Resumo (PT):
Angiotensin II (AT-H) is an endogenous peptide whose effects are mediated
by two types of receptors, AT1 and AT2. AT1 receptors are responsible
for the vasoconstrictor, positive inotropic and growth promoting
properties of AT-H, while AT2 receptors have been linked to vasodilator
and anti-mitogenic properties. In this study we investigated the effects of
selective AT2 receptor stimulation on myocardial contractility.
Effects of selective AT2 receptor activation were evaluated in rabbit fight
papillary muscles (n=51) by adding, to the superfusing solution (Krebs-
Ringer; 1.8mM CaC12; 35°C), increasing doses of AT-II (10e-8, 10e-7,
10e-6, 10e-5 M) in the presence of a selective AT1 receptor antagonist
(ZD7155, 10e-6 M). Selective AT2 receptor activation was performed in
the absence (n=12) and in the presence of NG-nitro-L-Arginine (L-NA;
3"10e-5 M; n=9), Indomethacin (INDO; 10e-5 M; n=7) or Proadifen (PRO; 10e-6M; n=9), as well as, after removal of endocardial endothelium
(EE; n=7). Finally, the effect of AT-2 receptor stimulation was studied
in the presence of a nonselective antagonist of endothelin- 1 (ET- 1 ) receptors
in intact endothelium muscle preparations (PD-145065; 10e-6M;
n=7). Calculated parameters: active tension (AT), peak rates of tension
rise and decline (dT/dtmax and dT/dtmin, respectively), peak shortening
(PS) and peak rate of shortening (dL/dtmax). Results are presented as
mean+SEM in % of baseline (p<0.05).
Selective AT2 stimulation induced a dose-dependent negative inotropic
effect, decreasing, at 10e-5 M of AT-II, 29.34-7.7% AT, 26.14-7.0%
dT/dtmax, 27.9-t-7.5% dT/dtmin, 30.7-t-9.3% PS and 22.0-t-5.7%
dL/dtmax. This effect was not influenced by L-NA (-32.54-10.2% AT,
-25.7-t-7.8% dT/dtmax, -26.7-t-8.6 dT/dtmin, -16.90-t-7.1 dL/dtmax),
INDO (-34.4-t-7.1% AT, -27.9-t-6.1 dT/dtmax, -33.2-t-7.9 dT/dtmin, -
20.2-t-5.0 dL/dtmax, -36.6-t-10.2 dL/dtmin, -25.3-t-7,1 PS) or PRO
(-26.0-t-8.3% AT, -25.5-t-6.6% dT/dtmax, -26.4-t-7.6% dT/dtmin, -
23.7-t-8.0% PS, -22.9-t-7.0% dL/dtmax, -30.4-t-9.7% dL/dtmin), but was
completely abolished after selective removal of the EE. In the presence
of PD-145065, the effect was attenuated (-12.34-5.4% TA, -11.94-4.6
dT/dtmax, -7.5-t-6.5 dT/dtmin, -12.7+4.2%EM, -12.0-t-3.1% dL/dtmax
e -11.24-7.3 dL/dtmin.
Selective AT2 stimulation induces a negative inotropic effect, which is
modulated by the EE, but mediated neither by NO, prostaglandins nor
EDIIF. The effect is partially attenuated by the inhibition of ET-1 receptors.
Such findings might help to better understand the therapeutic effects
of selective AT 1 antagonists.
Language:
English
Type (Professor's evaluation):
Scientific
Notes:
ESC Annual Congress 2005, published in journal, European Journal of Heart Failure. 2005; Vol.4(Suppl.1):123-123.