Mechanism of the relaxant action of imipramine in isolated rat aorta

흰쥐 대동맥에서 imipramine의 혈관이완 작용기전

  • Kang, Hyung-sub (Bio-Safety Research Institute, Chonbuk National University) ;
  • Lee, Sang-woo (Bio-Safety Research Institute, Chonbuk National University) ;
  • Baek, Sung-su (Bio-Safety Research Institute, Chonbuk National University) ;
  • Joe, Sung-gun (Bio-Safety Research Institute, Chonbuk National University) ;
  • Kim, Jin-shang (Bio-Safety Research Institute, Chonbuk National University)
  • 강형섭 (전북대학교 생체안전성연구소) ;
  • 이상우 (전북대학교 생체안전성연구소) ;
  • 백성수 (전북대학교 생체안전성연구소) ;
  • 조성건 (전북대학교 생체안전성연구소) ;
  • 김진상 (전북대학교 생체안전성연구소)
  • Accepted : 2003.12.01
  • Published : 2003.12.25

Abstract

Although the antidepressant effects of imipramine (IMI) have been well known in several studies, the effects on cardiovascular system, particularly the vasorelaxant effects, have not known clearly. We hypothesis that IMI-induced vasorelaxation involves NO (nitrie oxide), activation of guanylate cyclase (GC) and $Ca^{2+}$ channel. The possible roles of the endothelium and $Ca^{2+}$ in IMI-induced responses were investigated using isolated rings of rat thoracic aorta and anesthesized rats. In KCl-precontracted rings. IMI produces endothelium-dependent and endothelium-independent relaxations in intact (+E) as well as endothelium-denuded (-E) rat aorta in a concentration-dependent manner. In phenylephrine (PE)-precontracted rings, the IMI-induced relaxation was significantly greater in +E rings. The IMI-induced relaxations were suppressed by nitric oxide synthase (NOS) inhibitors, N(G)-nitro-L-arginine (L-NNA), N(omega)-nitro-L-arginine methyl ester (L-NAME) and aminoguanidine, a non-selective GC inhibitor, methylene blue, $Na^+$ channel blockers, lidocaine and procaine, or $Ca^{2+}$ channel blockers, nifedipine and verapamil, in PE-precontracted +E rings, but not in PE-precontracted -E rings. These relaxations were also suppressed by lidocaine or procaine in -E aortic rings. However, IMI-induced relaxations were not inhibited by a PLC inhibitor 2-nitro-4-carboxyphenyl-n,n-diphenylcarbamate (NCDC), an inositol monophosphatase inhibitor, lithium, indomethacin and dexamethasone in +E and -E rings. In vivo, infusion of IMI elicited significant decrease in arterial blood pressure. After intravenous injection of saponin, NOS inhibitors. MB and nifedipine, infusion of IMI inhibited the IMI-lowered blood pressure markedly. These findings suggest that the endothelium-dependent relaxation induced by IMI is mediated by activation of NO/cGMP signaling cascade or inhibition of $Ca^{2+}$ entry through voltage-gated channel, and this mechanism may contribute to the hypotensive effects of IMI in rats.

Keywords

References

  1. Bassett, J. R., Cairncross, K. D., Hacket, N. B. and Story, M. Studies on the peripheral pharmacology of fenazoxine, a potential antidepressant drug. Br. J. Pharmacol. 1969, 37, 69-78
  2. Barber, M. J., Stanner, C. F. and Grant, A. 0. Blockade of cardiac sodium channels by amitriptyline and diphenylhydantoin. Evidence for two use-dependent binding sites. Circ. Res. 1991, 69, 677-696
  3. Berridge, M. J. Rapid accumulation of inositol trisphosphate reveals that agonist.s hydrolyse polyphosphoinositides instead of phosphatidylinositol. Biochem. J. 1983, 212, 849-858
  4. Carron, R., Perez-Vizcaino, E, Delpon, E. and Tamareo, J. Effects of propafenone on $^4^5Ca$ movements and contractile responses in vascular smooth muscle. Br. J. Pharmacol. 1991, 103, 1453-457
  5. Carvajal, J. A., Germain, A. M., Huidobro-Toro, J. P. and Weiner, C. P. Molecular mechanism of cGMP- mediated smooth muscle relaxation. J. Cell. Physiol. 2000, 184, 409-420
  6. Cauvin, C., Loutzenhiser, R. and Van Breemen, C. Mechanism of calcium-antagonist induced vasodilation. Annu. Rev. Pharmacol. 1983, 23, 373-396
  7. del Pozo, B. F., Perez-Vizcaino, R, Villamor, E., Zaragoza, F. and Tamargo, J. Stereoselective effects of the enantiomers, quinidine and quinine, on depolarization- and agonist-mediated responses in rat isolated aorta. Br. J. Pharmacol. 1996, 117, 105-110
  8. Doggrell, S. A. and Vincent, L. The postsynaptic effects of antidepressant drugs in the rat anococcygeus muscle. J. Pharm. Pharmacol. 1981, 33, 720-724
  9. Fernandez del Pozo, B., Perez-Vizcaino, F., Femandez, C., Zaragoza, F. and Tamargo, J. Effects of several class 1 antiarrhythmic drugs on isolated rat aortic vascular smooth muscle. Gen. Pharmacol. 1997, 29, 539-543
  10. Glassman, A. H., Roose, S. P. and Bigger, J. T. Jr. The safety of tricyclic antidepressants in cardiac patients. Risk-benefit reconsidered. JAMA, 1993, 269, 2673-2675
  11. HrdIna, P. D. and Ling, G. M. Studies on the mechanism of the inhibitory effect of desipramine (DMI) on vascular smooth muscle contraction. J. Pharmacol. Exp. Ther. 1970, 173, 407-415
  12. Hishinuma, T., Tsukamoto, H., Suzuki, K. and Mizugaki, M. Relationship between thromboxane/prostacyclin ratio and diabetic vascular complications. Prostaglandins Leukot. Essent. Fatty Acids. 2001, 65, 191-196
  13. Huang, Y. Inhibition of contractions by tricyclic antidepressants and xylamine in rat vas deferens. Eur. J. Pharmacol. 1997, 327, 41-47
  14. Huang, Y. Inhibitory effect of noradrenaline uptake inhibitors on contractions of rat aortic smooth muscle. Br. J. Pharmacol. 1996, 117, 533-539
  15. Hudgins, P. M. and Weiss, G. B. DifFerential effects of calcium removal upon vascular smooth muscle contraction induced by norepinephnne, histamine and potassium. J. Pharmacol. Exp. Ther. 1968, 159, 91-97
  16. Iversen, L. L. The inhibition of noradrenaline uptake by drugs. Adv. Drug Res. 1965, 2, 1-46
  17. Kanno, K., Hirata, Y., Imai, T. and Marumo, F. Induction of nitric oxide synthase gene by interleukin in vascular smooth muscle cells. Hypertension, 1993, 22, 34-39
  18. Karaki, H., Ozaki, H., Hori, M., Mitsui-Saito, M., Amano, K., Harada. K., Miyamoto, S., Nakazawa, H., Won, K. J. and Sato, K. Calcium movements, distribution, and functions in smooth muscle Pharmacol. Rev. 1997, 49, 157-230
  19. Kirch, W. Hemodynamic effects of extracardiac drugs. Int. J. Clin. Pharmacol. Ther. 1995, 33, 190-193
  20. Nakajima, T., Hazania, H., Hamada. E., Wu, S. N., Igarashi, K., Yainashita, T, Seyama, Y., Omata, M. and Kurachi. Y. Endothelin-l and vasopressin activate Ca(2+)-permeab1e non-selective cation channels in aortic smooth muscle cells: mechanism of receptor-mediated $Ca^2^+$ influx. J. Mol. Cell. Cardiol. 1996, 28, 707-722
  21. Pancrazio, J. J., Kamatchi. G. L., Roscoe, A. K. and Lynch, C. Inhibition of neuronal $Na^+$ channels by antidepressant drugs. J. Pharmacol. Exp. Ther. 1998, 284, 208-214
  22. Pentel, P. R., WananukuI, W., Scarlett, W. and Keyler, D. E. Nitric oxide contributes to desipramine-induced hypotension in rats. Hum. Exp. Toxicol. 1996, 15, 320-328
  23. Perez-Vizcaino, F., Duarte, J. and Tamargo, J. Effects of flecainide on isolated vascular smooth muscles of rat. Br. J. Pharmacol. 1991, 104, 726-730
  24. Perez-Vizcaino, E, Fernandez del Pozo, B., Zaragoza, F. and Tamargo. J. Voltage- and time-dependent inhibitory effects on rat aortic and porcine coronary artery contraction induced by propafenone and quinidine. Br. J. Pharmacol. 1994, 113, 1281-1288
  25. Preskom, S. H. and Irwin, H. A. Toxicity of tricyclic antidepressants-kinetics, mechanism, intervention: a review. J. Clin. Psychiatry. 1982, 43, 151-156
  26. Rapoport, R. M. Effects of norepinephrine on contraction and hydrolysis of phosphatidylinositols in rat aorta. J. Pharmacol. Exp. Ther. 1987, 242, 188-194
  27. Rehavi, M., Weiss, H., Nissenkom, L, Rubinstein. R. and Cohen, S. A comparative study of the affinities of some tricyclic antidepressants for the muscarinic cholinergic receptor in human and guinea-pig bladder, ileum and brain in relation to differential drug potency. Life Sci. 1987, 40, 1819-1827
  28. Richelson, E. and Nelson, A. Antagonism by antidepressants of neurotransmitter receptors of normal human brain in vitro. J. Pharmacol. Exp. Ther. 1984, 230, 94-102
  29. Roose, S. R, Glassman, A. H., Giardina, E. G., Walsh, B. T, Woodring, S. and Bigger, J. T. Thcyclic antidepressants in depressed patients with cardiac conduction disease. Arch. Gen. Psychiatry. 1987, 44, 273-275
  30. Sheannan, M. S., Sekiguchi, K. and Nishizuka, Y. Modulation of ion channel activity: a key function of the protein kinase C enzyme family. Pharmacol. Rev. 1989, 41, 211-237
  31. Somlyo, A. P. and Himpens, B. Cell calcium and its regulation in smooth muscle. FASEB J. 1989, 3, 2266-2276
  32. Sturek, M. and Hermsmeyer, K. Calcium and sodium channels in spontaneously contracting vascular muscle cells. Science, 1986, 233, 475-478
  33. Taggart, M. J., Menice, C. B., Morgan, K. G. and Wray, S. Effect of metabolic inhibition on intracellular$Ca^2^+$, phosphorylation of myosin regulatory light chain and force in rat smooth muscle. J. Physiol. 1997, 499, 485-496
  34. Vila, J. M., Medina, P., Segarra, G., Lluch, R, Pallardo, E, Flor, B. and Lluch, S. Relaxant effects of antidepressants on human isolated mesenteric arteries. Br. J. Clin. Pharmacol. 1999, 48, 223-229
  35. Villalobos-Molina, R., Uc, M., Hong, E. and Garcia-Sainz, J. A. Correlation between phosphatidylinositol labeling and contraction in rabbit aorta: effect of alpha-1 adrenergic activation. J. Pharmacol. Exp. Ther. 1982, 222, 258-261