British Journal of Anaesthesia, Vol 77, Issue 4 503-507, Copyright © 1996 by The Board of Management and Trustees of the British Journal of Anaesthesia
R. Kitamura, M. Kakuyama, K. Nakamura, I. Miyawaki and K. Mori
We have studied the effects of barbiturates on vascular smooth muscle
tension and cytosolic calcium concentrations ([Ca2+]i) in endothelium-
denuded rat aortic rings, preloaded with fluo-3. Changes in [Ca2+]i were
estimated by the fluorescence intensity of the calcium-bound form of
fluo-3. In aortic rings under basal conditions, thiobarbiturates
(thiopentone and thiamylal 100-300 microgramsmol litre-1) increased
[Ca2+]i, concomitantly with an increase in tension, although
oxybarbiturates (pentobarbitone and secobarbitone up to 300 microgramsmol
litre-1) had no effect. Thiopentone (300 microgramsmol litre-1)-induced
increases in tension and fluorescence intensity were mean 25.1 (SD 3.2)%
and 55.0 (6.0)%, respectively, of those induced by KCl 30 mmol litre-1 (n =
8, each). In KCl (30 mmol litre-1)-precontracted aortic rings, thiopentone
decreased tension without reduction of [Ca2+]i, whereas pentobarbitone
decreased tension and [Ca2+]i, KCl (30 mmol litre-1)-induced contraction
was suppressed by pretreatment with all barbiturates (100-300 microgramsmol
litre- 1); thiopentone 300 microgramsmol litre-1 suppressed contraction to
64.8 (2.5)% (n = 6) and pentobarbitone 300 microgramsmol litre-1 to 57.5
(2.2)% (n = 9). However, the increase in [Ca2+]i was suppressed by
oxybarbiturates (pentobarbitone 300 microgramsmol litre-1 to 77.9 (5.2) %;
n = 9), but not altered by thiobarbiturates. These results suggest that
thiobarbiturates and oxybarbiturates affect vascular smooth muscle
differently and that the affected site in thiobarbiturate-induced
vasodilatation is distal to regulation of [Ca2+]i.
LABORATORY INVESTIGATIONS
Thiobarbiturates suppress depolarization-induced contraction of vascular smooth muscle without suppression of calcium influx
Department of Anesthesia, Kyoto University Hospital, Kyoto 606-01, Japan
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