Identification of <i>R</i>(−)‐isomer of efonidipine as a selective blocker of T‐type Ca<sup>2+</sup> channels

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<jats:p> <jats:list list-type="explicit-label"> <jats:list-item><jats:p>Efonidipine, a derivative of dihydropyridine Ca<jats:sup>2+</jats:sup> antagonist, is known to block both L‐ and T‐type Ca<jats:sup>2+</jats:sup> channels. It remains to be clarified, however, whether efonidipine affects other voltage‐dependent Ca<jats:sup>2+</jats:sup> channel subtypes such as N‐, P/Q‐ and R‐types, and whether the optical isomers of efonidipine have different selectivities in blocking these Ca<jats:sup>2+</jats:sup> channels, including L‐ and T‐types.</jats:p></jats:list-item> <jats:list-item><jats:p>To address these issues, the effects of efonidipine and its <jats:italic>R</jats:italic>(−)‐ and <jats:italic>S</jats:italic>(+)‐isomers on these Ca<jats:sup>2+</jats:sup> channel subtypes were examined electrophysiologically in the expression systems using <jats:italic>Xenopus</jats:italic> oocytes and baby hamster kidney cells (BHK tk‐ts13).</jats:p></jats:list-item> <jats:list-item><jats:p>Efonidipine, a mixture of <jats:italic>R</jats:italic>(−)‐ and <jats:italic>S</jats:italic>(+)‐isomers, exerted blocking actions on L‐ and T‐types, but no effects on N‐, P/Q‐ and R‐type Ca<jats:sup>2+</jats:sup> channels.</jats:p></jats:list-item> <jats:list-item><jats:p>The selective blocking actions on L‐ and T‐type channels were reproduced by the <jats:italic>S</jats:italic>(+)‐efonidipine isomer.</jats:p></jats:list-item> <jats:list-item><jats:p>By contrast, the <jats:italic>R</jats:italic>(−)‐efonidipine isomer preferentially blocked T‐type channels.</jats:p></jats:list-item> <jats:list-item><jats:p>The blocking actions of efonidipine and its enantiomers were dependent on holding potentials.</jats:p></jats:list-item> <jats:list-item><jats:p>These findings indicate that the <jats:italic>R</jats:italic>(−)‐isomer of efonidipine is a specific blocker of the T‐type Ca<jats:sup>2+</jats:sup> channel.</jats:p></jats:list-item> </jats:list> </jats:p><jats:p><jats:italic>British Journal of Pharmacology</jats:italic> (2004) <jats:bold>143</jats:bold>, 1050–1057. doi:<jats:ext-link xmlns:xlink="http://www.w3.org/1999/xlink" ext-link-type="doi" xlink:href="10.1038/sj.bjp.0705944">10.1038/sj.bjp.0705944</jats:ext-link></jats:p>

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