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Anesth Analg ; 101(4): 950-956, 2005 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-16192501

RESUMO

UNLABELLED: Systematic investigations of the actions of phosphodiesterase (PDE)-3 inhibitors on different human vascular tissues have not been performed. We investigated the effects of specific PDE-3 inhibitors (olprinone, milrinone, and amrinone) on contracted human gastroepiploic arteries (n = 70), internal mammary arteries (n = 72), and radial arteries (n = 70) harvested from a total of 134 patients, all of whom were undergoing coronary artery bypass surgery. Each of these PDE-3 inhibitors dose-dependently diminished the contractile responses to 10(-6) mol/L norepinephrine and to either 10(-9) or 10(-8) mol/L of the thromboxane A2 analog U46619. In inducing vasorelaxations, these inhibitors were significantly more potent in norepinephrine-contracted rings than in those contracted with U46619. Further, at concentrations similar to the maximum therapeutic plasma concentrations (10(-7) mol/L olprinone; 10(-6) mol/L milrinone; 10(-5) mol/L amrinone) olprinone and milrinone were more potent at inducing relaxations than amrinone in gastroepiploic arteries and radial arteries, whereas in internal mammary arteries milrinone was more potent than the others. These results suggest different activities for the three PDE-3 inhibitors among human arteries located in different regions and may be informative about the effectiveness of these inhibitors in preventing spasms in the various arterial grafts used in revascularization. IMPLICATIONS: Because three phosphodiesterase-3 inhibitors (milrinone, olprinone, and amrinone) differed in their vasodilator potencies (against the contractile response to either norepinephrine or a thromboxane A2 analog) among human arteries removed from different parts of the body, their vascular relaxation profiles should be considered before they are used clinically.


Assuntos
3',5'-AMP Cíclico Fosfodiesterases/antagonistas & inibidores , Artéria Gastroepiploica/efeitos dos fármacos , Artéria Torácica Interna/efeitos dos fármacos , Inibidores de Fosfodiesterase/farmacologia , Artéria Radial/efeitos dos fármacos , 3',5'-AMP Cíclico Fosfodiesterases/fisiologia , Amrinona/farmacocinética , Amrinona/farmacologia , AMP Cíclico/fisiologia , Nucleotídeo Cíclico Fosfodiesterase do Tipo 3 , Endotélio Vascular/fisiologia , Artéria Gastroepiploica/fisiologia , Humanos , Imidazóis/farmacocinética , Imidazóis/farmacologia , Técnicas In Vitro , Artéria Torácica Interna/fisiologia , Milrinona/farmacocinética , Milrinona/farmacologia , Piridonas/farmacocinética , Piridonas/farmacologia , Artéria Radial/fisiologia , Vasodilatação/efeitos dos fármacos
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