Abstract

Receptor binding, electrophysiological, and inotropic effects of the pure dihydropyridine enantiomers (+)S202-791 and (−)R202-791 were studied in cardiac preparations. The K I for (+)S202-791 binding correlated with the ED 50's for an increase in contractile force and an increase in calcium current, the latter effect occurring at depolarized as well as resting holding potentials. The K I for (−)R202-791 binding was much lower than the IC 50's for inhibition of calcium current measured at holding potentials of −80 or −90 mV and a negative inotropic effect, but correlated closely with the IC 50 for inhibition of calcium current measured at −30 mV. Thus, (+)S202-791, is a voltage independent calcium channel activator and (−)R202-791 is a voltage dependent calcium channel inhibitor.

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