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Mechanism of Action of Nitroglycerin: Coronary, Cardiac, and Systemic Effects
1 Effects of nitroglycerine (NG) on the membrane and contractile properties of the smooth muscle cell of the isolated coronary artery of the pig were observed. 2 NG, up to a concentration of 10−5 m, modified neither the membrane potential nor the membrane resistance. Increased concentrations of NG (> 2.8 × 10−5 m) hyperpolarized the membrane, reduced the membrane resistance and enhanced the rectifying property of the membrane measured by depolarization pulses. These phenomena observed with a high concentration of NG are the result of an increase in the K‐conductance of the membrane. 3 NG (2.8 × 10−5 m) did not modify the membrane potential displaced by various concentrations of excess (K)o. In low (K)o, NG (2.8 × 10−5 m) hyperpolarized the membrane to a greater extent than that observed in Krebs solution. The effects of NG (10−6 to 2.8 × 10−5 m) on the membrane potential were not modified by simultaneous application of 2 × 10−6 m acetylcholine (ACh). 4 NG (2.8 × 10−6 m) consistently raised the mechanical threshold required for tension development and suppressed the amplitude of the contraction evoked by excess (K)o, ACh or electrical depolarization of the membrane. The dose‐response curve shifted to the right in the presence of NG noncompetitively in all the conditions employed to develop the tension. 5 When the tissue was immersed in Ca‐free (EGTA) solution, ACh (5 × 10−6 m) evoked a contraction even after the tissue had lost the ability to contract to repetitive applications of 118 mm (K)o in Ca‐free (EGTA) solution. However, the tissue finally failed to contract to repetitively applied ACh. At this stage, 2.5 mm (Ca)o evoked a small contraction, after which the response was briefly restored to 5 × 10−6 m ACh. This transient response to ACh was reduced by NG (5.6 × 10−6 m) when NG was added either simultaneously with ACh or with the previous Ca application. However, the inhibition was greater in the former than the latter case. 6 Cysteine (1 to 2 mm), without modifying the membrane potential or membrane resistance, partly restored the contraction evoked by excess (K)o or ACh which had been reduced by NG. 7 The mechanism of action of NG on the smooth muscle cell of the coronary artery of the pig is postulated to be due to a nonselective suppression of the Ca‐mobilization from the store site with no noticeable change in the membrane properties.
British Journal of Pharmacology – Wiley
Published: Oct 1, 1980
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