On the mechanism of action of phenylephrine in rat atrial heart muscle

Abstract

Both in rat left atrial heart and in aortic smooth muscle preparations, phenylephrine (PE) caused a concentration-dependent increase in force of contraction (F_c) in the presence of atenolol (10 μmol/l), which was antagonized by phentolamine, prazosin and WB 4101 in a competitive manner. The pA₂ values of the antagonists in the cardiac tissue were 10–20fold lower than those in the rat thoracic aorta. In the spontaneously beating right atrium, PE exerted a positive chronotropic action, which was not significantly antagonized by phentolamine or prazosin. It is therefore assumed that the effects of phenylephrine in the left atrium and in the aorta are mediated by different subtypes of α₁-adrenoceptors, whereas the effects in the sino-atrial node are probably unrelated to α₁-adrenoceptors. To further elucidate the mechanisms of the positive inotropic effect of PE, action potential configuration and ⁴⁵Ca²⁺ fluxes were monitored in the rat left atrium. The increase in F_c by PE was associated with an increase in action potential duration (APD) and a reduction in resting membrane potential (RP). In the presence of (−)-devapamil (13888), the effects of PE on APD and RP persisted, whereas the increase in F_c was antagonized in a non-competitive manner. Forskolin (300 nmol/l) enhanced the positive inotropic effect of PE. PE exerted a significant increase in ⁴⁵CA²⁺ uptake in beating preparations, which was abolished in the presence of (−)13888 (1 μmol/l). In addition to the PE-induced increase in ⁴⁵Ca²⁺ uptake, a decrease in ⁴⁵Ca²⁺ efflux was observed. Similarly, depolarization of the membrane by raising [K⁺]_o to 85 mmol/l revealed an increase in ⁴⁵Ca²⁺ uptake and a decrease in ⁴⁵Ca²⁺ efflux. The latter observations support the view that the membrane potential strongly determines the movement of ⁴⁵Ca²⁺ across the membrane. It is assumed that the α₁-adrenoceptor-mediated changes in APD and RP may enhance F_c, first, by increasing net Ca²⁺ entry from the extracellular space through voltage-dependent Ca²⁺ channels and, second, by decreasing Ca²⁺ efflux possibly via the Na ⁺/Ca²⁺ exchange mechanism.