Key result
Pinacidil induces a negative inotropic effect in rat atria via inward rectifying potassium channels.
Pinacidil exerts a negative inotropic effect on rat left atria likely via opening inward rectifying potassium channels rather than ATP-sensitive potassium channels.
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Rat atrial findings should not guide practice; leaves open inward rectifier mediation of negative inotropy in humans.
Cromakalim at 50 microM and pinacidil at 0.1-10 microM had no effect, but pinacidil at 0.1 mM had a negative inotropic effect on the rat electrically-driven left atria without altering the positive inotropic responses to isoprenaline or phenylephrine alone. Glibenclamide had no effect but 4-aminopyridine, procaine (30 microM) and tetraethylammonium (3 mM) augmented the cardiac stimulation response. The ability of pinacidil to attenuate the cardiac stimulation response was not altered by glibenclamide, 4-aminopyridine or procaine but was prevented by pretreatment with tetraethylammonium. Thus, on the rat left atria, pinacidil has a negative inotropic effect which is unrelated to the opening of ATP-sensitive potassium channels, but may be due to opening the inward rectifying potassium channels.
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Sheila A Doggrell (1993) studied this question. Pinacidil was evaluated on Inotropic effect. Pinacidil at 0.1 mM exerted a negative inotropic effect on rat left atria that was prevented by tetraethylammonium, suggesting mediation via inward rectifying potassium channels.
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