Effects of bretylium on rat cardiac muscle: the electrophysiological effects and its uptake and binding in normal and immunosympathectomized rat hearts

Bretylium produced electrophysiological effects on both rat atrium and ventricle in vitro at concentrations ranging from 2 times 10- minus 5 to 10- minus three M. Those effects included lengthening of action potential duration and effective refractory period; increasing effective refractory period/action potential duration; decreasing dv/dt of phase zero of the action potential and suppressing the action potential amplitude and overshoot. These effects, which could serve as a basis for the antiarrhythmic action of bretylium, were observed also in hearts from immunosympathectomized rats confirming a direct effect of this drug on the electrical properties of the cardiac muscle cells. In vivo and in vitro exposure of the myocardium to 14-C-bretylium showed that this drug is concentrated in cardiac ventricle and that this concentrating ability of the heart may be responsible for attaining effective antiarrhythmic concentrations in the myocardium at low plasma concentrations of the drug. Uptake of bretylium by the sympathetic nerves never amounted to more than 15% of the total bretylium binding by the cardiac ventricle and this neuronal uptake became insignificant compared to total bretylium uptake at concentrations greater than 10- minus 6 M. Subcellular distribution of the bretylium bound to the cardiac ventricle from immunosympathectomized rats suggested a binding to plasma membranes. Efflux studies indicate that this binding was tight, although reversible. These results indicate that underlying the antiarrhythmic effects of bretylium is an accumulation of the drug by cardiac muscle cells and a direct effect of the drug on the electrical properties of the cardiac muscle membrane independent of any action on the adrenergic neuron.

The action of phospholipases on the inner and outer surface of the squid giant axon membrane

1. The effects of phospholipases on resting potential, action potential and membrane ionic conductances of squid giant axons have been studied by means of internal perfusion and voltage clamp techniques. The sample of phospholipases used exhibited both phospholipase A and B activities.2. When applied externally, phospholipases had no effect on the resting and action potentials at a concentration of 100 mug/ml.3. When applied internally, the enzymes effectively suppressed the amplitude and maximum rate of rise of the action potential at a concentration of 100 mug/ml. The resting potential started decreasing appreciably only after the action potential had been suppressed to a considerable extent.4. Under voltage clamp conditions, the peak transient current was suppressed following internal perfusion of phospholipases, 150 mug/ml. The steady-state current began to decrease, and the leakage current to increase only after the transient current had been suppressed to a considerable extent.5. The time course of sodium inactivation was not significantly slowed by internal perfusion of the enzymes.6. The curve relating the peak transient conductance to the membrane potential was shifted in the direction of depolarization after internal perfusion of phospholipases. No appreciable shift of the steady-state conductance curve was observed.7. These experimental results are discussed in connexion with the possible role of membrane phospholipids in the conductance changes associated with excitation.

Dieldrin, effect on the ion transport activities in liver tissues

The results of a survey on the effects of dieldrin upon the rat liver systems showed that this chlorinated hydrocarbon insecticide markedly affects Na(+) and Ca(++) ion transport mechanisms in the liver. Transport mechanisms for other ions appeared to be only moderately affected. The situation resembles that which occurs in the nerve cells under dieldrin influencein vivo (7). The eventual results of such a physiological modification is excitation of liver cells due to the effect of accumulated sodium and depletion of calcium ions.