Abstract
Background
Acetaminophen (APAP) is the most widely used analgesic and antipyretic in the world. However, in high or continuous doses, it can cause serious side effects including blood pressure variability and cardiovascular injuries, which are barely explored. This study aimed to evaluate the acute effect of APAP treatment on vascular tone focused on the blocking of Ca2+ channels.
Methods
Rats were treated with APAP orally by gavage (500 mg/kg/single dose). After 12 h, the aorta was isolated for vascular reactivity studies in an isolated organ bath. Vascular contraction and relaxation were measured after different stimuli. Moreover, molecular docking studies were performed to evaluate the action of NAPQI (APAP metabolite) on L-type calcium channels.
Results
Phenylephrine-induced maximal vascular contraction was reduced in the APAP group (138.4 ± 9.2%) compared to the control group (172.2 ± 11.1%). APAP treatment significantly reduced contraction induced by Ca2+ influx stimulated with phenylephrine or KCl and reduced contraction mediated by Ca2+ released from the sarcoplasmic reticulum induced by caffeine. There was no difference in vascular relaxation induced by acetylcholine or sodium nitroprusside. Computational molecular docking demonstrated that NAPQI is capable of blocking L-type Ca2+ channels (Cav1.2), which would limit the influx of Ca2+.
Conclusion
These results suggest that APAP treatment causes an anticontractile effect in rat aorta, possibly by blocking the influx of Ca2+ through L-type channels (Cav1.2).
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Acknowledgements
This study is a part from the master's dissertation of author Mikaelle Costa Correia, research fellow of Conselho Nacional de Desenvolvimento Cientifico e Tecnologico (CNPq). Matheus L. Rocha is also a research fellow of Conselho Nacional de Desenvolvimento Cientifico e Tecnologico (CNPq). Bruno J. Neves is grateful to OpenEye Scientific Software Inc. and ChemAxon for providing him academic licenses for their software. We are also grateful to Dr. Boris Zhorov of the Department of Biochemistry and Biomedical Sciences of McMaster University for kindly providing the Cav1.2 homology models.
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The experiments were conceived and designed by MLR and MCC. The experiments were performed by MCC and ESAS. The data were analyzed by BJN and MLR. The manuscript was written by MLR and BJN and revised by all authors.
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Correia, M.C., Santos, E.S.A., Neves, B.J. et al. Acetaminophen treatment evokes anticontractile effects in rat aorta by blocking L-type calcium channels. Pharmacol. Rep 74, 493–502 (2022). https://doi.org/10.1007/s43440-022-00367-y
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DOI: https://doi.org/10.1007/s43440-022-00367-y