Key result
Adenosine analogues inhibited atrial contraction and the positive inotropic effect of Bay K 8644 indirectly via A1 receptors, without directly interacting with slow calcium channels.
The study demonstrates that adenosine analogues indirectly antagonize the positive inotropic effects of Bay K 8644 via A1 receptor activation in atrial tissue, without directly interacting with slow calcium channels.
A1- but not A2-agonism inhibits atrial contractility in vitro; leaves open translation to clinical antiarrhythmic effects.
(-)-N6-phenylisopropyladenosine (R-PIA) and N6-cyclohexyladenosine (CHA), highly selective agonists at A1-adenosine receptors, 5'-N-ethyl-carboxamidoadenosine (NECA), a non-selective agonist at A1 and A2 receptors, and 2-phenylaminoadenosine (CV-1808), a selective A2 agonist, were compared in spontaneously beating and electrically driven atria. R-PIA, CHA and NECA inhibited contraction in both preparations. CV-1808 was not effective up to 500 nM. 2. 1,3-Dipropyl-8-cyclopentylxanthine (DPCPX), a new selective A1 receptor antagonist, competitively inhibited the effects of the adenosine agonists, at low concentrations (IC50 less than 1 nM). 3. CHA and NECA were able to inhibit the positive inotropic effect of Bay K 8644 both in spontaneously beating and in electrically driven atria. 4. R-PIA, CHA and NECA (agonists), 8-phenyltheophylline (PT) and DPCPX (antagonists), failed to influence [3H]-nitrendipine binding on microsomal membranes from guinea-pig atria and ventricles in a range of concentrations from 1 nM to 100 microM. 5. The data support the existence of A1 receptors in atrial tissue. No evidence for a direct interaction between adenosine analogues and Bay K 8644 was found at the level of slow calcium channels. Adenosine analogues appear to antagonize the effects of Bay K 8644 indirectly by activation of A1 receptors.
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Borea et al. (1989) studied this question. Adenosine receptor agonists and antagonists was evaluated on Atrial contraction and [3H]-nitrendipine binding. Adenosine analogues inhibited atrial contraction and the positive inotropic effect of Bay K 8644 indirectly via A1 receptors, without directly interacting with slow calcium channels.
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