Abstract.
We performed experiments in canine ventricular trabeculae loaded with aequorin to elucidate the influence of acidosis on the positive inotropic effect (PIE) of OR-1896 {(R)-N-[4-(4-methyl-6-oxo-1,4,5,6-tetrahydro-pyridazin-3-yl)-phenyl]-acetamide}, an active metabolite of levosimendan. The concentration-response curve (CRC) for OR-1896 was biphasic in acidotic conditions (pHo 6.6) that was essentially the same as that in control conditions (pHo 7.4). The CRC for PIE of OR-1896 reached a plateau at 10–6 M (first phase) and it became steeper again at 10–3 M (second phase). Under acidotic conditions the efficacy of the first phase was 10% of the maximal response to isoproterenol (ISOmax) and the PIE was associated with an increase in Ca2+ transients of 2% of ISOmax (P<0.05). The sensitivity of myofilaments to Ca2+ ions was increased by OR-1896 in acidotic conditions, whereas the relationship of Ca2+ transients and contractile force during an increase in elevation of the extracellular Ca2+ concentration and during application of dihydroouabain was shifted prominently to the right in acidotic conditions. In conclusion, OR-1896 elicited a PIE due to an increase in the sensitivity of myofilaments to Ca2+ ions even in acidotic conditions. The PIE of OR-1896 in acidotic conditions was much less than that in control conditions because the effect of the compound to induce an increase in intracellular Ca2+ mobilization was markedly attenuated in acidotic conditions.
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Takahashi, R., Endoh, M. Effects of OR-1896, a metabolite of levosimendan, on force of contraction and Ca2+ transients under acidotic condition in aequorin-loaded canine ventricular myocardium. Naunyn-Schmiedeberg's Arch Pharmacol 366, 440–448 (2002). https://doi.org/10.1007/s00210-002-0627-x
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DOI: https://doi.org/10.1007/s00210-002-0627-x