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  • 1
    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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  • 2
    ISSN: 1432-1912
    Keywords: Human right atrial β1-adrenoceptors ; Human right atrial β2-adrenoceptors ; Cyclic AMP ; Contractility ; Human heart
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary The time course of the effects of isoprenaline (3 × 10−7 mol/l) on contractile force and on the cyclic AMP level was studied in the electrically driven isolated muscle strip of the human right atrium. Isoprenaline produced a rise in cyclic AMP content (maximum increase after 60 s) preceding the increase in contractile force. The effects of isoprenaline on contractile force and on the intracellular level of cyclic AMP were enhanced in the presence of the phosphodiesterase inhibitor papaverine (10−5 mol/l). On the other hand, the β-adrenoceptor antagonist propranolol (10−7 mol/l) suppressed isoprenaline-induced cyclic AMP increases, but reduced the increase in force of contraction by only 35%. In addition, both the β1-selective antagonist bisoprolol (3 × 10−9 × 10−8 mol/l) and the β2-selective antagonist ICI 118,551 (3 × 10−9 × 10−8 mol/l) inhibited the isoprenaline-induced cyclic AMP increase concentration-dependently; ICI 118,551 produced more pronounced inhibition than bisoprolol. It is concluded that cyclic AMP is involved in the positive inotropic action of isoprenaline evoked by β1- and β2-adrenoceptor stimulation in isolated human right atrium; however, an additional cyclic AMP independent mechanism cannot be ruled out.
    Type of Medium: Electronic Resource
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