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In vitro contractile effects of neurokinin receptor blockade in the human ureter.

AbstractPURPOSE:
We identified the predominance of neurokinin-2 receptors and evaluated the inhibition of spontaneous contraction via the blockade of neurokinin-2 receptors in human ureteral segments.
MATERIALS AND METHODS:
Excess ureteral segments from human subjects undergoing donor nephrectomy or reconstructive procedures were suspended in tissue baths containing Krebs buffer. After spontaneous contractions were recorded, tissues were incubated with 1 microM. solutions of phosphoramidon and captopril (to inhibit peptide degradation) and either the neurokinin-1 receptor antagonist CP 99,994, the neurokinin-2 receptor antagonist SR 48,968, the neurokinin-3 receptor antagonist SR 142,801 or dimethyl sulfoxide (control) for 1 hour. Contraction magnitude and frequency were again recorded and compared with spontaneous levels. Concentration-response curves to the tachykinins substance P, and neurokinins A and B were determined in the presence and absence of antagonists.
RESULTS:
Neurokinin A increased contractility at lower concentrations than substance P or neurokinin B (p <0.013). Neurokinin-2 receptor blockade produced a 100-fold rightward shift of the concentration-response curves (p <0.013), while neurokinins 1 and 3 receptor blockade had no effect. SR 48,968 significantly reduced contractility during the 1-hour incubation period, causing a 97% reduction in spontaneous rates compared with a 29% reduction in control tissues. CP 99,994 and SR 142,801 had no significant effect.
CONCLUSIONS:
Neurokinin-2 is the predominant receptor subtype responsible for tachykinin induced contraction of human ureteral smooth muscle. In vitro treatment with the neurokinin-2 antagonist SR 48,968 reduces the spontaneous contraction rate by 97% in vitro. Neurokinin-2 receptor antagonists may have clinical applications for ureteral disease.
AuthorsS Y Nakada, T J Jerde, D E Bjorling, R Saban
JournalThe Journal of urology (J Urol) Vol. 166 Issue 4 Pg. 1534-8 (Oct 2001) ISSN: 0022-5347 [Print] United States
PMID11547127 (Publication Type: Journal Article)
Chemical References
  • Angiotensin-Converting Enzyme Inhibitors
  • Benzamides
  • Glycopeptides
  • Piperidines
  • Receptors, Neurokinin-2
  • Tachykinins
  • 3-(2-methoxybenzylamino)-2-phenylpiperidine
  • SR 48968
  • Captopril
  • Metalloendopeptidases
  • SR 142801
  • phosphoramidon
Topics
  • Angiotensin-Converting Enzyme Inhibitors (pharmacology)
  • Benzamides (pharmacology)
  • Captopril (pharmacology)
  • Dose-Response Relationship, Drug
  • Glycopeptides (pharmacology)
  • Humans
  • Metalloendopeptidases (antagonists & inhibitors)
  • Muscle Contraction (drug effects)
  • Piperidines (pharmacology)
  • Receptors, Neurokinin-2 (antagonists & inhibitors, physiology)
  • Tachykinins (pharmacology)
  • Ureter (physiology)

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