Abstract
The effect of three calcium antagonists on the synthesis of prostacyclin (PGI2, assayed as 6-Keto-PGF1alpha) and PGE2 by cultured rat cardiac myocytes and fibroblasts was investigated. In myocytes only, bepridil, diltiazem and verapamil (10 −9 to 10 −7 M) stimulated PGs synthesis by two- to three-fold, dose-dependently. At a concentration of 10 −6 or 10 −5 M the intensity of the stimulation of PGI2 and PGE2 decreased. Cobalt chloride (2 × 10 −3 M) did not change PGs synthesis (pg/mg of protein/30 min; means ± SE, N = 10; PGE2: 365 ± 59 and 463 ± 89 treated vs controls; PGI2: 824 ± 214 and 799 ± 143 treated vs controls). After 30 min exposure of myocytes to hypoxic conditions (glucose-free medium and low PO2), the glycogen content was half that of the controls (P <0.001),ATP content did not change and PGI2 and PGE2 synthesis increased (×1.5, P < 0.05). When applied to myocytes 30 min before inducing hypoxia, the three calcium antagonists stimulated PGs synthesis by three- to seven-fold at maximal effect, and bepridil (10 −8 M) or diltiazem (10 −7 M) prevented the hypoxia-induced decrease in glycogen content. With 10 −5 M drug concentration, the effect on PGs was not significant, except for the effect of bepridil on PGI2 (P < 0.05). It is concluded that therapeutic concentrations of calcium antagonists simultaneously prevent the decrease in myocyte glycogen induced by hypoxia and stimulate PGs synthesis by myocytes.
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