Effect of Beta Adrenoceptor Blockers

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  • 8/12/2019 Effect of Beta Adrenoceptor Blockers

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    European Journal o f Pharmacology, 215 (1992) 231-236 23 I~ 1992 Elsev ier Science Publi shers B.V. All righ ts reserved 0014-2999/92/ 05.1)11

    EJP 52441

    E f f e c t s o f / 3 a d r e n o c e p t o r b l o c k e r s o n m i t o c h o n d r i a l A T P a s e a c t i v i t y i n g u i n e a p i gh e a r t p r e p a r a t i o n s

    A b d u l r a h m a n A . A l m o t r e f i ~ ' a n d N d u n a D z i m i r i bDep artm ent o f Pharmacology, K ing Saud Unicersi ty an d t , Bio log ical an d Med ica l Research Departm ent , K ing Faisa l Specia l is t Hosp i ta l

    nd Research Centre, Riyadh , S audi ArabiaReceiv ed 26 September 1991, revised MS received 10 January 1992, accepted 25 February 1992

    T h e e f f ec t s o f t h r ee / 3 - ad rcn o ccp to r b lo ck e r s a t en o lo l , i n d en o lo l an d n ad o lo l o n m y o ca rd i a l m i to ch o n d r i a l A T P ase (A T P :phosp hohyd ro lase EC 3 .6.1 .3 ) act iv i ty were evalu ated and co mp are d with that o f p ropra no lo l in gu inea p ig hear t p repar at ions .Propran o lo l and indeno lo l inh ib i ted A TPa se act iv i ty w i th ICs0 values o f 4 .4 + 0 .5 a nd 5 .3 _+ 0 .4 m M, respect ively . In con tras t ,however , nado lo l and ateno lo l marke d ly enha nced mitoc hondr ia l AT Pas e act iv i ty . Ateno lo l increased the en zym e act iv i ty byap p ro x im a te ly 5 , 2 4 0 an d 9 5 0 , w h il e n ado lo l en h an ced it by 13, 280 and 2800 at 100/x M , 1.0 mM an d 10.0 mM , respec tively.The resu l ts ind icate that these d rugs exh ib i t two modes o f in teract ion wi th the mi tochondr ia l ATPase: inh ib i t ion by p roprano lo la n d i n d e n o l o l a n d s t imulat ion by ateno lo l and nado lo l . The inh ib i to ry act ions arc p robab ly re la ted to the mem brane- s tab i l iz inge f f ec t s an d th e re fo re an t i a r rh y th m ic ac t i o n s o f t h e tw o d ru g s , w h i le t h e s t im u la to ry e f f ec t s o f a ten o lo l an d n ad o lo l a r c p ro b ab ly ar e su l t o f i n t e r ac t i o n s w i th so m e co m p o n en t o f o x ida t i ve p h o sp h o ry l a t i o n o r t h e r e sp i r a to ry ch a in.

    /3 -Adrcnocep to r an tagon is ts ; Ateno lo l ; Indeno lo l ; Nado lo l ; P roprano lo l ; Mitochondr ia l ATPase act iv i ty

    1 I n t r o d u c t i o n

    / 3 - A d r e n o c e p t o r - b l o c k i n g a g e n t s a r e u s e d i n t h et r e a t m e n t o f a v a r i e t y o f c a r d i a c d i s o r d e r s s u c h a sh y p e r t e n s i o n , a n g i n a p e c t o r i s a n d c a r d i a c a r r h y t h m i a s( F r i s h m a n a n d S i l v e r m a n , 1 9 80 ). T h e m e c h a n i s m u n -d e r l y i n g m a n y o f t h e i r t h e r a p e u t i c e f f e c t s i n vo l v e s t h eb l o c k a d e o f / 3 - a d r e n o c e p t o r s . H o w e v e r , r e c e n t l y s o m eo f th e i r a c t i o n s , s u c h a s th e a n t i a r r h y t h m i c e f f e c t s ,h a v e b e e n a l s o a s s o c i a t e d w i t h o t h e r p r o p e r t i e s , p a r t i c -u l a r l y t h e i r m e m b r a n e - s t a b i l i z i n g a c t i o n s ( I J z e r m a n e ta l ., 1 98 7; I J z e r m a n a n d S o u d i j n , 1 9 8 9 ). P r o p r a n o l o l ,t h e m o s t e x t e n s i v e l y s t u d i e d a g e n t i n t h i s g r o u p , is a ne f f e c ti v e a n t i a r r h y t h m i c d r u g w h o s e m e m b r a n e - s t a b i -l iz i n g p r o p e r t i e s a r e a l s o t h o u g h t t o b e r e s p o n s i b l e f o ri t s a n t i p s y c h o t i c a n d a n t i c o n v u l s a n t a c t i o n s ( K e l l i h e ra n d R o b e r t s , 1 9 7 4 ; M a d a n a n d B a r a n , 1 97 4; Y o r k s t o ne t a l. , 19 75 ; F r i s h m a n a n d S i l v e r m a n , 1 98 0) . T h e d r u gm o d i f i e s s e v e r a l m e m b r a n e f u n c t i o n s , i n c l u d in g c a r -r i e r - m e d i a t e d t r a n s p o r t m e c h a n i s m s ( L a c k o e t a l . ,1 9 7 9 ) , e l e c t r o p h y s i o l o g i c a l p a r a m e t e r s ( S a k u r a d a e t a l . ,1 97 2; D u f f e t a l. , 19 8 2, 1 9 8 3) a n d b a c k g r o u n d o u t w a r d

    Correspondence to: A.A. Almotrefi, Research Centre (MBC-03),King Faisal Specialist Hospital and Research C entre, P.O. Box 3354,Riyadh 1121 l, Saudi Arabia.

    c u r r e n t s ( iK i ) i n P u r k i n je f i b r e s ( S t a g g a n d W a l l a c e ,1 9 74 ) . In p a r t i c u l a r , i t i s a p o t e n t i n h i b i t o r o f s e v e r a lm e m b r a n e - b o u n d e n z y m e a c t i v i t i e s i n c l u d i n g m y o c a r -d ia l M g 2 + - d e p e n d e n t N a + - a n d K + - a c t i v a te d a d e n o -s i n e t r i p h o s p h a t a s e ( A l m o t r e f i a n d D z i m i r i , 1 9 9 1 a ) ,a c e t y l c h o li n e s t e ra s e , p - n i t r o p h e n y l p h o s p h a t a s e ( G o d i ne t a l. , 1 97 6) , a s w e ll a s m e m b r a n e p h o s p h o l i p i d s( S u r e w i c z a n d L e y k o , 1 9 8 1 ; P a p p u e t a l . , 1 9 8 5 ; T r o t z e tal. , 1987).

    S e v e r a l o f t h e m e m b r a n e p r o p e r t i e s e x h i b it e d b yp r o p r a n o l o l , p a r t i c u l a r l y t h e m e m b r a n e - s t a b i l i z i n g a c -t i v it y ( S a k u r a d a e t a l ., 1 9 7 5) a n d t h e i n h i b i t i o n o fm e m b r a n e - b o u n d e n z y m e s ( O n d r i a s e t a l. , 1 98 7; A I -m o t r e f i a n d D z i m i r i , 1 9 9 1 a ), a r e a l s o s h a r e d b y an u m b e r o f o t h e r / 3 - a d r e n o c e p t o r b l o c k e rs . H o w e v e r ,w h i l e t h e s e a c t i o n s a r e n o w b e l i e v e d t o b e i n d e p e n d e n to f t h e i r / 3 - a d r e n o c e p t o r b l o c k a d e , t h e i r r o l e (s ) in t h ev a r i o u s p h a r m a c o l o g i c a l e f f e c t s o f th e s e d r u g s i s n o ty e t f u ll y u n d e r s t o o d . I n p a r t ic u l a r , m u c h r e m a i n s t o b ee l u c i d a t e d a b o u t t h e t h e r a p e u t i c r e l e v a n c e o f t h e i n-h i b i t o r y a c t i o n s o f / 3 - a d r e n o c e p t o r b l o c k e r s o n m e m -b r a n e - b o u n d e n z y m e s a n d s o m e p h y s i ol o g ic a l f u nc t io n so f b i o m e m b r a n e s . I n t h e p r e s e n t s t u d y , w e i n v e s t i g a t e dt h e e f f e c t s o f t h r e e / 3 - a d r e n o c e p t o r - b l o c k i n g a g e n t s ,a t e n o l o l , i n d e n o l o l a n d n a d o l o l , o n m i t o c h o n d r i a l A T -P a s e a c t iv it y , a n d c o m p a r e d t h e m w i t h t h a t o f p r o p r a -n o l o l , i n a n e f f o r t t o g a i n f u r t h e r i n s i g h t i n t o t h e

  • 8/12/2019 Effect of Beta Adrenoceptor Blockers

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    p o s si b le r o l e o f t h e s e d r u g s o n m e m b r a n e - b o u n d e n -z y m e s .

    2 M a t e r i a l s a n d m e t h o d s

    2 .1 . M i t o c h o n d r i a l p r e p a r a t i o n sG u i n e a p i g s w e i g h i n g 3 0 0 - 6 0 0 g w e r e k i l le d b y a

    b l o w o n t h e h e a d a n d b l ed . T h e h e a r t w a s r e m o v e dr a p i d l y a n d p l a c e d i n i c e - c o o l e d n o r m a l s a l in e . F o u rg u i n e a p i g h e a r t s w e r e t r i m m e d o f c o n n e c t i v e t i ss u e ,f a t a n d c o a g u l a t e d b l o o d a n d m i n c e d i n t o s m a l l s t r i p s .U n b r o k e n m i t o c h o n d r i a l p a r t ic l e s w e r e p r e p a r e d u s i nga m o d i f i e d m e t h o d o f V o s s e t al . ( 1 9 61 ) . A c c o r d i n g l y ,t h e s t ri p s w e r e h o m o g e n i z e d t h r e e t i m e s f o r 5 m i ne a c h i n a S t e d f a s t s t i r r e r ( F i s h e r S c i e n t i f ic , U S A ) t og iv e a 2 0 s u s p e n s i o n in a m a n n i t o l - s u c r o s e m e d i u mc o n t a i n i n g ( in m M ) m a n n i t o l 2 1 0 , s u c r o s e 7 5 , T r i s H C I1 0, N a 2 - E D T A 0 .1 ( p H 7 . 4) . T h e s u s p e n s i o n w a s c e n -t r i f u g e d a t 1 0 0 0 g f o r 1 0 m i n . T h e s u p e r n a t a n t w a st h e n r e c e n t r i f u g e d a t 1 0 0 0 0 g f o r a n o t h e r 1 0 r a ina n d t h e s e d i m e n t w a s w a s h e d t w i c e b y r e s u s p e n d i n g i ti n t h e s a m e a m o u n t o f m e d i u m , h o m o g e n i z i n g i t f o r 5r a in a n d c e n t r i f u g i n g i t a t 1 0 0 0 0 g . A l l s te p s w e r ec a r r i e d o u t a t t e m p e r a t u r e s b e l o w 4 C a n d t h e p e l le t sw e r e s t o r e d in t h e m a n n i t o l - s u c r o s e m e d i u m a t t h es a m e t e m p e r a t u r e u n ti l u s e. T h e p r o t e i n c o n c e n t r a t i o no f t h e m i t o c h o n d r i a l p r e p a r a t i o n s w a s d e t e r m i n e d w i tht h e C o o m a s s i e r e a g e n t ( P i e r c e C h e m i c a l s , U S A ) . M i t o -c h o n d r i a l A T P a s e c o n s ti t u t e d a p p r o x i m a t e l y 4 . 6 o ft h e t o t a l p r o t e i n .2 .2 . D e t e r m i n a t i o n o f m i t o c h o n d r i a l A T P a s e a c t it 'i t y

    T h e a c ti vi ty o f t h e m i t o c h o n d r i a l A T P a s e w a s d e t e r -m i n e d a s t h e r a t e o f P i r e l e a s e d i n t h e p r e s e n c e o fP - e n o l p y r u v a t e a n d p y r u v a t e k i n a s e a c c o r d i n g t o am o d i f i e d m e t h o d o f K l f i p p el e t a l. (1 9 8 6) . A c c o r d i n g l y ,d i f f e re n t d r u g c o n c e n t r a t i o n s w e r e p r e - i n c u b a t e d a t3 0 C fo r 1 0 r a in t o g e t h e r w i t h 0 . 1 - 0 . 4 / x g p r o t e i n i n 1. 0m l c o n t a i n i n g ( i n m M ) : s u c r o s e 5 0 , T r is H C 1 1 2 ( p H7 . 4 ), M g C 1 2 5 , K C 1 5 , P - e n o i p y r u v a t e 0 . 0 5 , p y r u v a t ek i n a s e 1 .6 7 u n i ts . T h e r e a c t i o n w a s t h e n i n i t ia t e d b ya d d i t i o n o f 3 m M A T P . A l i q u o t s o f 7 5 0 / xl w e r ew i t h d r a w n a f t e r 1 0 r a in , t h e r e a c t i o n w a s s t o p p e d w i t h6 i c e - c o o l e d t r i c h l o r o a c e t i c a ci d a n d th e m i x t u r e w a sl e ft o n i c e f o r 15 ra in . T h e m i x t u r e w a s c e n t r i f u g e d a t1 2 0 0 0 r p m i n a n E p p e n d o r f M i n i f u g e ( E p p e n d o r f ,H a m b u r g , F R G ) f o r 4 m i n , a n d t h e n 1 .0 m l w a s w i th -d r a w n t o d e t e r m i n e t h e li b e r a te d p h o s p h a t e s p e c-t r o p h o t o m e t r i c a l l y a t 6 60 n m a f t e r 2 0 m i n b y th em e t h o d o f E i b l a n d L a n d s ( 1 9 6 9) . E a c h a s s a y w a sp e r f o r m e d i n d u p l i c a t e . T h e e n z y m e a c ti v it y w a s c a l cu -l a t e d a s t h e d i f f e r e n c e b e t w e e n t h e t o t a l a c ti v i ty a n dt h a t o f A T P a u t o h y d r o ly s i s i n t h e a b s e n c e o f e n z y m e .

    100-

    7 5 -

    5

    ~. 5

    D r u g [ - l o g c . . . ] M )Fig. 1. Effects of propranolol (o) and indenolol (z~) on m yocardialmitochondrial ATPase activity, expressed as a percentage of totalactivity. The average baseline e nzym e activity (100 ) was 15.9_+4.7p~M Pi mg protein i h 1. Plotted a re the mean values_ +S.E .M, ofeight and nine individual determinations.

    D i m e t h y l s u l f o x i d e ( 1 ) w a s u s e d t o s o l u b il i ze t h e d r u g sa t e n o l o l a n d n a d o l o l . A t t h i s c o n c e n t r a t i o n , t h e s o l v e n tw a s f o u n d n o t t o e x e r t a s ig n i f i c a n t ( < 1 . 0 ) i n h i b i t o r ye f f e c t o n A T P a s e a c ti v it y . In d i v i d u a l v a l u e s w e r e c o r -r e c t e d f o r t h is e f f e c t u s i n g b l a n k v a l u e s ( w i t h o u t t h ee n z y m e ) a s c o n t r o l . T h e c o n c e n t r a t i o n s f o r h a l f -m a x i -m a l i n h i b i t io n o f A T P a s e a c t iv i t y ( I C s 0 ) a n d I C 20 v a l -u e s w e r e c a l c u la t e d f r o m i n d iv i d ua l c o n c e n t r a t i o n - e f -f e c t c u rv e s a s p r o p o s e d b y H a f n e r e t a l . ( 1 97 7 ). T h ea v e r a g e s p e c i f i c a c t iv i ty o f m i t o c h o n d r i a l A T P a s e w a s2 3 5 + 6 8 n M Pi m g p ro t e i n 1 m i n - 1 .

    D r u g s u s e d w e r e a t e n o l o l ( I C I P h a r m a c e u t i c a l s ,U K ) , i n d e n o l o l H C I ( Y a m a n o u c h i , J a p a n ) , n a d o l o l( S q u i bb P h a r m a c e u t i c a l P r o d u c t s , U K ) a n d p r o p r a -n o l o l H C I ( B e r k P h a r m a c e u t i c a l s , U K ) . A l l o t h e rr e a g e n t s w e r e o f a n a l y t ic a l g r a d e . V a l u e s a r e g i v e n a sm e a n s + S . E . M . S t a t is t ic a l s i g n i f ic a n c e w a s c a l c u l a t e db y S t u d e n t ' s ( u n p a i r e d ) t - t es t u s i n g t h e S t a t g r a p h i c ss o f t w a r e p a c k a g e v e r s i o n 3 . 0 ( G r a p h i c S o f t w a r e S y s -t e m , 1 9 8 8 ). P r o b a b i l i t y l e v e l s o f l e s s t h a n 0 . 0 5 w e r et a k e n a s i n d i c a t i n g s t a t i s t i c a l l y s i g n i f i c a n t d i f f e r e n c e s .

    3 R e s u l t s

    T h e c o n c e n t r a t i o n - r e s p o n s e c u r v e s in f ig . 1 i ll u s-t r a t e t h a t p r o p r a n o l o l a n d i n d e n o l o l i n h i b i t e d t h eTABLE 1The inhibitory actions of propranolol and indenolol on mitochondrialATPase activity in guinea pig heart preparations.IC2 and IC5 values are expressed as me ans +_S.E.M.Drug n IER ~ iC20 h (mM) IC50 (mM)Propranolol 8 1.0/xM-40 mM 0.62 _+0 .19 4.4_+0.5Indenolol 9 0.1 /-tM-70 mM 1.02+0.10 5.3+ 0.4a The inhibitory effective range (IER), defined as the concentrationrange at whic h the drug inhibits 5-95 of enzyme activity, b Theconcentration required to inh ibit enzyme activity by 20 . ~ Themedian inhibitory concentration, defined as the concentration re-quired to inhibit enzyme activity by 50 .

  • 8/12/2019 Effect of Beta Adrenoceptor Blockers

    3/6

    233

    3

    -~ 2500o 2000o 1 5 0 0

    ~ 1 0 0 0

    5

    0 0.1 0.5 1 O 2.0 5.0 10.0Drug concentration mM)

    Fig. 2. Influence of different conc entra tions of atenolol [] ) andnadolol N ) on myocardial mitochondri al ATPase in guinea pigmyocardial ATPase. The average baseline enzyme activity zerowdue ) was 12.3 4-_3.5 /xM Pi mg prot ein I h [. Plon ed a re the mean

    values + S.E.M. of eight individual de termin ation s each.

    p y r u v a t e - d r iv e n A T P a s e a c ti vi ty o f u n d a m a g e d m i t o -c h o n d r i a i n a c o n c e n t r a t i o n - d e p e n d e n t f a s hi o n. A tp r o p r a n o l o l c o n c e n t r a t i o n s o f 1 . 0 / x M , 1 .0 m M a n d 1 0r a M , t h e e n z y m e a c t iv i ty w a s r e d u c e d b y a p p r o x i m a t e l y5 , 2 6 a n d 6 7 , r e s p e c t i v e ly . I n p r e s e n c e o f t h e s a m ec o n c e n t r a t i o n s o f in d e n o l o l , t h e e n z y m e a c t i v i ty w a sr e d u c e d b y a p p r o x i m a t e l y 8, 1 7 a n d 6 0 , r e s p e c t iv e l y .T h e d r u g s s h o w e d s i g n i fi c a n t d i f f e r e n c e s ( P < 0 .0 5 ) int h e i r i n h i b i to r y p o t e n c i e s a t c o n c e n t r a t i o n s a b o v e 1 0.0t x M , w i t h p r o p r a n o l o l b e i n g m o r e p o t e n t t h a n i n d e -n o [ o l . T h e c o n c e n t r a t i o n s r e q u i r e d t o i n h i b i t e n z y m eac t iv i t y b y 2 0 ( IC 2 ~~) an d by 50 (1C50) w er e ( I .62 _+1 1.1 9 an d 4 . 4 _+ 0 . 5 m M fo r p ro p ra n o l o l , an d 1 .0 2 _+ 0 . 1 0a n d 5 .3 +_ 0 . 4 m M f o r i n d e n o l o l , r e s p e c t i v e l y ( t a b l e 1 ).A t e n o l o [ a n d n a d o l o [ s i g n if i c a n tl y ( P < 0 . 0 0 1 ) e n -h a n c e d t h e A T P - h y d r o l y t i c a c t i v i ty o f t h e e n z y m e i n ac o n c e n t r a t i o n - d e p e n d e n t f a s h io n a t c o n c e n t r a t i o n sa b o v e 1 00 Ix M . A t e n o l o l i n c r e a s e d e n z y m e a c t i v i ty b ya p p r o x i m a t e l y 5 , 2 4 0 a n d 9 5 0 a n d n a d o l o l by 13 a n d2 8 0 a n d 2 8 0 0 a t 1 00 I x M , 1 .0 m M a n d 1 0 m M ,r e s p e c t i v e l y ( fi g . 2 ) . A c c o r d i n g l y , o n t h e b a s i s o f t h e s ef i n d i n g s , t h e f o u r d r u g s c a n b e d i v i d e d i n t o t w o g r o u p s :p r o p r a n o l o l a n d i n d e n o l o l w h i c h i n h i b i t e d , a n d a t e n o l o la n d n a d o l o l w h i c h m a r k e d l y in c r e a s e d A T P a s e a c t i v it ya t s i m i l a r c o n c e n t r a t i o n r a n g e s .

    4 D i s c u s s i o n

    T h e p r e s e n t i n v e s t i g a t io n e x a m i n e d t h e e f f e c t s o ff o u r / 3 - a d r e n o c e p t o r - b l o c k i n g a g e n t s w it h d i f f e re n t a c -t i o n s o n / 3 - a d r e n o c e p t o r s , d i f f e r e n t m e m b r a n e - s t a b i l i z -i n g a c t i o n s , a n d d i f f e r e n t l i p o ph i l ic p r o p e r t i e s . T h ed r u g s i n c l u d e d t h r e e n o n - s e l e c t i v e (/ 31 a n d / 3 2 ) a d r e n o -c e p t o r b l o c k e r s , n a m e l y p r o p r a n o l o l , n a d o l o l , i n d e -n o l o l , a n d o n e s e l e c t i v e ( / 3 1 ) a g e n t , a t e n o l o l . W i t h t h ee x c e p t i o n o f i n d e n o l o l , w h i c h a p p e a r s t o h a v e m o d e r -a t e i n t ri n s ic s y m p a t h o m i m e t i c a c ti v it y ( T a c h i k a w a a n dT a k e n a k a , 1 97 3), t h e o t h e r d r u g s t e s t e d s h a r e t h e

    c o m m o n f e a t u r e o f b e i n g d e v o i d o f s u ch a c t i vi ty . H o w -e v e r , t h e n o n - s e l e c t i v e b l o c k e r s d i f f e r i n t h a t , w h i l ei n d e n o l o [ a n d p r o p r a n o l o l e x h i b it s t r o n g m e m b r a n e -s t a b i l i z i n g a c t i v i t y , n a d o l o l h a r d l y s h o w s s u c h a c t i v i t y( C r u i c k s h a n k , 1 98 (I ). A c c o r d i n g t o t h e p r e s e n t f i n d i n g s ,t h e d r u g s h a d t w o d i st i n c t m o d e s o f a c ti o n o n m i t o -c h o n d r i a l A T P a s e , i .e . i n h i b it i o n b y p r o p r a n o l o l a n di n d e n o l o l , a n d s t i m u l a t i o n b y a t e n o l o l a n d n a d o l o l .T h u s , o f t h e t h r e e n o n - s e l e c t i v e / 3 - a d r e n o c c p t o r b l o c k -e r s , t h e t w o d r u g s w i t h s t r o n g m e m b r a n e - s t a b i l i z i n ga c t i o n s w e r e p o t e n t i n h i b i t o r s o f t h e p y r u v a t e - d r i v c nA T P a s e a c ti v it y o f u n d a m a g e d m i t o c h o n d r i a , w h i len a d o l o l , w h i c h i s d e v o i d o f s u ch m e m b r a n e a c t iv i ty ,s h o w e d a m a r k e d s t i m u l a t o r y e f f e c t . I t c a n t h e r e f o r eb e c o n c l u d e d t h a t t h e a c t i o n s o f t h e n o n - s e l e c t i v e/ 3 - a d r e n o c e p t o r b l o c k e r s o n p y r u v a t e - d r i v e n m i t o c h o n -d r i a l A T P a s e d o n o t s h a r e a c o m m o n m e c h a n i s m .A c c o r d i n g l y , t h e i r n o n - s e l e c t i v e b l o c k i n g a c t i o n c a n b er u l e d o u t a s t h e m e c h a n i s m u n d e r l y i n g f o r t h e s e e f -f e c t s. M o r e o v e r , t h e e f f e c t i v e c o n c e n t r a t i o n s o f al lt h r e e d r u g s w e r e r e l a t iv e l y h i g h e r t h a n t h o s e r e q u i r e df o r t h e i r / 3 - a d r e n o c e p t o r - b l o c k i n g a c t i o n s , a f a c t o r t h a th a s o f t e n b e e n u s e d t o d i s t i n g u i s h t h e n o n - s p e c i f i ca c t i o n s o f / 3 - a d r e n o c e p t o r b l o c k e r s f r o m t h e e f f e c t sr e s u l t i n g f r o m b l o c k a d e o f / 3 - a d r e n o c e p t o r s ( I J z e r m a net al. , 1987).

    T h e d i f f e r e n c e s i n th e b e h a v i o u r o f t h e n o n - s e l e c -t i v e / 3 - a d r e n o c e p t o r b l o c k e r s s t u d i e d s e e m t o i m p l yt h a t t h e i r a c t i o n s r e s u l t f r o m a t l e a s t t w o i n d e p e n d e n tm e c h a n i s m s , o n e r e s p o n s i b l e f o r t h e i n h ib i t io n a n da n o t h e r r e s p o n s i b l e f o r th e s t i m u l a t i o n o f e n z y m e a c -t iv i ty . T h e i n h i b i to r y p o t e n c y o f p r o p r a n o l o l o n m i t o -c h o n d r i a l A T P a s e a c t iv i ty w a s e s s e n t i a l ly o f t h e s a m eo r d e r a s t ha t o f it s i n h ib i ti o n o f o t h e r m e m b r a n e - b o u n de n z y m e s , s o m e o f w h i c h a r e a s s o c i a t e d w i t h i ts m e m -b r a n e - s t a b i l i z i n g a c t i v i t y . F o r e x a m p l e , t h e c o n c e n t r a -t i o n r e q u i r e d f o r h a l f - m a x i m a l i n h i b i t i o n ( 1C 5 ( ~ v a l u e )o f m y o c a r d i a l m i c r o s o m a l M g 2 + - d e p e n d e n t N a + - K +A T P a s e a c t iv i ty is 1 . 0 1 m M ( A l m o t r e f i a n d D z i m i r i ,1 9 9 1a ) , 2 .9 m M f o r i n h i b i t i o n o f s a r c o p l a s m i c r e t i c u -l u m p h o s p h o l i p a s e A ( T r o t z e t al ., 1 9 78 ) a n d 1 .5 m Mf o r in h i b i ti o n o f A T P - P ~ e x c h a n g e r e a c t i o n ( K o m a ia n d B e r k o f f , 1 9 7 9 ) . T h e p a r a l l e l i s m b e t w e e n t h e t w oc u r v e s i n fi g . 1 i s e v i d e n c e t h a t i n d e n o l o l a c t s i n am a n n e r s i m i l a r t o t h a t o f p r o p r a n o l o l i n i n h i b it i n gm i t o c h o n d r i a l A T P a s e a c t i v it y . M o r e o v e r , t h e I C s 0 f ort h e i n h i b i ti o n o f m i t o c h o n d r i a l A T P a s e b y i n d e n o l o lw a s a l s o o f t h e s a m e o r d e r a s t h e I C s ( f o r it s i n h i b i t i o no f o t h e r m e m b r a n e - b o u n d e n z y m e s , s uc h a s m y o c a r -d ia l m i c ro s o m a l N a + - K + - A T P a s e (0 .8 m M ) ( A l m o t r e f ia n d D z i m i r i , 1 9 9 1 a ) , w h i c h a l s o l i e s i n t h e s a m e r a n g ea s t h a t o f p r o p r a n o l o l . T h e r e w a s s o m e p a r a l l e l i smb e t w e e n t h e a c t i o n s o f p r o p r a n o [ o l a n d i n d e n o l o l o nm i t o c h o n d r i a l A T P a s e a n d t h e i r o t h e r m e m b r a n e a c -t i o n s , w h i c h s u p p o r t s t h e n o t i o n t h a t t h e a c t i o n s a r ep r o b a b l y a r e s u l t o f s i m i l a r i n t e r a c t i o n s i n v ol v in g c o m -

  • 8/12/2019 Effect of Beta Adrenoceptor Blockers

    4/6

    234m o rt m e m b r a n e c o m p o n e n t s . F u r t h e r s u p p o r t f o r th ec o r r e l a t i o n b e t w e e n t h e i n h i b i to r y e f f e c t o f p r o p r a -n o l o l a n d i n d e n o l o l a n d t h e i r m e m b r a n e - s t a b i l i z i n ga c ti v it y c a n b e d e r i v e d f r o m o u r r e c e n t o b s e r v a t i o n st h a t s e v e r a l a n t i a r r h y t h m i c d r u g s , s u c h a s I o r c a i n i d e( A l m o t r e f i a n d D z i m i ri , 1 9 9 1 b ), a m i o d a r o n e ( D z i m i r ia n d A l m o t r e f i , 1 9 9 1 a ) , p r o c a i n a m i d e a n d t o c a i n i d e( D z i m i r i a n d A l m o t r e f i , 1 9 9 1 b ) , w h i c h a l s o p o s s e s ss t r o n g m e m b r a n e - s t a b i l i z i n g a c t i v i t y , a r e s i m i l a r l y p o -t e n t i n h i b i to r s o f m y o c a r d i a l m i c r o s o m a l N a + - K + -A T P a s e . A t e n o l o l a n d n a d o l o l , o n t h e o t h e r h a n d ,s h o w e d n o s u c h t e n d e n c i e s a t c o n c e n t r a t i o n s b e l o w 1 0m M ( u n p u b l i s h e d o b s e r v a t i o n s ) . A p a r t f r o m t h e s e o b -s e r v a t i o n s , t h e r e a r e s o m e o t h e r i n t e r e s t i n g p a r a l -l e li s m s in t h e p r o p e r t i e s o f t h e s e a g e n t s , w h i c h f u r n i s ha d d i t io n a l s u p p o r t f o r t h e n o t i o n t h a t t h e u n d e r l y i n gm e c h a n i s m ( s ) o f a c ti o n o n t h e f u n c t i o n a l p r o p e r t i e s o fm i t o c h o n d r i a p r o b a b l y d i f f e rs f r o m t h a t o f p r o p r a -n o l o l . T h u s , f o r e x a m p l e , L u a n d c o w o r k e r s ( 1 9 9 0 )r e c e n t l y s h o w e d t h a t a t e n o l o l , u n l i k e p r o p r a n o l o l , o f -f e r s n o p r o t e c t i o n a g a i n s t i s c h a e m i c r e p e r f u s i o n d a m -a g e o r a g a i n s t d i s t u r b a n c e s i n r e s p i r a t o r y c o n t r o l( A D P / O 2 r a t io ) a n d o x i d a t iv e p h o s p h o r y l a t i o n i n is o -l a t e d r a b b i t h e a r t .

    O n e i m p o r t a n t f a c t o r t h a t d e t e r m i n e s t h e a c t io n s o fp r o p r a n o l o l a n d o t h e r m e m b r a n e a c t i v e a g e n t s o nm e m b r a n e - b o u n d e n z y m e s o r o t h e r m a c r o m o l e c u l e s ist h e l i p o p h i l ic n a t u r e o f t h e i n d i v i d u al a g e n t s . T h ed r u g s u s e d i n t h i s s t u d y a r e a l l a r y l o x y p r o p a n o l -a m i n e s w h i c h d i f f e r m a i n l y in t h e b u l k o f t h e s u b s t i t u -t i o n o f t h e p h e n y l r i n g . T h u s , w h i l e t h e a r y l m o i e t i e s o fp r o p r a n o l o l ( n a p h t h y l ) a n d i n d e n o l o l ( 1 H - i n d e n y l )c o m p r i s e u n s u b s t i t u t e d l i p o p h il i c g r o u p s f u s e d w i t h ap h e n y l r i n g , t h o s e o f a t e n o l o l ( b e n z e n a c e t a m i d e ) a n dn a d o l o l ( 1 , 2 , 3 , 4 - t e t r a h y d r o , 2 , 3 - n a p h t h a l e n e d i o l ) c o n -t a i n c h a r g e d o r p o l a r g r o u p s w h i c h d r a s t i c a l l y r e d u c et h e l i p o p h i l ic i t y o f t h e g r o u p s . T h u s , f o r e x a m p l e , i nc o m p a r i s o n w i t h p r o p r a n o l o I ( l o g P o / w = 3 .6 7 ) , t h e o c -t a n o l , / w a t e r p a r t i t i o n c o e f f i c i e n t s fo r n a d o l o l ( lo g P o/w= 0 .71) and a t en o l o l ( l og P ,, /w = 0 .23) i nd i ca t e t ha t t het w o d r u g s a r e m u c h l es s h y d r o p h o b i c ( C r u i c k s h a n k ,1 9 8 0 ). A c c o r d i n g l y , t h e a b i l i ty o f a t e n o l o l o r n a d o l o l t op e n e t r a t e l i p o p h il i c r e g i o n s o f t h e m i t o c h o n d r i a l m e m -b r a n e o r t o e n t e r i n t o i n t e r a c t i o n w i t h s u c h m e m b r a n em a c r o m o l e c u l a r s t r u c t u r e s i s t h e r e f o r e m u c h l e s s t h a nt h a t o f p r o p r a n o l o l . S i n c e s u b s t it u e n t s s u c h a s t h ec h a r g e d g r o u p s o f a te n o l o l o r n a d o l o l t h a t r e d u c e t h el i p o p h i l i c i ty o f t h e r i n g t e n d t o r e d u c e t h e i n h i b i t o r yp o t e n c y o f a c o m p o u n d , i t is n o t s u r p r is i n g t h a t t h e s ea g e n t s d i d n o t i n h i b i t m i t o c h o n d r i a l A T P a s e a c t i v i t y . I ts h o u l d b e n o t e d i n t h i s r e g a r d t h a t s i m i l a r c o r r e l a t i o n sh a v e a l s o b e e n o b s e r v e d f o r t h e i n f l u e n c e o f l i p o p h il ic -i ty o n s e v e r a l o f t h e t h e r a p e u t i c a l l y r e l a t e d a c t io n s o f/ 3 - a d r e n o c e p t o r b l o c k e r s ( C r u i c k s h a n k , 1 9 8 0) a n d ,a m o n g o t h e r s , t h e i r i n h i b i t i o n o f l y s o s o m a l p h o s p h o l i -p a s e A ~ , o t h e r l i p o p r o t e i n s ( P a p p u e t a l . , 1 9 8 5 ; K i h a r a

    e t a l . , 1 9 8 9 ) , f a s t s o d i u m c h a n n e l s , a n d l o c a l a n a e s -t he t i c ac t i v i t i e s ( I J z e rm an e t a l ., 1987).

    P e r h a p s t h e m o s t s i g n if i ca n t f in d i n g o f th e p r e s e n ts t u d y i s t h e o b s e r v a t i o n t h a t n e i t h e r a t e n o l o l n o rn a d o l o l i n h i b i t e d m i t o c h o n d r i a l A T P a s e a c ti v it y , b u tr a t h e r m a r k e d l y s t i m u l a t e d A T P a s e a c t i v i t y .

    A c c o r d i n g l y , i t s e e m s t h a t t h e r e l a t iv e l y h y d r o p h i l i cn a t u r e o f t h e s e d r u g s a n d t h e i r l ac k o f m e m b r a n ee f f e c t s a l o n e m a y n o t a d e q u a t e l y e x p l a in t h i s m a r k e de n h a n c e m e n t o f e n z y m e a c ti v it y , a n d e v e n l e ss s o t h ed i f f e r e n c e s i n t h e a c t i o n s o f / 3 - a d r e n o c e p t o r b l o c k e r so n m e m b r a n e - b o u n d e n z y m e s as a w h o l e . I n p a r t ic u l a r ,t h e c o n c e n t r a ti o n d e p e n d e n c e a n d t h e d e g r e e o f t h es t i m u l a t i o n e x h i b i t e d b y b o t h d r u g s i n d i c a t e t h a t s p e -c if ic i n te r a c ti o n s w i th c o m p o n e n t ( s ) o f t h e A D P / A T Pm e t a b o l i c p r o c e s s a r e p r o b a b l y i n v o l v e d . I n t h i s r e g a r d ,i t i s n o t e w o r t h y t h a t t h e A T P s y n t h e t i c a n d h y d r o l y t i cc o m p o n e n t (F ~) o f t h e m e m b r a n e - b o u n d c o u p l in g f a c-t o r F ~ / F ~ i s a l so hydroph i l i c i n na t u r e (Cross , 1981) .T h i s s u g g e s t s t h a t t h e s e r e l a t i v e l y h y d r o p h i l i c d r u g sm a y e a s i ly a c c u m u l a t e a t t h e c a t a l y t i c s i te s o f F l -A T P a s e , t h e r e b y p o s s i b l y e n t e r i n g i n t o i n t e r a c t i o n sw i t h t h i s w a t e r - s o l u b l e e n z y m e c o m p l e x , w h i c h c o u l dr e s u lt i n e i t h e r i n h i b i t io n o f A T P s y n t h es i s o r e n h a n c e -m e n t o f it s h y d r o ly s i s. T o o u r k n o w l e d g e , t h e r e a r e n or e p o r t s i n t h e l i t e r a t u r e p e r t a i n i n g t o t h i s t y p e o fa c t i o n b y / 3 - a d r e n o c e p t o r b l o c k e r s o n m i t o c h o n d r i a lA T P a s e . I t a p p e a r s p l a u s i b l e t h a t t h e d r u g s p r o b a b l yi n t e r a c t w i t h s o m e m e m b r a n e c o m p o n e n t , t h e r e b y di -r e c t ly e n h a n c i n g t h e h y d r o l y s is o f A T P t o A D P a n d P~o r b l o c k i n g t h e P O 4 c a r r i e r s y s t e m , b o t h o f w h i c h a r el i n k e d to o x i d a t iv e p h o s p h o r y l a t i o n a n d t h e r e s p i r a t o r yc h a i n. T h e r e s u l t s o f t h e p r e s e n t s t u d ie s d o n o t w a r r a n tf u r t h e r s p e c u l a t i o n o n t h e p o s s i b le m e c h a n i s m b y w h i c ht h e d r u g s e x e r t t h e i r s t i m u l a t o r y a c t io n o n t h e e n z y m e .N e v e r t h e l e s s , t h e p o s s i b i l i t y t h a t t h e y m a y i n t e r a c t w i t hc o m p o n e n t s o f t h e r e s p i r a t o r y c h a i n s e e m s w o r t h y o ff u r t h e r c o n s i d e r a t i o n .

    A f u r t h e r p o i n t o f i n t e r e s t is t h e p o t e n t i a l r o l e o ft h e v a r i o u s a c t i o n s o f th e / 3 - a d r e n o c e p t o r b l o c k e r s o nm i t o c h o n d r i a l A T P a s e in t h e m e c h a n i s m ( s ) o f a c t io n o ft h e s e a g e n t s . F i r s tl y , m e m b r a n e - s t a b i l i z i n g a c t i v i ty a n dl i p o p h i l ic i t y a p p e a r t o c o n t i i b u t e g r e a t l y t o w a r d s t h el o c al a n a e s t h e t i c a n d t h e r e f o r e t h e a n t i a r r h y t h m i cp r o p e r t i e s o f n o t o n l y li p o p h i li c / 3 - a d r e n o c e p t o r b l o c k -e r s b u t a l s o s o m e c l a s s I a n d I I 1 a n t i a r r h y t h m i c a g e n t s( I J z e r m a n e t a l. , 1 98 7 ). S e c o n d l y , b e s i d e s / 3 - a d r e n o c e p -t o r b l o c k e r s , s e v e r a l o t h e r a n t i a r r h y t h m i c d r u g s a l s oe x e r t d i f f e r e n t e f f e c t s o n a s p e c t s o f m i t o c h o n d r i a lp r o p e r t i e s a n d f u n c t i o n s a s s o c i a t e d w i t h o x i d a t i v ep h o s p h o r y l a t i o n o r e l e c t r o n t r a n s p o r t , a s h a s b e e nd i s c u s se d w i th r e s p e c t t o t h e m e c h a n i s m u n d e r l y i n gt h e i r a n t i a r r h y t h m i c e f f e c t s ( V i e i r a L o p e s e t a l. , 1 97 7 ;Klf ip pel e t a l. , 1978, 1986; Fo r te s e t a l . , 1983a ,b,c) .T h e s e a c t io n s w e r e p r e v i o u s l y t h o u g h t t o b e d u e t oa l t e r a t io n s i n m e m b r a n e c h a n n e l o r e n z y m e a c t iv i ti e s

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    a s a r e s u l t o f t h e d r u g s a c t i n g p r i m a r i l y o n t h e e n e r g ym e t a b o l i s m o f t h e m i t o c h o n d r i a . H o w e v e r , i t i s a l s ok n o w n t h a t t h e m e m b r a n e - s t a b i l i z i n g a c ti v it y o f an t i a r-r h y t h m i c d r u g s i s n o t l im i t e d t o m i t o c h o n d r i a l m e m -b r a n e f u n c t i o n s o n l y , b u t i s a l s o m a n i f e s t i n m a n y o t h e ro r g a n e l l e s ( K i h a r a e t a l . , 1 9 89 ) . T h e v a r i o u s m o d e s o fa c t io n e x h i b i t e d b y th e / 3 - a d r e n o c e p t o r b l o c k e r s a r ep r o b a b l y a r e s u lt o f d i f f e r e n t m e c h a n i s m s , s o m e o fw h i c h m a y , o r m a y n o t , b e r e l a t e d t o t h e i r m e m b r a n e -s t a b i l iz i n g a c ti v it y . W i t h r e g a r d t o t h e d r u g s u n d e ri n v e s t i g a t i o n , i t is q u i t e c o n c e i v a b l e t h a t t h e i n h i b i t o r ya c t i on s o f p r o p r a n o l o l a n d i n d e n o l o l a r e d e t e r m i n e d b yt h e i r l i p o p h i li c i t y , a n d m a y b e c o n t r i b u t o r y t o th e i rm e m b r a n e - s t a b i l i z i n g a c ti v it y a n d c o n s e q u e n t l y a n t i a r -r h y t h m i c p r o p e r ti e s . H o w e v e r , s in c e m e m b r a n e e f f e c tsa r e a s s o c i a t e d w i t h t h e i n h i b i t i o n r a t h e r t h a n t h e s t im -u l a t io n o f m i t o c h o n d r i a l A T P a s e , a n d b o t h a t e n o lo la n d n a d o l o l l a c k m e m b r a n e - s t a b i l i z i n g a c t iv i ty , i t a p -p e a r s u n l i k e l y t h a t t h e i r s t i m u l a t o r y a c t i o n s a r e r e l a t e dt o lo c a l a n a e s t h e t i c a c t i o n s .I n s u m m a r y , p r o p r a n o l o l a n d i n d e n o l o l , t w ol i p o ph i l ic n o n - s e l e c t i v e / 3 - a d r e n o c e p t o r b l o c k e r s w i t hm a r k e d m e m b r a n e - s t a b i l i z i n g a c ti v it y , e x h i b i t e d c o m -p a r a t i v e l y s i m i l a r i n h i b i t o r y a c t i o n s , w h i l e a t e n o l o l a n dn a d o l o l , m o r e h y d r o p h i l ic a g e n t s p o s s e s s i n g n o m e m -b r a n e - s t a b i l i z i n g a c t iv i ty , e x e r t e d s t i m u l a t o r y e f f e c t s o nm i t o c h o n d r i a l A T P a s e a c ti v it y . T h e i n h i b i t o ry p o t e n -c i es o f p r o p r a n o l o l a n d i n d e n o l o l t h u s s e e m t o c o r re -l a t e w e l l w i t h t h e i r o t h e r m e m b r a n e a c t i v it i e s , l e a d i n gt o t h e s p e c u l a t i o n t h a t t h e s e a c t i o n s m a y b e r e l a t e d t ot h e i r m e m b r a n e - s t a b i l i z i n g a c ti v it y a n d p e r h a p s a l sot h e i r a n t i a r r h y t h m i c a c t io n s . T h e s t i m u l a t o r y a c t i o n s o fa t e n o l o l a n d n a d o l o l p r o b a b l y r e s u l t f r o m t h e i r d i r e c ta c t io n o n s o m e c o m p o n e n t s o f o x i d a t iv e p h o s p h o r y l a -t i o n .

    cknowledgementsWe w o u l d l ik e t o th a n k t h e d ru g m a n u fa c t u re r s IC I Ph a rma c e u t i -ca ls for the i r g i f t o f a tenolo l , Ya man ouchi for indenolo l , Squibb

    Ph a rma c e u t i c a l s fo r n a d o l o l a n d B e rk Ph a rma c e u t i c a l s fo r p ro p ra -nolo l . We are a l so gra tefu l to Shai l ja Nigdikar for her sk i l l fu ltechnical assi s tance in carry ing out the experiments .

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