1 The aim of this study was to compare antianginal effects )-ethyl-2-[
(E)-hydroxyimino]-5-nitro-3-hexeneamide (FK409), a new spontaneous nit
ric oxide releaser, with those of isosorbide dinitrate (ISDN). We used
two types of rat angina model; methacholine- and arginine vasopressin
(AVP)-induced coronary vasospasm models. 2 In the in vitro study, FK4
09 showed 80 times more potent vasorelaxant effect in dog isolated cor
onary artery than ISDN (EC(50) = 16.7 +/- 4.8 and 1340 +/- 320 nM, res
pectively). 3 In the rat methacholine-induced coronary vasospasm model
, FK409 suppressed the elevation of ST segment dose-dependently and si
gnificantly at 0.1 mg kg(-1), i.d. On the other hand, ISDN suppressed
it significantly at 3.2 mg kg(-1), i.d. In addition, the efficacy of 3
.2 mg kg(-1) ISDN in the model was almost the same as that of 0.1 mg k
g(-1) FK409. 4 In the above experiments, FK409 and ISDN decreased mean
blood pressure significantly at the maximum dose tested (1.0 mg kg(-1
), i.d. and 3.2 mg kg(-1), i.d., respectively) but did not change hear
t rate at these doses. Therefore, the hypotensive effect of FK409 was
10 times weaker than the antianginal effect of the compound, while tho
se of ISDN were almost the same. 5 In the rat AVP-induced coronary vas
ospasm model, 32 mg kg(-1) FK409 significantly inbibited the depressio
n of ST segment 60 min after oral administration. On the other hand, 3
2 mg kg(-1);ISDN did not inhibit it at 60 and 120 min after oral admin
istration. 6 In conclusion, FK409 inbibits coronary vasospasm more pot
ently in two types of rat angina models than ISDN. In addition, FK409
shows an antianginal effect more selectively that a hypotensive effect
, compared with ISDN.