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Coronary Haemodynamic Profile of the New Nitro-Ester Derivative ITF 296 in the Conscious Dog

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Abstract

The action of low doses of nitrovasodilators on coronary circulation is characterised by a selective dilatation of large conductance coronary arteries1,2,3, which is accompanied by a minimal effect on small coronary resistance vessels4,5,6,7. This ability of nitroderivatives to dilate selectively large coronary arteries, becomes of major importance when the capability of the conduit epicardial coronary arteries to dilate in response to increases in blood flow is impaired, as it happens after removal of coronary endothelium with angioplasty8 or in patients with atherosclerosis9,10. In those conditions, while the flow-dependent endothelium-mediated response is depressed, the endothelium-independent relaxing effect of nitravasodilators on large conduit coronary arteries remains effective. This has been confirmed in clinical studies, where the coronary vasospasm in anginal patients in which endothelium is likely not functional, has been effectively reversed by nitrovasodilators 11,12

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References

  1. R.L. Feldman, C.J. Pepine and R. Conyio, Magnitude of dilation of large and small coronary arteries by nitroglycerin, Circulation 64:324 (1981).

    Article  PubMed  CAS  Google Scholar 

  2. G.B. Brown, E. Bolson, R.B. Peterson, C.D. Pierce and H.T. Dodge, The mechanism of nitroglycerin action: stenosis vasodilatation as a major component of drug response, Circulation 64:1089 (1981).

    Article  PubMed  CAS  Google Scholar 

  3. D.J. Stewart, J. Holtz and E. Bassenge, Long-term nitroglycerin treatment: effect on direct and endothelium-mediated large coronary artery dilatation in conscious dogs, Circulation 75:847 (1987).

    Article  PubMed  CAS  Google Scholar 

  4. A. Berdeaux, C. Drieu La Rochelle, V. Richard and J.F. Giudicelli, Differential effects of nitrovasodilators, K+channel openers and nicorandil on large and small coronary arteries in conscious dogs, J. Cardiovasc. Pharmacol. 20:S18 (1992).

    Article  Google Scholar 

  5. P. Macho and S.F. Vatner, Effects of nitroglycerin and nitroprusside on large and small coronary vessels in conscious dogs, Circulation 64:1101 (1981).

    Article  PubMed  CAS  Google Scholar 

  6. H. Kanatsuka, C.L. Eastham, M.L. Marcus and K.G. Lamping, Effects of nitroglycerin on the coronary microcirculation in normal and ischaemic myocardium, J. Cardiovasc. Pharmacol. 19:755 (1992).

    PubMed  CAS  Google Scholar 

  7. M.A. Kurz, K.G. Lamping, J.N. Bates, C.L. Eastham and M.L. Marcus, Mechanism responsible for the heterogeneous coronary microvascular response to nitroglycerin, Circ. Res. 23(suppl III):S99 (1991).

    Google Scholar 

  8. Y. Hayashi, H. Tomoike, K. Nagasawa, A. Yamada, H. Nishijima, H. Adachi and M. Nakamura.,Functional and anatomical recovery of endothelium after denudation of coronary artery, Am. J. Physiol. 254:H1081 (1988).

    PubMed  CAS  Google Scholar 

  9. D.A. Cox, J.A. Vita and C.B. Treasure, Atherosclerosis impairs flow-mediated dilatation of coronary arteries in humans, Circulation 77:43 (1989).

    Google Scholar 

  10. E.G. Nabel, A.P. Selwyn and P. Gonzale, Large coronary arteries in humans are responsive to hanging in blood flow: an endothelium dependent mechanism that fails in patients with atherosclerosis, J. Am. Coll. Cardiol. 16:346 (1990).

    Article  Google Scholar 

  11. J.E. Gage, O.M. Hess, T. Murakami, M. Ritter, J. Grimm and H.P. Krayenbuehl, Vasoconstriction of stenotic coronary coronary arteries during dynamic exercise in patients with classic angina pectoris: reversibility by nitroglycerin, Circulation 73:865 (1986).

    Article  PubMed  CAS  Google Scholar 

  12. E.G. Nabel, P. Ganz, J.B. Gordon, R.W. Alexander and A.P. Selwyn, Dilatation of normal and constriction of atherosclerotic coronary arteries caused by cold pressure test, Circulation 77:43 (1988).

    Article  PubMed  CAS  Google Scholar 

  13. E. Bassenge and J. Zanzinger, Nitrates in different vascular beds, nitrate tolerance, and interactions with endothelial function, Am. J. Cardiol. 70:23B (1992).

    Article  PubMed  CAS  Google Scholar 

  14. D.J. Stewart, D. Eisner, O. Sommer, J. Holtz and E. Bassenge, Altered spectrum of nitroglycerin action in long-term treatment: nitroglycerin-specific venous tolerance with maintenance of arterial vasodepressor potency, Circulation 74:573 (1986).

    Article  PubMed  CAS  Google Scholar 

  15. S. Levi, F. Benedini, G. Bertolini, R. Cereda, G.C. DonN. G. Gromo and A. Sala, Synthesis and cardiovascular activity of 3-nitrooxyalkyl-2,3-dihydro-4H-l,3-benzoxazin-4-ones, a novel class of nitrate esters, XII Int. Symposium on Med. Chem. P-152,C–356 (1992).

    Google Scholar 

  16. C.M. Boulanger and P. Vanhoutte, Vascular effect of ITF 296 in dog arteries and veins, in: “ITF296 Internal Report” (1993).

    Google Scholar 

  17. J. Mizrahi, M. Bergamaschi and G. Gromo, Pharmacological profile of ITF 296, a new nitroester derivative with potent anti-anginal and selective coronary dilatation properties, Proc. Brit. Pharmacol. Soc. S16 (1993).

    Google Scholar 

  18. J.F. Giudicelli and A. Berdeaux, Compared effects of ITF 296, nitroglycerin and isosorbide dinitrate on coronary large conductance arteries and small resistance arterioles in the conscious dog. Effects of deendothelization, in:“ ITF296 Internal Report” (1993).

    Google Scholar 

  19. A. Ueno and K. Nonaka, Differential effect of the novel nitrate derivative ITF 296 on large and small coronary arteries in the conscious dog: a comparative study with nitroglycerin and nicorandil, in:“ ITF296 Internal Report” (1993).

    Google Scholar 

  20. E. Bassenge, Investigators report of coronary dilator response after acute and chronic administration of ITF 296, in: “ ITF296 Internal Report” (1993).

    Google Scholar 

  21. P.W. Armstrong and J.A. Moffat, Tolerance to organic nitrates: clinical and experimental perspective, Am. J. Med. 74:73 (1983).

    Article  PubMed  CAS  Google Scholar 

  22. A. Berdeaux, B. Ghaleh, J.L. Dubois-Rand, B. Vign, C. Drieu-la-Rochelle, L. Hittinger and J.F. Giudicelli, The role of vascular endothelium in exercise-induced dilation of large epicardial coronary arteries in conscious dogs, Circulation 89: in press (1994).

    Google Scholar 

  23. J. Duncker, P. Lindstrom and R.J. Bache, The novel nitrate ITF 296 preferentially increases subendocardial blood flow during exercise in the presence of a coronary artery stenosis, in: “ ITF296 Internal Report” (1994).

    Google Scholar 

  24. R.J. Bache, P.A. McHale and J.C. Greenfield Jr., Transmural myocardial perfusion during restricted coronary inflow in the awake dog, Am. J. Physiol, 232:H645 (1977).

    PubMed  CAS  Google Scholar 

  25. J. Rouleau, L.E. Boerboom, A. Surjadhana and J.I.E. Hoffman, The role of autoregulation and tissue diastolic pressure in the transmural distribution of left ventricular blood flow in anaesthetized dog, Circ.Res. 45:804(1979).

    Article  PubMed  CAS  Google Scholar 

  26. B.F.Robinson, Mode of action of nitroglycerin in angina pectoris: Correlation between haemodynamic effects during exercise and prevention of pain, Br. Heart J. 30:295 (1968).

    Article  PubMed  CAS  Google Scholar 

  27. J.H. Atterhog, L. Gekelund and A.L. Melin, Effect of nifedipine on exercise tolerance in patients with angina pectoris, Eur.J. Clin. Pharmacol. 8:125 (1975).

    Article  PubMed  CAS  Google Scholar 

  28. R.J. Bache and B.A. Tockman, Effect of Nitroglycerin and Nifedipine on subendocardial perfusion in the presence of a flow-limiting coronary stenosis in the awake dog, Circ. Res. 50: 678 (1982).

    Article  PubMed  CAS  Google Scholar 

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Mizrahi, J. et al. (1995). Coronary Haemodynamic Profile of the New Nitro-Ester Derivative ITF 296 in the Conscious Dog. In: Weissman, B.A., Allon, N., Shapira, S. (eds) Biochemical, Pharmacological, and Clinical Aspects of Nitric Oxide. Springer, Boston, MA. https://doi.org/10.1007/978-1-4615-1903-4_10

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  • DOI: https://doi.org/10.1007/978-1-4615-1903-4_10

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4613-5777-3

  • Online ISBN: 978-1-4615-1903-4

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