimulating agent phenylephrine (10−6 mol/l) in the presence of pindolol (3×10−8 mol/l). 2. Sodium nitroprusside (SNP) (10−6–10−3 mol/l) reduced the β-adrenoceptor-mediated positive inotropic effect but did not effect the α-adrenoceptor-mediated one. 3. The depression by ACh (10−6 mol/l) or SNP (10−4 mol/l) of the positive inotropic effects evoked by β-adrenoceptor stimulation was accompanied by a decrease of the cAMP level which has been elevated by isoprenaline. However, the enhancement of the α-adrenoceptor mediated positive inotropic effect by ACh seems to be independent of changes in cAMP- and/or cGMP-levels. 4. ACh (10−6 mol/l) diminished the shortening of the action potential duration induced by isoprenaline (10−8 mol/l) in Tyrode solution and Ca2+-dependent potential restored by β-adrenoceptor stimulation in 27 mmol/l K+ Tyrode solution. In contrast, ACh (10−6 mol/l) affected neither the prolongation of action potential duration nor the Ca2+-dependent potential caused by α-adrenoceptor stimulation. The depression by acetylcholine of the β-adrenoceptor mediated positive inotropic effect may be due to the decrease in cAMP content and to the reduction of the slow inward current while the enhancement by ACh of the α-adrenoceptor mediated positive inotropic effect is not associated with changes in cAMP- and/or cGMP-levels and in electrophysiological phenomena. It is concluded that the accentuated antagonism (Levy 1971) between sympathomimetic and parasympathomimetic agents at the postsynaptic region results mainly from the interaction between β-adrenoceptor- and muscarinic receptor-mediated responses, and that the α-adrenoceptor-mediated responses are able to counteract the accentuated antagonism.
    Type of Medium: Electronic Resource
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  • 2
    Electronic Resource
    Electronic Resource
    Springer
    Naunyn-Schmiedeberg's archives of pharmacology 341 (1990), S. 14-21 
    ISSN: 1432-1912
    Keywords: Human cardiac muscarinic cholinoceptors ; Muscarinic cholinoceptor subtypes ; Human right atrium ; Human left papillary muscle ; Negative inotropic effect ; [N-Methyl-3H]-scopolamine
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary In human atrial and ventricular myocardium, the muscarinic cholinoceptor (M-cholinoceptor) populations were characterized by means of radioligand binding (with [N-methyl-3H]-scopolamine ([3H]-NMS) as the ligand) and functional experiments (negative inotropic effect of carbachol on isolated electrically driven right atrial and left papillary muscle preparations). (1) Binding of [3H]-NMS to human atrial and ventricular membranes was rapid, reversible and saturable (KD-values: 0.5–1.0 nmol/l). The maximal number of [3H]-NMS binding sites, however, was approximately 2.5-fold higher in right and left atrial membranes (200–250 fmol[3H]-NMS specifically bound/mg protein) than in right and left ventricular membranes (80–100 fmol/mg protein). (2) M-cholinoceptor antagonists inhibited [3H]-NMS binding to right atrial and left ventricular membranes with steep, monophasic competition curves indicating interaction with a single class of binding sites. In both tissues the order of potency was: atropine 〉 AF-DX 116 〉 hexahydro-siladifenidol (HHSiD) 〉 pirenzepine. (4) It is concluded that, in the human heart, functional M-cholinoceptors mediating negative inotropic effects exist that belong predominantly (if not exclusively) to the M2-subtype. However, the atrial regions of the human heart are more densely endowed with these M2-cholinoceptors than the ventricular myocardium.
    Type of Medium: Electronic Resource
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  • 3
    ISSN: 1432-1912
    Keywords: Human right atrium ; Human atrial β1- and β2-adrenoceptors ; Positive inotropic effects ; ICI 118,551 ; Bisoprolol (EMD 33,512) ; Procaterol (OPC 2009)
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary On the isolated electrically driven muscle strip of human right atrial appendages the β-adrenoceptor subtypes mediating the positive inotropic effects of isoprenaline, dobutamine and procaterol were characterized using the β1-selective antagonist bisoprolol and the β2-selective antagonist ICI 118,551. 1. The three agonists induced concentration-dependent increases in force of contraction with an order of potency: procaterol (pD2-value: 8.03) 〉 isoprenaline (pD2-value: 7.73) 〉 dobutamine (pD2-value: 5.44). In saturating concentrations all three agonists produced the same maximum of developed tension. 2. ICI 118,551 (10−9–10−7 mol/l) and bisoprolol (10−9–10−7 mol/l) were nearly equipotent in antagonizing the positive inotropic effects of isoprenaline and dobutamine. However, the slopes of the Schild-plots for both antagonists against both agonists were significantly less than 1.0 indicating interaction with β1- and β2-adrenoceptors. 3. On the other hand, ICI 118,551 (10−10–10−8 mol/l) was approximately 100 times more potent than bisoprolol (10−8–10−6 mol/l) in antagonizing the positive inotropic effect of the highly selective β2-adrenoceptors procaterol. In addition, the slopes of the Schild-plots for antagonism of ICI 118,551 and bisoprolol against procaterol were not significantly different from unity indicating interaction with a homogeneous class of β-adrenoceptors. The pA2-value for ICI 118,551 was 9.49, for bisoprolol it amounted to 6.99. 4. These results indicate that on the isolated electrically driven human right atrium isoprenaline and dobutamine produce increases in contractile force via stimulation of β2-adrenoceptors, while the highly selective β2-adrenoceptors procaterol induces its positive inotropic effect predominantly through stimulation of β2-adrenoceptors. It is concluded, therefore, that in human right atrium both β1- and β2-adrenoceptors functionally contribute to the cardiac responses of β-agonists.
    Type of Medium: Electronic Resource
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