Kh. Graefe et al., 1,1'-DIISOPROPYL-2,4'-CYANINE (DISPROCYNIUM24), A POTENT UPTAKE(2) BLOCKER, INHIBITS THE RENAL EXCRETION OF CATECHOLAMINES, Naunyn-Schmiedeberg's archives of pharmacology, 356(1), 1997, pp. 115-125
1,1'-Diisopropyl-2,4'-cyanine (disprocynium24), a potent inhibitor of
the extraneuronal monoamine transport system (uptake(2)), was previous
ly shown to reduce the clearance of catecholamines from plasma not onl
y by blocking uptake, but presumably also by blocking organic cation t
ransport. To provide more direct evidence for the latter conclusion, t
he present study was carried out in anaesthetized rabbits. It aimed at
determining the effect of disprocynium24 on the renal excretion of ca
techolamines which is known to be, at least in part, a consequence of
organic cation transport in the kidney. To this end, the plasma cleara
nce due to renal excretion (Cl-u) of endogenous as well as infused H-3
-labelled adrenaline, noradrenaline and dopamine was determined for 60
-min periods of urine collection in rabbits treated either with dispro
cynium24 (270 nmol kg(-1) i.v followed by i.v. infusion of 80 nmol kg(
-1) min(-1)) or vehicle. Two groups of animals were studied: group I (
monoamine oxidase and catechol-O-methyltransferase intact) and group I
I (monoamine oxidase and catechol-O-methyltransferase inhibited). A th
ird group of animals with intact monoamine oxidase and catechol-O-meth
yltransferase was used to study the effect of disprocynium24 on the gl
omerular filtration rate (as determined by measuring the plasma cleara
nce of inulin). In vehicle controls, Cl-u of endogenous adrenaline, no
radrenaline and dopamine was 7.2, 5.2 and 153.6 ml kg(-1) min(-1), res
pectively, in group I and 10.4, 7.0 and 134.3 ml kg(-1) min(-1), respe
ctively, in group II. Similar control values of Cl-u were obtained for
infused H-3-adrenaline and H-3-noradrenaline, but not for infused H-3
-dopamine; Cl-u of H-3-dopamine (4.9 ml kg(-1) min(-1) in group I and
15.4 ml kg(-1) min(-1)min-1 in group II) was considerably smaller than
Cl-u of endogenous dopamine, indicating that most of the dopamine in
urine (i.e., 98% in group I and 92% in group II) was derived from the
kidneys rather than from the circulation. By contrast, only about one
quarter of the noradrenaline in urine (32% in group I and 24% in group
II) and none of the urinary adrenaline were of renal origin. In both
groups, disprocynium24 markedly reduced the Cl-u of endogenous catecho
lamines (by 72-90%) and of infused H-3-catecholamines (by 49-69%). Mor
eover, it preferentially inhibited the renal excretion of those compon
ents of urinary dopamine and noradrenaline which were derived from the
kidney. Therefore, disprocynium24 inhibits the tubular secretion of c
atecholamines and, hence, organic cation transport in the kidney. This
conclusion was substantiated by the observation that disprocynium24 d
id not alter the glomerular filtration rate.