Literature DB >> 20599230

Dual actions of cilnidipine in human internal thoracic artery: inhibition of calcium channels and enhancement of endothelial nitric oxide synthase.

Li Fan1, Qin Yang, Xiao-Qiu Xiao, Kevin L Grove, Yu Huang, Zhi-Wu Chen, Anthony Furnary, Guo-Wei He.   

Abstract

OBJECTIVE: Cilnidipine is a novel, long-action L/N-type dihydropyridine calcium channel blocker that has recently been used for antihypertensive therapy. We investigated the vasorelaxation effect of cilnidipine with regard to its calcium channel blockage and nitric oxide-cyclic guanosine monophosphate-dependent mechanism in human internal thoracic artery.
METHODS: Fresh human internal thoracic arteries taken from discarded tissues of patients undergoing coronary artery bypass surgery were studied. Concentration-relaxation curves for cilnidipine in comparison with nifedipine were studied. The expression level of endothelial nitric oxide synthase mRNA was assayed by quantitative real-time polymerase chain reaction, and the phosphorylation of endothelial nitric oxide synthase at Ser(1177) was determined by Western blotting analysis.
RESULTS: Cilnidipine and nifedipine caused nearly full relaxation in potassium-precontracted internal thoracic artery. Pretreatment with cilnidipine at the clinical plasma concentration significantly depressed the maximal contraction. Endothelium denudation (47.7% ± 7.0%, P < .05) and inhibition of endothelial nitric oxide synthase (48.6% ± 6.1%, P < .05) or guanylate cyclase (41.6% ± 3.8%, P < .01) significantly reduced the cilnidipine-induced endothelium-dependent relaxation (73.9% ± 6.4%). Cilnidipine increased the expression of endothelial nitric oxide synthase mRNA by 42.4% (P < .05) and enhanced phosphorylation level of endothelial nitric oxide synthase at Ser(1177) by 37.0% (P < .05).
CONCLUSIONS: The new generation of calcium channel antagonist cilnidipine relaxes human arteries through calcium channel antagonism and increases production of nitric oxide by enhancement of endothelial nitric oxide synthase. The dual mechanisms of cilnidipine in human arteries demonstrated in this study may prove particularly important in vasorelaxing therapy in cardiovascular diseases.
Copyright © 2011 The American Association for Thoracic Surgery. Published by Mosby, Inc. All rights reserved.

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Year:  2010        PMID: 20599230     DOI: 10.1016/j.jtcvs.2010.01.048

Source DB:  PubMed          Journal:  J Thorac Cardiovasc Surg        ISSN: 0022-5223            Impact factor:   5.209


  8 in total

Review 1.  The fourth-generation Calcium channel blocker: cilnidipine.

Authors:  K Sarat Chandra; G Ramesh
Journal:  Indian Heart J       Date:  2013-12

2.  Rapid reversal of vasoplegia with methylene blue in calcium channel blocker poisoning.

Authors:  Biplab K Saha; Alyssa Bonnier; Woon Chong
Journal:  Afr J Emerg Med       Date:  2020-07-10

3.  Comparison of direct effects of clinically available vasodilators; nitroglycerin, nifedipine, cilnidipine and diltiazem, on human skeletonized internal mammary harvested with ultrasonic scalpel.

Authors:  Shoji Fukuda; Yuji Nakamura; Koso Egi; Shunichiro Fujioka; Satoshi Nagasaka; Pham Ngoc Minh; Koji Toguchi; Takeshi Wada; Hiroko Izumi-Nakaseko; Kentaro Ando; Tetsuya Mizoue; Kenji Takazawa; Shigeru Hosaka; Atsushi Sugiyama
Journal:  Heart Vessels       Date:  2016-01-28       Impact factor: 2.037

4.  Maternal high-fat diet impacts endothelial function in nonhuman primate offspring.

Authors:  L Fan; S R Lindsley; S M Comstock; D L Takahashi; A E Evans; G-W He; K L Thornburg; K L Grove
Journal:  Int J Obes (Lond)       Date:  2012-03-27       Impact factor: 5.095

5.  Low oxygen microenvironment and cardiovascular remodeling: Role of dual L/N.type Ca2+ channel blocker.

Authors:  Shrilaxmi Bagali; Savitri M Nerune; R Chandramouli Reddy; Saeed M Yendigeri; Bheemshetty S Patil; Akram A Naikwadi; Raghavendra V Kulkarni; Kusal K Das
Journal:  Indian J Pharmacol       Date:  2020 Sep-Oct       Impact factor: 1.200

6.  Cilnidipine and magnesium sulfate supplement ameliorates hyperglycemia, dyslipidemia and inhibits oxidative-stress in fructose-induced diabetic rats.

Authors:  Most Sumaiya Khatun Kali; Md Rafiqul Islam Khan; Ranjan Kumar Barman; Md Farhad Hossain; Mir Imam Ibne Wahed
Journal:  Heliyon       Date:  2021-12-26

Review 7.  Efficacy of Cilnidipine (L/N-type Calcium Channel Blocker) in Treatment of Hypertension: A Meta-Analysis of Randomized and Non-randomized Controlled Trials.

Authors:  Rabindra Nath Chakraborty; Deepak Langade; Shyam More; Vaibhav Revandkar; Ashish Birla
Journal:  Cureus       Date:  2021-11-22

8.  Powerful vascular protection by combining cilnidipine with valsartan in stroke-prone, spontaneously hypertensive rats.

Authors:  Shinji Takai; Denan Jin; Shizuka Aritomi; Kazumi Niinuma; Mizuo Miyazaki
Journal:  Hypertens Res       Date:  2012-11-29       Impact factor: 3.872

  8 in total

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