Doxorubicin Affects the Cardiac Muscarinic System in the Rat.

  • CHUGUN Akihito
    Department of Veterinary Pharmacology, School of Veterinary Medicine and Animal Sciences, Kitasato University
  • UCHIDE Tsuyoshi
    Department of Toxicology, School of Veterinary Medicine and Animal Sciences, Kitasato University
  • TEMMA Kyosuke
    Department of Toxicology, School of Veterinary Medicine and Animal Sciences, Kitasato University
  • KENNEDY Richard H.
    Department of Pharmaceutical Sciences, University of Arkansas for Medical Sciences
  • KLIMBERG Suzanne V.
    Department of Surgery, University of Arkansas for Medical Sciences
  • HARA Yukio
    Department of Veterinary Pharmacology, School of Veterinary Medicine and Animal Sciences, Kitasato University
  • SASAKI Takushi
    Department of Toxicology, School of Veterinary Medicine and Animal Sciences, Kitasato University
  • AKERA Tai
    Merck Sharp and Dohm Research Laboratories Japan

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During the study on the mechanism of doxorubicin-induced cardiotoxicity, we observed that a long incubation (4 hr) with doxorubicin reduced the maximal negative inotropic effects of a muscarinic receptor agonist, carbachol. The mechanism responsible for this doxorubicin-induced reduction of the efficacy of carbachol was examined in isolated guinea pig hearts. In isolated left atrial muscle preparations, 1 hr incubation with 100 μM doxorubicin caused a parallel right-ward shift of the concentration-response curves for carbachol, but a longer (4 hr) incubation with this agent (30, 100 or 200 μM), caused a significant reduction of the magnitude of the negative inotropic effect of carbachol in addition to the concentration-dependent parallel right-ward shift. The 4-hr incubation with these concentrations of doxorubicin also reduced the maximal negative inotropic effect of an adenosine A1 receptor agonist, R-phenylisopropyl adenosine (R-PIA), without affecting the potency of this agonist. Doxorubicin (1 to 100 μM) reduced [3H]quinuclidinyl benzilate (QNB) binding in a concentration dependent manner, but failed to alter [3H]R-PIA binding. The decrease in the magnitude of the maximal negative inotropic effect by doxorubicin was caused by changes in the muscarinic system at steps common to the transduction of muscarinic and adenosine A1 receptor mechanisms.

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