Why the study?
The study aimed to determine the effects of different inhibitors of the late sodium current on vascular responses to endogenous and exogenous adrenergic stimuli.
Do INa,late inhibitors (GS-967, GS-6615, ranolazine) reduce adrenergic-induced vasoconstriction in isolated rabbit aorta?
Do INa,late inhibitors (GS-967, GS-6615, ranolazine) reduce adrenergic-induced vasoconstriction in isolated rabbit aorta?
GS-967, GS-6615, and ranolazine decrease vasoconstrictor responses to adrenergic stimuli in rabbit aorta, suggesting potential clinical utility in conditions with adrenergic hyperstimulation.
I Na,late inhibitors may blunt adrenergic contractions ex vivo; leaves open vascular effects in humans.
Introduction In the present study we aim to determine the effects of different inhibitors of the late sodium current (I Na,late ) on vascular responses to adrenergic stimuli, both endogenous and exogenous. Methods The study was performed using specific inhibitors of I Na,late as GS-967, GS-6615 and Ranolazine (RAN). Rings from rabbit aorta were placed in organ baths chambers. Results Electrical Field Stimulation (EFS) (2, 4 and 8 Hz) induced frequency-dependent contractions that were abolished by tetrodotoxin, prazosin, or guanethidine (10 −6 M). The intervention of I Na,late was observed by incubating the aortic segments with GS-967, GS-6615 or RAN. Concentration–response curves to GS-967, GS-6615 or RAN were constructed in rings precontracted with noradrenaline, endothelin-1 or KCl with or without specific inhibitors (L-NAME, nimesulide, SC-560, verapamil, nifedipine, apamin or charybdotoxin). Contraction to noradrenaline were elicited in the absence or presence of I Na,late inhibitors (GS-967, GS-6615 or RAN). EFS induced frequency-dependent contractions of rings, mediated by noradrenaline acting on α 1 -adrenoceptors. I Na,late blockers GS-967 and GS-6615 reduced vasoconstriction induced by sympathetic nerve stimulation, effect reversed by charybdotoxin, implicating large-conductance Ca 2+ -activated K + channels. RAN elicited an attenuation of nerve-induced vasoconstriction, with 20% of this effect mediated via large-conductance Ca 2+ -activated K + channels. The predominant mechanism involved competitive antagonism of RAN at α 1 -adrenergic receptors. Discussion These findings suggest distinct mechanisms of action among I Na,late blockers, highlighting the involvement of large-conductance Ca 2+ -activated K + channels in GS-967 and GS-6615 effects, and a competitive α 1 -adrenoceptor antagonism for RAN. Taken together, our results indicate that GS-967, GS-6615 and RAN decrease vasoconstrictor responses due to both neural and noradrenaline-induced adrenergic stimuli. We can suggest that the use of GS-967, GS-6615 and Ranolazine may be interesting in clinical procedures involving hyperstimulation of the adrenergic nervous system.
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Jorda et al. (2026) studied this question.
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