PMID- 7516012 OWN - NLM STAT- MEDLINE DCOM- 19940708 LR - 20190724 IS - 0160-2446 (Print) IS - 0160-2446 (Linking) VI - 23 IP - 4 DP - 1994 Apr TI - Molecular mechanism of cibenzoline-induced anticholinergic action in single atrial myocytes: comparison with effect of disopyramide. PG - 618-23 AB - The anticholinergic effects of cibenzoline were examined and compared with those of disopyramide in atrial myocytes isolated from guinea pig heart. The tight-seal whole-cell voltage clamp technique was performed with a patch pipette filled with guanosine-5'-triphosphate (GTP) or guanosine-5'-O-(3-thiotriphosphate) (GTP gamma S). In GTP-loaded cells, both acetylcholine (ACh) and adenosine (Ado) induced a specific K channel current through GTP-binding proteins by binding to the muscarinic and Ado receptors, respectively. Both cibenzoline and disopyramide suppressed the ACh-induced K current effectively in a concentration-dependent manner. The concentrations for half-maximal inhibition of the current (EC50) caused by cibenzoline and disopyramide were 8 and 3 microM, respectively. In GTP gamma S-loaded cells, the K current was irreversibly activated because GTP binding proteins were directly elicited by GTP gamma S. Cibenzoline effectively caused a decrease in the GTP gamma S-induced K current, whereas the extent of disopyramide action on the GTP gamma S-induced K current was much less. Cibenzoline also caused significant inhibition of Ado-induced K current in GTP-loaded cells. However, the action of disopyramide was less effective in inhibiting Ado-induced K current. These results indicate that cibenzoline has less potent anticholinergic effects than disopyramide in atrial myocytes. In addition, cibenzoline effectively inhibits the muscarinic K channel itself and/or GTP-binding proteins coupled to the channel, whereas the effect of disopyramide is attributed mainly to blockade of muscarinic receptors. These findings provide novel understanding of the molecular mechanism of anticholinergic action of cibenzoline. FAU - Wu, S N AU - Wu SN AD - 2nd Department of Internal Medicine, Faculty of Medicine, University of Tokyo, Japan. FAU - Nakajima, T AU - Nakajima T FAU - Yamashita, T AU - Yamashita T FAU - Hamada, E AU - Hamada E FAU - Hazama, H AU - Hazama H FAU - Iwasawa, K AU - Iwasawa K FAU - Omata, M AU - Omata M FAU - Kurachi, Y AU - Kurachi Y LA - eng PT - Comparative Study PT - Journal Article PL - United States TA - J Cardiovasc Pharmacol JT - Journal of cardiovascular pharmacology JID - 7902492 RN - 0 (Imidazoles) RN - 0 (Parasympatholytics) RN - 0 (Potassium Channels) RN - 0 (Receptors, Muscarinic) RN - 0 (Receptors, Purinergic P1) RN - GFO928U8MQ (Disopyramide) RN - Z7489237QT (cifenline) SB - IM MH - Animals MH - Disopyramide/*pharmacology MH - Guinea Pigs MH - Heart Atria/cytology/*drug effects MH - Imidazoles/*pharmacology MH - In Vitro Techniques MH - Parasympatholytics/*pharmacology MH - Potassium Channels/drug effects MH - Receptors, Muscarinic/drug effects MH - Receptors, Purinergic P1/drug effects EDAT- 1994/04/01 00:00 MHDA- 1994/04/01 00:01 CRDT- 1994/04/01 00:00 PHST- 1994/04/01 00:00 [pubmed] PHST- 1994/04/01 00:01 [medline] PHST- 1994/04/01 00:00 [entrez] AID - 10.1097/00005344-199404000-00014 [doi] PST - ppublish SO - J Cardiovasc Pharmacol. 1994 Apr;23(4):618-23. doi: 10.1097/00005344-199404000-00014.