Zaprinast, but not dipyridamole, reverses hemodynamic tolerance to nitroglycerin in vivo

Eur J Pharmacol. 1996 Oct 10;313(1-2):89-96. doi: 10.1016/0014-2999(96)00505-5.

Abstract

Hemodynamic tolerance to nitroglycerin was developed in spontaneously hypertensive rats following 2-3 days of pretreatment with 100 mg/kg of nitroglycerin administered s.c. 3 times/day. Tolerance was evaluated both in vivo, by administering ascending bolus doses of nitroglycerin of 1-300 micrograms/kg i.v., and ex vivo in isolated, denuded aortic vascular rings by exposure to ascending concentrations of nitroglycerin of 0.0003-100 microM. Tolerance was observed as a significant blunting of the hypotensive and vasorelaxant effect of nitroglycerin. Co-incubation of tolerant aortic rings and pretreatment of tolerant SHR with 10 microM and 0.1-10 mg/kg zaprinast, respectively, resulted in full restoration of the vasorelaxant and hypotensive effect of nitroglycerin. Zaprinast partially reversed hemodynamic tolerance at 0.01 mg/kg. Conversely, dipyridamole (10 microM) reversed tolerance ex vivo, but was ineffective in reversing tolerance in vivo at pretreatment doses of 30 and 60 mg/kg. Following a 100-micrograms/kg i.v. challenge dose of nitroglycerin, aortic cyclic guanosine monophosphate (cGMP) levels were lower in nitroglycerin tolerant SHR when compared to non-tolerant SHR. Pretreatment of tolerant SHR with 10 mg/kg zaprinast restored the increase in cGMP levels to nitroglycerin to that seen in non-tolerant SHR. Conversely, dipyridamole (30 mg/kg) pretreatment was not effective in restoring cGMP levels. These data therefore suggest that reversal of hemodynamic tolerance in vivo is related to restoration of changes in vascular cGMP levels. Zaprinast, a selective cGMP phosphodiesterase inhibitor, effectively reverses tolerance and dipyridamole, a rather non-selective inhibitor, does not.

MeSH terms

  • 3',5'-Cyclic-GMP Phosphodiesterases / antagonists & inhibitors
  • Analysis of Variance
  • Animals
  • Aorta, Abdominal / metabolism*
  • Blood Pressure / drug effects*
  • Cyclic GMP / metabolism*
  • Dipyridamole / pharmacology
  • Dose-Response Relationship, Drug
  • Drug Tolerance
  • Male
  • Muscle Relaxation / drug effects
  • Muscle, Smooth, Vascular / drug effects
  • Nitroglycerin / antagonists & inhibitors*
  • Nitroglycerin / pharmacology
  • Purinones / pharmacology*
  • Rats
  • Rats, Inbred SHR
  • Vasodilator Agents / antagonists & inhibitors*
  • Vasodilator Agents / pharmacology

Substances

  • Purinones
  • Vasodilator Agents
  • Dipyridamole
  • 3',5'-Cyclic-GMP Phosphodiesterases
  • Nitroglycerin
  • zaprinast
  • Cyclic GMP