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2-agonists on ACh release
and smooth muscle contraction in the trachea
Departments of Large Animal Clinical Sciences and Physiology, Michigan State University, East Lansing, Michigan 48824-1314
The
2-agonists currently used as
bronchodilators are racemic mixtures of R- and S-enantiomers. In the
present study, we examined the effects of enantiomers of the
2-agonists albuterol and
formoterol on acetylcholine (ACh) release from equine trachealis
parasympathetic nerves. ACh release was evoked by electrical
field stimulation (20 V, 0.5 ms, 0.5 Hz) and measured by
high-performance liquid chromatography coupled with electrochemical
detection. We also tested the effects of enantiomers of albuterol and
formoterol on equine tracheal smooth muscle (TSM) contraction in
response to exogenous ACh. R- and RS-albuterol
(10
8 to
10
5 M) and RR- and
RR/SS-formoterol (10
8 to
10
5 M) augmented ACh
release in a concentration-dependent manner. Beginning at
10
6 M, SS-formoterol
significantly increased ACh release, and at 10
5 M, release increased by
71.9 ± 8.7% over baseline. This effect was only observed, however,
when the prejunctional muscarinic autoinhibitory effect of ACh was
prevented with atropine. Both the RR- and SS-formoterol-induced
increases in ACh release were abolished by the
2-antagonist ICI-118551 (3 × 10
7 M). The effect
of S-albuterol on ACh release was variable, and the mean
increase induced by 10
5 M
was 30.8 ± 16.1% in the presence of atropine. In the muscle tension study, R- and RS-albuterol and RR- and RR/SS-formoterol (10
8 to
10
5 M) but not the
S-enantiomers inhibited TSM contraction. Even though
R-enantiomers augment ACh release, they potently inhibit TSM
contraction. Because racemic
2-agonists are bronchodilators on acute administration, the postjunctional spasmolytic effects of
R-enantiomers predominate over the spasmogenic effect evoked via increased ACh release. The S-enantiomers, in contrast, do not
inhibit TSM contraction and therefore would not contribute to the
observed bronchodilation of the racemate. The S-enantiomers do
prejunctionally facilitate ACh release when prejunctional muscarinic autoreceptors are dysfunctional, suggesting a potentially deleterious effect.
acetylcholine; albuterol; formoterol; cholinergic neurotransmission; airway hyperresponsiveness; muscarinic receptor
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