Contents:

TOM* - EICOSANOID SYSTEM AND ENDOTHELIUM:THE ROLE IN INFLAMMATION AND ATHEROSCLEROSIS

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THE IMPORTANCE OF HOMOCYSTEINE IN PATIENTS UNDERGOING CORONARY BY-PASS SURGERY

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NUCLEOSIDES AND NUCLEOSIDE ANALOGUES IN THE HEART – TRANSPORT AND ROLES

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THE ROLE OF POTASSIUM CHANNEL MODULATORS IN THE MODERN CARDIOVASCULAR THERAPY

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THE INFLUENCE OF DIFFERENT CALCIUM CHANNEL ANTAGONISTS ON CORONARY CIRCULATION OF THE ISOLATED RAT HEART: INTERACTION WITH L-ARGININE: NO SYSTEM

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ARTERIAL HYPERTENSION IN DIABETES MELLITUS

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THE IMPORTANCE OF LEFT VENTRICULAR FUNCTION FOR EARLY AND DEFFINITIVELLY PROGNOSIS OF ACUTE MYOCARDIAL INFARCTION

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ENDOTHELIAL CELL (DIS)FUNCTION IN PREECLAMPSIA

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THE INFLUENCE OF DIFFERENT CALCIUM CHANNEL ANTAGONISTS ON CORONARY CIRCULATION OF THE ISOLATED RAT HEART: INTERACTION WITH L-ARGININE: NO SYSTEM

Vladimir Lj. Jakovljevic1, Vujadin M. Mujovic2, Nebojsa Tasic3, Slobodan S. Novokmet1, Momcilo M. Miloradovic4, Vladimir Kanjuh5, Dragan M. Djuric2,3
1Institute of Physiology, Faculty of Medicine, University of Kragujevac, Kragujevac, FR Yugoslavia
2Institute of Physiology, Faculty of Medicine, University of Belgrade, Belgrade, FR Yugoslavia
3Institute of Cardiovascular Diseases „Dedinje“, Belgrade, FR Yugoslavia
4Department of Cardiology, CHC „Kragujevac“, FR Yugoslavia
5Department of Cardiovascular Pathology, Serbian Academy of Sciences, Belgrade, FR Yugoslavia

Acknowledgements
This work is supported by Pfizer Ltd (Inex-Interexport), Belgrade, Grant to V.Lj.Jakovljevic and D.M.Djuric. The authors are very thankful to Miss Olga Stankovic, Mr Aleksandar Petrovic and Mr Predrag Ravic for the technical assistance.

Received: 23. 10. 2000. Accepted: 02. 11. 2000.

 

ABSTRACT


The aim of the study was to assess the interactions between different classes of Ca2+ channel antagonists and endothelial L-Arginine/NO system, like a dominant metabolic control system.
Hearts from male Wistar albino rats (age 8 weeks, BM=180-200 g) were used and perfused according to Langendorff technique at constant pressure conditions. After stabilization of the preparation (30 min at 60 cm H
2O), perfusion pressure (CPP) has been gradually increased from 40 to 120 cm H2O and coronary flow (CF), release of NO (as nitrite concentration) were measured. Experiment were performed during control condition and in the presence of different Ca2+ channel antagonists: nifedipine (30 nM), diltiazem (3 µM), verapamil (0.4 µM), amlodipine (0.05 mg/l) alone and dyhydropiridines in combination with NO synthase inhibitor L-NAME (30 µM).
Isolated rat hearts exhibit autoregulation of coronary flow (CF) between 50 and 90 cm H2O of coronary perfusion pressure (CPP). Basal release measurement (at 60 cm H
2O) of NO was 1.80±0.22 nmol/min/ g/wt and was strictly parallel with CPP-CF curve.
Autoregulatory range of CF was significantly extended (40-100 cm H
2O) under influence of nifedipine, while otber Ca2+ channel antagonists didn’t changed coronary autoregulation. Changes in NO-release were parallel with CPP- CF curve, except in amlodipine-experiments, when nitrite-release was significantly reduced. When L-NAME and dyhydro- piridines were applied together, CF was significantly reduced, with parallel changes of NO-release.
Our results showed that action of Ca
2+ channel antagonists is in interaction with L-Arginine/NO system in coronary circulation of the isolated rat heart, with highest efficiacy of amlodipine.

Keywords: nitric oxide - Ca2+ channel antagonists - coronary autoregulation - rat heart

 

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Correspondence to:
Ass. Vladimir Lj. Jakovljevic MD, MSc
Institute of Psysiology Faculty of Medicine, University of Kragujevac
P.O.B. 124 34000 Kragujevac FR Yugoslavia
phone: + 381 34 37 01 37  fax: + 381 33 53 21
e_mail: vlada@medicu.medf.kg.ac.yu