Τόμος 22 (2008) – Τεύχος 2 – Άρθρο 56 – Επιθεώρηση Κλινικής Φαρμακολογίας και Φαρμακοκινητικής-Διεθνής Έκδοση – Volume 22 (2008) – Issue 2 – Article 56 – Epitheorese Klinikes Farmakologias και Farmakokinetikes-International Edition

Title Lower esophageal sphincter relaxing agents: an in vitro comparative study in the rabbit
Authors M. Koutsoviti-Papadopoulou, Th.A. Psarra and G.C. Batzias

Laboratory of Pharmacology, Veterinary Faculty, Aristotle University, Thessaloniki, Greece

Citation Koutsoviti-Papadopoulou, M., Psarra, T.A. and Batzias, G.C.: Lower esophageal sphincter relaxing agents: an in vitro comparative study in the rabbit, Epitheorese Klin. Farmakol. Farmakokinet. 22(2): 203-206 (2008)
Publication Date 23-25 May 2008
Full Text Language English
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Keywords Lower esophageal sphincter (LES), milrinone, theophylline, phosphodiesterase (PDE) inhibitors, verapamil, rabbit.
Other Terms Review article
Summary This study shows that the calcium channel blocker verapamil, the cardiac PDE 3 inhibitor milrinone, and the non-selective PDE inhibitor theophylline, a drug prescribed mainly as a bronchodilator, all produce a concentration-dependent, non-adrenergic non-cholinergic (NANC), post-synaptic, muscle-mediated relaxation on the rabbit LES. The potency rank of order is verapamil > milrinone > theophylline, as the IC50 values are found to be 2.75×10-6 M, 7.6×10-6 M and 3.8×10-4 M for verapamil, milrinone and theophylline, respectively. All three drugs exhibit equal efficacy, which is comparable to that produced by the potent PDE inhibitor papaverine. The theophylline- and milrinone-induced relaxation is not significantly modified either by nicotinic acid, an antagonist of adenylate cyclase, or by the inhibitor of NO-synthetase L-NAME and the purinergic antagonist suramin. The results obtained suggest that PDE 3 seems to play a critical role in the regulation of the rabbit LES tone and that it is the cAMP pathway which appears to be the main determinant of the milrinone- and theophylline-induced relaxation on the rabbit LES.
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