Dataset Information
PDE3, but not PDE4, reduces ?? - and ??-adrenoceptor-mediated inotropic and lusitropic effects in failing ventricle from metoprolol-treated patients.
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ABSTRACT: Background and purpose
PDE3 and/or PDE4 control ventricular effects of catecholamines in several species but their relative effects in failing human ventricle are unknown. We investigated whether the PDE3-selective inhibitor cilostamide (0.3-1 ?M) or PDE4 inhibitor rolipram (1-10 ?M) modified the positive inotropic and lusitropic effects of catecholamines in human failing myocardium.Experimental approach
Right and left ventricular trabeculae from freshly explanted hearts of 5 non-?-blocker-treated and 15 metoprolol-treated patients with terminal heart failure were paced to contract at 1 Hz. The effects of (-)-noradrenaline, mediated through ?? adrenoceptors (?? adrenoceptors blocked with ICI118551), and (-)-adrenaline, mediated through ?? adrenoceptors (?? adrenoceptors blocked with CGP20712A), were assessed in the absence and presence of PDE inhibitors. Catecholamine potencies were estimated from -logEC??s.Key results
Cilostamide did not significantly potentiate the inotropic effects of the catecholamines in non-?-blocker-treated patients. Cilostamide caused greater potentiation (P = 0.037) of the positive inotropic effects of (-)-adrenaline (0.78 ± 0.12 log units) than (-)-noradrenaline (0.47 ± 0.12 log units) in metoprolol-treated patients. Lusitropic effects of the catecholamines were also potentiated by cilostamide. Rolipram did not affect the inotropic and lusitropic potencies of (-)-noradrenaline or (-)-adrenaline on right and left ventricular trabeculae from metoprolol-treated patients.Conclusions and implications
Metoprolol induces a control by PDE3 of ventricular effects mediated through both ?? and ?? adrenoceptors, thereby further reducing sympathetic cardiostimulation in patients with terminal heart failure. Concurrent therapy with a PDE3 blocker and metoprolol could conceivably facilitate cardiostimulation evoked by adrenaline through ?? adrenoceptors. PDE4 does not appear to reduce inotropic and lusitropic effects of catecholamines in failing human ventricle.
SUBMITTER: Molenaar P
PROVIDER: S-EPMC3682702 | biostudies-literature | 2013 Jun
REPOSITORIES: biostudies-literature
Publications
PDE3, but not PDE4, reduces β₁ - and β₂-adrenoceptor-mediated inotropic and lusitropic effects in failing ventricle from metoprolol-treated patients.
British journal of pharmacology 20130601 3
<h4>Background and purpose</h4>PDE3 and/or PDE4 control ventricular effects of catecholamines in several species but their relative effects in failing human ventricle are unknown. We investigated whether the PDE3-selective inhibitor cilostamide (0.3-1 μM) or PDE4 inhibitor rolipram (1-10 μM) modified the positive inotropic and lusitropic effects of catecholamines in human failing myocardium.<h4>Experimental approach</h4>Right and left ventricular trabeculae from freshly explanted hearts of 5 non ...[more]