Abstract
The effects of a bradycardic agent, AQA 39, on the action potential, tension and membrane current of cat ventricular muscle have been compared with the effects of
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1.
AQA 39 and D600 both lengthened the action potential duration; neither drug affected the resting potential (−83 to −85 mV). Both drugs depressed the action potential plateau amplitude and tension when the stimulation rate was 120 min−1; ED50's for the negative inotropic effect were 7×10−8 M for D600 and 3×10−5 M for AQA 39. At 20 min−1, D600 was only slightly less depressant (ED50 for negative inotropy 4×10−7 M) but 5×10−5 M AQA 39 had no effect, neither on tension nor on the action potential plateau amplitude.
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2.
In voltage clamp experiments (holding potential −50 mV), 2×10−5 M AQA 39 and 2×10−6 M D600 were equipotent. With depolarizing pulses (250 ms steps to −10 mV at 20 min−1), they depressed slow inward calcium current (Isi) by 70% and peak tension by 80% in 30 min.
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3.
At a membrane potential of −50 mV, Isi in muscle exposed to either drug for 30 min without stimulation was not depressed during the first post-rest clamp but the block of calcium channels was rapid upon resumption of stimulation (i.e. a “use-dependent” block).
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Following steady-state block, Isi could be restored to control amplitude with hyperpolarizing pre-pulses, whereas depolarizing pre-pulses enhanced the block of Isi.
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It seems that both drugs block calcium channels only after the channels have been activated (opened) and that the degree of activation and the degree of block are linked. The drugs dissociate from a blocking site at a rate dependent upon the diastolic membrane potential; the more negative the membrane potential inbetween subsequent depolarizations, the quicker the dissociation. While the dissociation of AQA 39 at −50 mV is only about twice as fast as that of D600, it is nearly 100 times faster at −80 mV and more than 150 times faster at potentials more negative than −90 mV. These differences might be related to the different lipophilic properties of the two drugs.
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References
Antman Em, Stone PH, Muller GE, Braunwald E (1980) Calcium channel blocking agents in the treatment of cardiovascular disorders. Part I: basic and clinical electrophysiologic effects. Ann Intern Med 93:875–885
Bassingthwaighte JB, Reuter H (1972) Calcium movements and excitation-contraction coupling in cardiac cells. in: DeMello WC (ed) Electrical phenomena in heart. Academic Press, New York, pp 353–395
Bayer R, Hennekes R, Kaufmann R, Mannhold R (1975a) Inotropic and electrophysiological actions of verapamil and D600 in mammalian myocardium. I. Pattern of inotropic effects of the racemic compounds. Naunyn-Schmiedeberg's Arch Pharmacol 290:49–68
Bayer R, Kalusche D, Kaufmann R, Mannhold R (1975b) Inotropic and electrophysiological actions of verapamil and D600 in mammalian myocardium. III. Effects of the optical isomers on transmembrane action potentials. Naunyn-Schmiedeberg's Arch Pharmacol 290:81–97
Cahalan M, Shapiro BI, Almers W (1980) Relationship between inactivation of sodium channels and block by quarternary derivatives of local anesthetics and other compounds. In: Fink BR (ed) Progress in anesthesiology, vol 2. Molecular mechanisms of anesthesia. Raven Press, New York, pp 17–33
Courtney KR (1980) Interval-dependent effects of small antiarrhythmic drugs on excitability of guinea pig myocardium. J Mol Cell Cardiol 12:1273–1286
Ehara T, Kaufmann R (1978) The voltage- and time-dependent effects of (-)-verapamil on the slow inward current in isolated cat ventricular myocardium. J Pharmacol Exp Ther 207:49–55
Gorman ALF, Thomas MV (1980) Potassium conductance and internal calcium accumulation in molluscan neurone. J Physiol (Lond) 308:287–313
Hagiwara S, Byerly L (1981) Calcium channel. Annu Rev Neurosci 4:69–125
Hescheler J, Pelzer D, Trube G, Trautwein W (1981) Action potentials of isolated ventricular cells following intracellular or extracellular application of D600 and its quarternary derivative. Pflügers Arch 391 (Suppl):R1
Hescheler J, Pelzer D, Trube G, Trautwein W (1982) Does the organic calcium channel blocker D600 act from inside or outside on the cardiac cell membrane? Pflügers Arch 393:287–291
Hille B (1977a) The pH-dependent rate of action of local anesthetics on the node of Ranvier. J Gen Physiol 69:475–496
Hille B (1977b) Local anesthetics: hydrophilic and hydrophobic pathways for the drug-receptor reaction. J Gen Physiol 69:497–515
Hondeghem LM, Katzung BG (1977) Time- and voltage-dependent interactions of antiarrhythmic drugs with cardiac sodium channels. Biochim Biophys Acta 472:373–398
Kass RS, Tsien RW (1975) Multiple effects of calcium antagonists on plateau currents in cardiac Purkinje fibers. J Gen Physiol 66:169–192
Kohlhardt M, Bauer B, Krause H, Fleckenstein A (1972) Differentiation of the transmembrane Na and Ca channels in mammalian cardiac fibres by the use of specific inhibitors. Pflügers Arch 335:309–322
Kohlhardt M, Krause H, Kübler M, Herdey A (1975) Kinetics of inactivation and recovery of the slow inward current in the mammalian ventricular myocardium. Pflügers Arch 355:1–17
Krähenmann R, Heistracher P (1980) Electrophysiological studies of the effects of 5,6-dimethoxy-2-[3-([α-(3,4-dimethoxy)phenylethyl]methylamino)propyl]phthalmidine (AQ-A 39) in isolated cardiac muscle. Naunyn-Schmiedeberg's Arch Pharmacol 311 (Suppl):R36
Lillie C, Kobinger W (1980) AQA-39, 5,6-dimethoxy-2-[3-([α-(3,4-dimethoxy)phenylethyl]methylamino)propyl]phthalmidine a substance which reduces heart rate specifically at the sinus node. Naunyn-Schmiedeberg's Arch Pharmacol 311 (Suppl):R35
Ludwig C, Nawrath H (1977) Effect of D600 and its optical isomers on force of contraction in cat papillary muscles and guinea-pig auricles. Br J Pharmacol 59:411–417
Mannhold R, Steiner R, Haas W, Kaufmann R (1978) Investigations on the structure-activity relationships of verapamil. Naunyn-Schmiedeberg's Arch Pharmacol 302:217–226
McCans JL, Lindenmayer GE, Munson RG, Evans RW, Schwartz A (1974) A dissociation of positive staircase (Bowditch) from ouabaininduced positive inotropism; use of verapamil. Circ Res 35:439–447
McDonald TF, Trautwein W (1978a) Membrane currents in cat myocardium: separation of inward and outward components. J Physiol (Lond) 274:193–216
McDonald TF, Trautwein W (1978b) The potassium current underlying delayed rectification in cat ventricular muscle. J Physiol (Lond) 274:217–246
McDonald TF, Pelzer D, Trautwein W (1980) On the mechanism of slow calcium channel block in heart. Pflügers Arch 385:175–179
McDonald TF, Pelzer D, Trautwein W (1981) Does the calcium current modulate the contraction of the accompanying beat? A study of EC coupling in mammalian ventricular muscle using cobalt ions. Circ Res 49:576–583
Meech RW (1978) Calcium dependent potassium activation in nervous tissue. Annu Rev Biophys Bioeng 7:1–18
Nawrath H, Ten Eick RE, McDonald TF, Trautwein W (1977) On the mechanism underlying the action of D600 on slow inward current and tension in mammalian myocardium. Circ Res 40:408–414
New W, Trautwein W (1972) Inward currents in mammalian myocardium. Pflügers Arch 334:1–23
Noma A, Trautwein W (1978) Relaxation of the ACh-induced potassium current in the rabbit sinoatrial node cell. Pflügers Arch 377:193–200
Noma A, Kotake H, Irisawa H (1980) Slow inward current and its role mediating the chronotropic effect of epinephrine in the rabbit sinoatrial node. Pflügers Arch 388:1–9
Pelzer D, McDonald TF, Osterrieder W, Trautwein W (1981) Time- and voltage-dependent interactions of antiarrhythmic drugs with cardiac slow inward Ca2+-(si)-channels. A comparative study of D600 and AQ-A 39 Cl (5,6-dimethoxy-2-[3-([α-(3,4-dimethoxy)phenylethyl]methylamino)propyl]phthalmidine). Naunyn-Schmiedeberg's Arch Pharmacol 316 (Suppl):R31
Šimurda J, Šimurdova M, Braveny P, Šumbera J (1976) Slow inward current and action potentials of papillary muscles under non-steady state conditions. Pflügers Arch 362:209–218
Trautwein W, McDonald TF, Tripathi O (1975) Calcium conductance and tension in mammalian ventricular muscle. Pflügers Arch 354:55–74
Trautwein W, Pelzer D, McDonald TF, Osterrieder W (1981) AQA 39, a new bradycardic agent which blocks myocardial calcium (Ca) channels in a frequency- and voltage-dependent manner. Naunyn-Schmiedeberg's Arch Pharmacol 317:228–232
Tritthart H, Volkmann R, Weiss R, Fleckenstein A (1973) Calciummediated action potentials in mammalian myocardium. Alteration of membrane response as induced by changes of Cac or by promoters and inhibitors of transmembrane Ca inflow. Naunyn-Schmiedeberg's Arch Pharmacol 280:239–252
Wit AL, Cranefield PF (1974) Effect of verapamil on the sinoatrial and atrioventricular nodes of the rabbit and the mechanism by which it arrests reentrant atrioventricular nodal trachycardia. Circ Res 35:413–425
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Supported by the Deutsche Forschungsgemeinschaft, SFB 38, Membranforschung, project G1; Dr. McDonald was supported by grants from the Medical Research Council (Canada)
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Pelzer, D., Trautwein, W. & McDonald, T.F. Calcium channel block and recovery from block in mammalian ventricular muscle treated with organic channel inhibitors. Pflugers Arch. 394, 97–105 (1982). https://doi.org/10.1007/BF00582909
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DOI: https://doi.org/10.1007/BF00582909