Moderate hypothermia and responses to calcium channel blockers - Role of the nitric oxide

Physiol Int. 2018 Mar 1;105(1):53-60. doi: 10.1556/2060.105.2018.1.2.

Abstract

Moderate hypothermia (25-31 °C) may have a significant influence on vascular tone. At present, very little is known about the role of endothelial nitric oxide on the hypothermia-induced responses. In this study, we investigated the effect of hypothermia (to 28 °C) on the vasodilatation induced by verapamil, a phenylalkylamine calcium channel blocker (10-9-3 × 10-4 M) and dihydropyridines, amlodipine (10-9-3 × 10-4 M), and benidipine (10-9-10-3 M) on 5-hydroxytryptamine (5-HT or serotonin) precontracted calf cardiac veins. Furthermore, the role of nitric oxide in the hypothermia-induced responses was analyzed. Ring preparations of veins obtained from calf hearts were suspended in organ baths containing 15 ml of Krebs-Henseleit solution, maintained at 37 °C, and continuously gassed with 95% O2-5% CO2. After a resting period, verapamil, amlodipine, and benidipine were applied cumulatively on serotonin (10-6 M) precontracted calf cardiac vein rings and induced concentration-dependent relaxations. In another part of the study, the medium temperature was decreased to 28 °C after the preparations were contracted with 5-HT, then cumulative concentrations of verapamil, amlodipine, or benidipine were added. During hypothermia, the pIC50 value, but not the maximal response, to all blockers were significantly higher than at 37 °C. Hypothermia in the presence of NG-nitro-l-arginine methyl ester (L-NAME, 10-4 M) decreased the pIC50 and Emax values to verapamil, amlodipine, and benidipine. Only one blocker was tested in each preparation. These results suggest that nitric oxide may play a role in the hypothermia-induced changes in vasodilation caused by verapamil, amlodipine, and benidipine in calf cardiac vein, but further research is needed to explain the complete mechanism.

Keywords: amlodipine; benidipine; cardiac vein; hypothermia; nitric oxide; verapamil.

MeSH terms

  • Amlodipine / pharmacology
  • Animals
  • Calcium Channel Blockers / pharmacology*
  • Cattle
  • Cold Temperature*
  • Coronary Vessels / drug effects*
  • Coronary Vessels / metabolism
  • Coronary Vessels / physiopathology
  • Dihydropyridines / pharmacology
  • Dose-Response Relationship, Drug
  • Enzyme Inhibitors / pharmacology
  • Hypothermia, Induced*
  • In Vitro Techniques
  • Nitric Oxide / metabolism*
  • Nitric Oxide Synthase Type III / antagonists & inhibitors
  • Nitric Oxide Synthase Type III / metabolism
  • Vasodilation / drug effects*
  • Vasodilator Agents / pharmacology*
  • Verapamil / pharmacology

Substances

  • Calcium Channel Blockers
  • Dihydropyridines
  • Enzyme Inhibitors
  • Vasodilator Agents
  • Amlodipine
  • Nitric Oxide
  • benidipine
  • Verapamil
  • Nitric Oxide Synthase Type III