m-(Iodobenzyl)trozamicol (MIBT) is a recently discovered vesamicol analogue
. It has been shown that radiolabelled [I-125]MIBT can be used as a marker
of cholinergic innervation in the heart as well as in the brain. The purpos
e of this study was to analyze the direct effects of MIBT on the atrioventr
icular and intraventricular conduction in addition to the coronary blood Sl
ow using the canine isolated, blood-perfused atrioventricular node preparat
ion. Intracoronary administration of MIBT suppressed the atrioventricular a
nd intraventricular conduction, while it increased the coronary blood flow.
The effect and duration of action on the intraventricular conduction was l
ess pronounced compared with other effects. Moreover, the doses of MIBT nee
ded to cause negative dromotropic and coronary vasodilator effects in this
study was much greater than those needed for imaging the cardiac cholinergi
c innervation. Pretreatment of the preparations with a muscarinic receptor
antagonist, atropine, did not block these effects of MIBT, suggesting that
MIBT may possess muscarinic receptor-independent ion channel activity in th
e cardiac conduction system and coronary arteries.