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Effects of quinidine and verapamil on human cardiovascular α- adrenoceptors

Circulation, ISSN: 0009-7322, Vol: 97, Issue: 13, Page: 1227-1230
1998
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Article Description

Background: The antiarrhythmic drugs quinidine and verapamil are known to block α1-adrenoceptors (αARs). αARs are a heterogeneous family of three subtypes (αA, αB, and αD), and little is known about the effects of quinidine and verapamil on the different human αAR subtypes. Methods and Results: Reverse transcriptasepolymerase chain reaction showed that all αAR subtypes are expressed in both human heart (atrium and ventricle) and the mesenteric artery. Pharmacological profiles of quinidine and verapamil actions on the αAR subtypes were characterized with Chinese hamster ovary cells stably expressing cloned human αAR subtypes. Radioligand binding studies showed that quinidine and verapamil had high affinities for all αAR subtypes. Also, both drags synergistically inhibited αAR-mediated inositol 1,4,5-triphosphate production at the clinical effective concentration range (1 μmol/L quinidine and 0.1 μmol/L verapamil). Conclusions: The results show that all αAR subtypes are expressed in the human cardiovascular system and that quinidine and verapamil may have a potent, synergistic inhibitory effect on the αARs. Clinically observed hypotension after quinidine plus verapamil can be explained by their synergistic inhibitory effects on human αARs.

Bibliographic Details

Akira Hirasawa; Rudolf Foglar; Gozoh Tsujimoto; Katsushi Shibata; Satoshi Ogawa

Ovid Technologies (Wolters Kluwer Health)

Medicine

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