Pharmacodynamics of propiverine and three of its main metabolites on detrusor contraction

Research output: Contribution to journalResearch articleContributedpeer-review

Contributors

  • Melinda Wuest - , Institute of Pharmacology and Toxicology (Author)
  • Juliane Hecht - , Institute of Pharmacology and Toxicology (Author)
  • Torsten Christ - , Institute of Pharmacology and Toxicology (Author)
  • Manfred Braeter - , Apogepha Arzneimittel GmbH (Author)
  • Christian Schoeberl - , Apogepha Arzneimittel GmbH (Author)
  • Oliver W. Hakenberg - , Department of Urology (Author)
  • Manfred P. Wirth - , Department of Urology (Author)
  • Ursula Ravens - , Institute of Pharmacology and Toxicology (Author)

Abstract

Besides its antimuscarinic effects, propiverine may possess an additional mode of action. We compared the effects of propiverine, three of its metabolites (M-5, M-6, M-14) and atropine in human, pig and mouse urinary bladder preparations in order to elucidate the nature of a possible additional mode of action. Like the parent compound, M-5, M-6 and M-14 reduced to variable degrees the contractions elicited by electric field stimulation (EFS) of isolated, urothelium-denuded detrusor strips. In mouse the atropine-resistant and therefore the nonadrenergic, noncholinergic component of contractile response to EFS was reduced by M-5, M-14 and propiverine, but was hardly affected by M-6. Atropine, propiverine and M-6 significantly shifted the cumulative concentration-response curves for carbachol (CCh) to higher concentrations. Atropine and M-6 did not affect the maximum tension induced by CCh. Propiverine, M-5 and M-14 reduced the maximum CCh effect, suggesting at least one additional mode of action. This pattern of response was observed in all the three species, albeit with some differences in sensitivity to the various agents. In freshly isolated human detrusor smooth muscle cells, propiverine and M-14 inhibited the nifedipine-sensitive L-type calcium current (7 Ca) in a concentration-dependent manner. In contrast, the effects of M-5 and M-6 on I Ca were insignificant in the concentration range examined. The investigated responses to propiverine and its metabolites suggest that impairment of maximum CCh-induced contractions is due to strong effect on I Ca and that this may be associated with the presence of the aliphatic side chain.

Details

Original languageEnglish
Pages (from-to)608-619
Number of pages12
JournalBritish journal of pharmacology
Volume145
Issue number5
Publication statusPublished - Jul 2005
Peer-reviewedYes

External IDs

PubMed 15880140

Keywords

ASJC Scopus subject areas

Keywords

  • Concentration- response curves for carbachol, Electric field stimulation, Human, porcine and mouse detrusor, L-type calcium current, Propiverine and metabolites