THE USE OF PULMONARY PRESSURE–VOLUME MEASUREMENTS TO DETECT INDICES OF LUNG INJURY

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EVALUATION OF IMIPRAMINE ON HEART: FROM IN VITRO (I Kr , I Na , AND APD) TO IN VIVO (TELEMETRY ECG) Wenge Yu, Masakazu Imaizumi, Kazuaki Sasaki, Tatsumi Inui, Naoki Watanabe, Hiroshi Atai, Hiromi Iizuka, Katsuhide Nishi Panapharm Laboratories Co., Ltd. Kumamoto, Japan Introduction and methods: To clarify the ionic mechanism of cardiovascular side effects of imipramine, a tricyclic antidepressant, the following assays were applied: patch clamp study on I Kr , which is encoded by human ether-a-go-go-related gene (hERG), and on the Na current of isolated guinea pig ventricular myocytes; action potential recording of isolated guinea pig papillary muscles; and continuously recording of telemetry ECG of conscious and anesthetic beagle dogs. Results: 1. Imipramine inhibited hERG currents with IC 50 value of 9.6 μmol/L. 2. Imipramine (50 μmol/L) showed no effect on APD 90 , although significantly decreased V max to about 69%, APD 50 to about 84%. 3. In isolated guinea pig ventricular myocytes study, imipramine inhibited TTX sensitive Na current in a dose-dependent manner, to about 77% in the present of 50 μmol/L and to about 56% in the present of 100 ìmol/L, respectively. 4. Imipramine (1.5 mg/kg, i.v.) hardly prolonged any QTc in conscious dogs, nor in anesthetized condition. Conclusion: The simultaneously depression of I Kr and Na current should be responsible for the no-change of APD 90 and QTc. The difference in the extent of the inhibition in different channels would lead the different effect on APD, hence QT interval. doi:10.1016/j.vascn.2007.02.012 THE USE OF PULMONARY PRESSUREVOLUME MEASUREMENTS TO DETECT INDICES OF LUNG INJURY Martin Sanders, Chin-hu Huang, Stephen Foote Pfizer Inc., Groton, CT, USA Pulmonary pressurevolume curves (PV-loop) have been used to characterize the mechanical behavior of the total respiratory system in both research and clinical settings. We explored the use of PV-loop measurements to determine the level of acute lung injury induced by alpha-naphthylthiourea (ANTU), an agent that damages the pulmonary endothelium, with and without the addition of high volume ventilation (HVV), a maneuver used to create mechanical lung damage. Compared to the normal ventilation volume of 3 mL/kg at a rate of 90 breaths per minute (BPM), HVV utilizes a ventilation volume of 13.4 mL/kg at a rate of 35 BPM. Using the FlexiVent, (Scireq), we compared changes in quasi-static compliance (Cst) and curvature parameter (K) of the PV-loop in the SpragueDawley rat. The animals were anesthetized with ketamine/xylazine, tracheotomized and connected to the FlexiVent, ventilator. Rats dosed 4 h earlier with ANTU at 50 mg/kg i.p. did not show a significant difference in their pulmonary mechanical properties compared with rats treated with DMSO vehicle. Animals receiving HVV alone had lung injury, revealed as changes in Cst and K compared with rats under normal volume ventilation. In addition, the indices of lung injury were potentiated in rats treated with ANTU plus HVV. In conclusion, we have demonstrated that the combination of ANTU and HVV resulted in significant changes in lung mechanical properties and that PV-loop analysis is a useful measure for assessing the damage to the lung. doi:10.1016/j.vascn.2007.02.013 e6 Meeting abstracts

Transcript of THE USE OF PULMONARY PRESSURE–VOLUME MEASUREMENTS TO DETECT INDICES OF LUNG INJURY

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e6 Meeting abstracts

EVALUATION OF IMIPRAMINE ON HEART: FROM IN VITRO (IKr, INa, AND APD) TO IN VIVO (TELEMETRY ECG)

Wenge Yu, Masakazu Imaizumi, Kazuaki Sasaki, Tatsumi Inui, Naoki Watanabe, Hiroshi Atai, Hiromi Iizuka, Katsuhide Nishi

Panapharm Laboratories Co., Ltd. Kumamoto, Japan

Introduction and methods: To clarify the ionic mechanism of cardiovascular side effects of imipramine, a tricyclicantidepressant, the following assays were applied: patch clamp study on IKr, which is encoded by human ether-a-go-go-relatedgene (hERG), and on the Na current of isolated guinea pig ventricular myocytes; action potential recording of isolated guineapig papillary muscles; and continuously recording of telemetry ECG of conscious and anesthetic beagle dogs. Results: 1.Imipramine inhibited hERG currents with IC50 value of 9.6 μmol/L. 2. Imipramine (50 μmol/L) showed no effect on APD90,although significantly decreased Vmax to about 69%, APD50 to about 84%. 3. In isolated guinea pig ventricular myocytes study,imipramine inhibited TTX sensitive Na current in a dose-dependent manner, to about 77% in the present of 50 μmol/L and toabout 56% in the present of 100 ìmol/L, respectively. 4. Imipramine (1.5 mg/kg, i.v.) hardly prolonged any QTc in consciousdogs, nor in anesthetized condition. Conclusion: The simultaneously depression of IKr and Na current should be responsible forthe no-change of APD90 and QTc. The difference in the extent of the inhibition in different channels would lead the differenteffect on APD, hence QT interval.

doi:10.1016/j.vascn.2007.02.012

THE USE OF PULMONARY PRESSURE–VOLUME MEASUREMENTS TO DETECT INDICES OF LUNG INJURY

Martin Sanders, Chin-hu Huang, Stephen Foote

Pfizer Inc., Groton, CT, USA

Pulmonary pressure–volume curves (PV-loop) have been used to characterize the mechanical behavior of the total respiratorysystem in both research and clinical settings. We explored the use of PV-loop measurements to determine the level of acute lunginjury induced by alpha-naphthylthiourea (ANTU), an agent that damages the pulmonary endothelium, with and without theaddition of high volume ventilation (HVV), a maneuver used to create mechanical lung damage. Compared to the normalventilation volume of 3 mL/kg at a rate of 90 breaths per minute (BPM), HVV utilizes a ventilation volume of 13.4 mL/kg at arate of 35 BPM. Using the FlexiVent, (Scireq), we compared changes in quasi-static compliance (Cst) and curvature parameter(K) of the PV-loop in the Sprague–Dawley rat. The animals were anesthetized with ketamine/xylazine, tracheotomized andconnected to the FlexiVent, ventilator. Rats dosed 4 h earlier with ANTU at 50 mg/kg i.p. did not show a significant differencein their pulmonary mechanical properties compared with rats treated with DMSO vehicle. Animals receiving HVV alone hadlung injury, revealed as changes in Cst and K compared with rats under normal volume ventilation. In addition, the indices oflung injury were potentiated in rats treated with ANTU plus HVV. In conclusion, we have demonstrated that the combination ofANTU and HVV resulted in significant changes in lung mechanical properties and that PV-loop analysis is a useful measure forassessing the damage to the lung.

doi:10.1016/j.vascn.2007.02.013