Key result
Dilazep exhibited calcium entry blocking activity in dog coronary artery strips that was less potent than nifedipine, verapamil, diltiazem, and lidoflazine, and was not mediated through adenosine.
Why the study?
Does dilazep exhibit calcium entry blocking activity in dog coronary arteries compared to standard calcium channel blockers?
Does dilazep exhibit calcium entry blocking activity in dog coronary arteries compared to standard calcium channel blockers?
Dilazep exhibits calcium entry blocking activity in dog coronary arteries that is independent of adenosine mediation, though it is significantly less potent than standard calcium channel blockers like nifedipine and verapamil.
Answers are grounded in this paper and cite their sources.
Animal data on dilazep should not change practice; hypothesis-generating for its coronary effects and requires human validation.
Calcium entry blocking activities of adenosine and its potentiating compounds (dipyridamole, lidoflazine and dilazep) were studied in potassium (100 mmol/l) depolarized, dog, large coronary artery strips, in comparison to nifedipine, verapamil and diltiazem. Apparent pA2 values were calculated by using concentration-response curves for calcium before and 30 min after the addition of each dilator drug. The order of potency (using both pA2 and IC50 values) for the calcium entry blocking effect was: nifedipine greater than verapamil greater than diltiazem greater than lidoflazine greater than dilazep. Dipyridamole and adenosine had negligible calcium entry blocking activities (about 10,000 times less potent than verapamil). The calcium entry blocking activity of verapamil (using pA2 values) was 39.8 times less potent than nifedipine, and 3.6, 21.4 and 97.7 times more potent than diltiazem, lidoflazine and dilazep, respectively. The maximum relaxations induced by adenosine (3.7 X 10(-4) mol/l) and dipyridamole (5 X 10(-5) mol/l) were less than 20% that of 3 X 10(-4) mol/l papaverine. However, the other test drugs caused 80-90% relaxation under similar conditions. The relaxing effect of adenosine was inhibited by 8-phenyltheophylline (adenosine receptor antagonist) and potentiated by EHNA (an adenosine deaminase inhibitor), while dilazep-induced relaxation was not affected by these drugs. These findings suggest that the calcium entry blocking effect of dilazep in dog, large coronary artery strips is not mediated through adenosine.
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Nakagawa et al. (2008) studied this question. Dilazep vs. nifedipine, verapamil, diltiazem, lidoflazine, dipyridamole, adenosine was evaluated on Calcium entry blocking activity. Dilazep exhibited calcium entry blocking activity in dog coronary artery strips that was less potent than nifedipine, verapamil, diltiazem, and lidoflazine, and was not mediated through adenosine.
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