A hypotheses that mitoxantrone is a competitive antagonist at muscarinic ch
olinergic receptors was examined in guinea-pig hearts. In isolated left atr
ial muscle preparations, electrically paced at 2 Hz, the muscarinic agonist
, carbachol, caused a concentration-dependent decrease in developed tension
. Mitoxantrone caused a parallel right-ward shift of the concentration-resp
onse curve for carbachol. Schild plots for the effect of mitoxantrone on th
e carbachol concentration-response relationship were linear with a slope of
0.88 which was not significantly different from the unity. The right-ward
shift of the carbachol concentration-response relationship by mitoxantrone
significantly reversed after an additional incubation with a mitoxantrone-f
ree solution, although the reversal was incomplete after a 2-h incubation i
n the mitoxantrone-free solution. Mitoxantrone caused a concentration-depen
dent displacement of specific [H-3]quinuclidinyl benzilate binding to membr
ane preparations obtained from ventricular muscles of guinea-pig hearts. Th
ese results indicate that mitoxantrone acts as a competitive antagonist for
the muscarinic receptors. (C) 2000 Elsevier Science B.V. All rights reserv
ed.