1. Reduction of the serotonin 5-HT1B and 5-HT2A receptor-mediated contraction of human pulmonary artery by the combined 5-HT1B receptor antagonist and serotonin transporter inhibitor LY393558
- Author
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Monika Kloza, Manfred Göthert, Olga Sadowska, Hanna Kozłowska, Miroslaw Kozlowski, Eberhard Schlicker, Margaret R. MacLean, Marta Baranowska-Kuczko, and Barbara Malinowska
- Subjects
0301 basic medicine ,Male ,Ketanserin ,Pyridines ,030204 cardiovascular system & hematology ,Pharmacology ,Pulmonary arterial hypertension ,0302 clinical medicine ,Receptor, Serotonin, 5-HT2A ,Receptor ,Serotonin transporter ,biology ,Thiadiazines ,Chemistry ,General Medicine ,Middle Aged ,Receptor antagonist ,Cyclic S-Oxides ,Benzamides ,Receptor, Serotonin, 5-HT1B ,Serotonin 5-HT2 Receptor Antagonists ,Female ,medicine.symptom ,Selective Serotonin Reuptake Inhibitors ,medicine.drug ,Serotonin ,medicine.drug_class ,Short Communication ,Citalopram ,5-HT2A receptor ,Pulmonary Artery ,Serotonin 5-HT1 Receptor Antagonists ,RS ,03 medical and health sciences ,LY393558 ,medicine ,Humans ,Spiro Compounds ,Piperidones ,Aged ,Antagonist ,5-HT1B receptor ,030104 developmental biology ,Vasoconstriction ,biology.protein - Abstract
Background LY393558 is a combined antagonist of serotonin (5-HT) 5-HT1B receptors and inhibitor of serotonin transporter (SERT). LY393558 reduces 5-HT-induced vasoconstriction and remodelling of rat and/or mouse pulmonary arteries. The aim of our study was to examine the effect of LY393558 on the 5-HT-stimulated vasoconstriction of human pulmonary arteries (hPAs) and to determine the underlying mechanism(s). Methods Vascular effects of 5-HT receptor agonists, antagonists and a SERT inhibitor were examined in organ bath studies on intralobar hPAs obtained from patients during resection of lung carcinoma. Results Serotonin and agonists of the 5-HT1B receptor (5-carboxamidotryptamine, 5-CT) and 5-HT2A receptor (α-methyl-5-HT) contracted endothelium-intact hPAs in a concentration-dependent fashion. The 5-HT1B antagonists SB224289 and GR55562 reduced responses induced by 5-HT and 5-CT and the 5-HT2A antagonist ketanserin inhibited the effects of 5-HT and α-methyl-5-HT. Administration of the SERT inhibitor citalopram (at a concentration that failed to modify the 5-HT-induced vasoconstriction) in combination with SB224289 or GR55562 was more effective in inhibiting the response to 5-HT than the 5-HT1B antagonists alone. LY393558 showed the greatest antagonistic effect against the vasoconstriction elicited by 5-HT, 5-CT and α-methyl-5-HT. Conclusions LY393558 reduces the 5-HT-induced contraction antagonizing 5-HT1B and 5-HT2A receptors probably due to synergic interaction between SERT inhibition and 5-HT1B receptor antagonism. Thus, it might represent a valuable future option in the pulmonary arterial hypertension therapy.
- Published
- 2020