Abstract
In human ventricular trabeculae carneae 100 µM AP4A (diadenosine tetraphosphate) increased force of contraction to 162.8±15.7% of predrug value (n=9). This positive inotropic effect was accompanied by a prolongation of time parameters: time to peak tension and time of relaxation were prolonged by 7.8±1.3% and 14.9±3.8%, respectively (P<0.05). In the same trabeculae, AP4A increased IP3 (inositol-1,4,5-trisphosphate) content from 9.0±1.3 pmol/mg to 22.9±5.4 pmol/mg protein (n=5–9).
In conclusion, the positive inotropic effect of AP4A in the human myocardium is likely due to an increase of IP3 mediated probably via Gq-coupled P2Y-purinoceptors. Because of the prominent role of Gq in the development of cardiac disease, these findings may lay the ground to further investigate the possible role of AP4A and/or related ligands (e.g. AP2A and AP3A) in heart failure.
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Knapp, J., Bokník, P., Linck, B. et al. Inositol-1,4,5-trisphosphate increase by diadenosine tetraphosphate in preparations from failing human myocardium. Naunyn-Schmiedeberg's Arch Pharmacol 360, 354–357 (1999). https://doi.org/10.1007/s002109900076
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DOI: https://doi.org/10.1007/s002109900076