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10.1111/bph.12647

http://scihub22266oqcxt.onion/10.1111/bph.12647
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suck abstract from ncbi


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pmid24547784
      Br+J+Pharmacol 2014 ; 171 (23 ): 5169-81
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  • Inhibition of phosphodiesterase-3 by levosimendan is sufficient to account for its inotropic effect in failing human heart #MMPMID24547784
  • Orstavik O ; Ata SH ; Riise J ; Dahl CP ; Andersen GØ ; Levy FO ; Skomedal T ; Osnes JB ; Qvigstad E
  • Br J Pharmacol 2014[Dec]; 171 (23 ): 5169-81 PMID24547784 show ga
  • BACKGROUND AND PURPOSE: Levosimendan is known as a calcium sensitizer, although it is also known to inhibit PDE3. We aimed to isolate each component and estimate their contribution to the increased cardiac contractility induced by levosimendan. EXPERIMENTAL APPROACH: Contractile force was measured in electrically stimulated ventricular strips from explanted failing human hearts and left ventricular strips from normal male Wistar rats. PDE activity was measured in a two-step PDE activity assay on failing human ventricle. KEY RESULTS: Levosimendan exerted a positive inotropic effect (PIE) reaching maximum at 10(-5) ?M in ventricular strips from failing human hearts. In the presence of the selective PDE3 inhibitor cilostamide, the PIE of levosimendan was abolished. During treatment with a PDE4 inhibitor and a supra-threshold concentration of isoprenaline, levosimendan generated an amplified inotropic response. This effect was reversed by ?-adrenoceptor blockade and undetectable in strips pretreated with cilostamide. Levosimendan (10(-6) ?M) increased the potency of ?-adrenoceptor agonists by 0.5 log units in failing human myocardium, but not in the presence of cilostamide. Every inotropic response to levosimendan was associated with a lusitropic response. Levosimendan did not affect the concentration-response curve to calcium in rat ventricular strips, in contrast to the effects of a known calcium sensitizer, EMD57033 [5-(1-(3,4-dimethoxybenzoyl)-1,2,3,4-tetrahydroquinolin-6-yl)-6-methyl-3,6-dihydro-2H-1,3,4-thiadiazin-2-one]. PDE activity assays confirmed that levosimendan inhibited PDE3 as effectively as cilostamide. CONCLUSIONS AND IMPLICATIONS: Our results indicate that the PDE3-inhibitory property of levosimendan was enough to account for its inotropic effect, leaving a minor, if any, effect to a calcium-sensitizing component.
  • |Adrenergic beta-Agonists/pharmacology [MESH]
  • |Animals [MESH]
  • |Calcium/physiology [MESH]
  • |Cardiotonic Agents/*pharmacology [MESH]
  • |Heart Failure/*physiopathology [MESH]
  • |Heart/physiopathology [MESH]
  • |Humans [MESH]
  • |Hydrazones/*pharmacology [MESH]
  • |In Vitro Techniques [MESH]
  • |Isoproterenol/pharmacology [MESH]
  • |Male [MESH]
  • |Milrinone/pharmacology [MESH]
  • |Myocardial Contraction/drug effects [MESH]
  • |Phosphodiesterase 3 Inhibitors/*pharmacology [MESH]
  • |Phosphodiesterase 4 Inhibitors/pharmacology [MESH]
  • |Pyridazines/*pharmacology [MESH]
  • |Quinolines/pharmacology [MESH]
  • |Quinolones/pharmacology [MESH]
  • |Rats, Wistar [MESH]
  • |Rolipram/pharmacology [MESH]
  • |Simendan [MESH]


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