A. Lanzafame et al., The allosteric interaction of otenzepad (AF-DX 116) at muscarinic M-2 receptors in guinea pig atria, EUR J PHARM, 416(3), 2001, pp. 235-244
The effects of the muscarinic receptor antagonist, otenzepad, in combinatio
n with the competitive antagonists N-methylscopolamine, dexetimide and atro
pine, or the allosteric modulators, C-7/3 ' -path, gallamine and alcuronium
, were measured in the guinea pig electrically driven left atrium using the
agonists, carbachol or acetylcholine. Otenzepad, in combination with C-7/3
' -phth or gallamine, gave concentration-ratios close to additive and in a
greement with theoretical model predictions for combination of two alloster
ic modulators acting at a common site. However, when otenzepad was combined
with alcuronium, dexetimide or N-methylscopolamine, supra-additive effects
were observed. For either competitive antagonist in combination with otenz
epad, the degree of supra-additivity was more evident after 2-h equilibrati
on than alter 40 min. When otenzepad was combined ru-im atropine, no supra-
additivity was observed with carbachol as the agonist, but was evident with
acetylcholine. Otenzepad was also unable to fully inhibit [H-3]N-methylsco
polamine binding when the radioligand was employed at a concentration of si
milar to 100 X K-D. It is concluded that the action of otenzepad involves a
n allosteric site and a number of possibilities are discussed for its locat
ion. (C) 2001 Elsevier Science B.V. All rights reserved.