M. Hecker et al., CHARACTERIZATION OF FUROXANS AS A NEW CLASS OF TOLERANCE-RESISTANT NITROVASODILATORS, Naunyn-Schmiedeberg's archives of pharmacology, 351(4), 1995, pp. 426-432
The vasodilator effects of C99-4609 (4-hydroxymethyl-furoxan-3-carboxa
mide, CAS 1609), C92-4678(4-phenyl-furoxan-3-carboxylic acid pyridyl-3
-yl-methyl)-amide), C92-4679 (3-phenyl-furoxan-4-carboxylic acid (pyri
dyl-3-yl-methyl)-amide) and C93-4759 (3-hydroxymethyl-furoxan-4-carbox
amide) were studied in the isolated rabbit femoral artery and jugular
vein. All furoxans were potent vasodilators in the femoral artery (EC(
50) 0.1-50 mu M), while they were less potent in the jugular vein by a
t least one order of magnitude. Apart from C92-4679, the vasodilatory
potency of the furoxans correlated well with their nitric oxide (NO)-r
eleasing capacity which was estimated both by stimulation of purified
soluble guanylyl cyclase activity and electron spin resonance spectros
copy with a trapping agent for NO. The hypothesis that furoxans stimul
ate soluble guanylyl cyclase in the smooth muscle by spontaneously rel
easing NO was supported by the marked attenuation of their vasodilator
effect in the presence of oxyhaemoglobin (10 mu M) or following treat
ment with methylene blue (30 mu M). In contrast to earlier findings, N
O release from these furoxans was not thiol-dependent, as demonstrated
for C92-4609, the relaxant effect of which in the femoral artery was
not altered in the presence of N-acetyl-L-cysteine (1 mM). Moreover th
e K-Ca(+) channel inhibitor, tetrabutylammonium (3 mM), but not the K-
ATP(+) channel inhibitor, glibenclamide (3 mu M), significantly attenu
ated the dilator response to C92-4679 in the femoral artery. Pretreatm
ent of these segments with the cytochrome P450 inhibitor, SKF525(a) (3
0 mu M), also reduced the C92-4679-induced relaxation in this vascular
bed. The vasorelaxant activity of C92-4679 thus appears to be based b
oth on the spontaneous release of NO, which is accelerated due to biot
ransformation within the vessel wall, and a direct interaction with K-
Ca(+) channels in the smooth muscle. In the rabbit jugular vein, the d
ilator response to C92-4609 was not affected following exposure to gly
ceryl trinitrate (1 mM) for 1 hour or pretreatment with the same conce
ntration of C92-4609 or its isomer, C93-4759. This lack of tolerance d
evelopment together with their pharmacological potency may render the
new generation of furoxans useful drugs in the treatment of coronary h
eart disease.