The purpose of this study was to evaluate the effects of cicletanine, a sli
ghtly diuretic antihypertensive drug, on human vascular endothelial cells w
ith regard to nitric oxide, intracellular calcium concentration ([Ca2+](i))
, cyclic nucleotide, inositol 1,4,5-trisphosphate (IP3), and prostacyclin g
eneration. Primary cultured human umbilical vein endothelial cells were use
d in this study. [Ca2+](i) was measured by fura-2/AM. Cyclic adenosine mono
phosphate (AMP), cyclic guanosine monophosphate (GMP), IP3, and prostacycli
n were measured by radioimmunoassay. Nitric oxide was measured by the Gries
s method. Cicletanine had no effect on [Ca2+](i). Cicletanine (10(-6)-10(-4
) M) increased cyclic GMP but decreased prostacyclin generation. Cicletanin
e had no stimulating effect on cyclic AMP or IP3 generation. IP3 increased
Ca-45 release from storage sites. Cicletanine decreased prostacyclin genera
tion via increase in cyclic GMP. Cicletanine had no stimulating effect on n
itrogen oxides for 2 h after incubation but increased it after 3-24 h, Pret
reatment with L-N-G-monomethyl-arginine (L-NMMA) prevented this increase. T
he inhibitory effect of L-NMMA was prevented by pretreatment with L-arginin
e. These results indicate that nitric oxide and cyclic GMP may contribute t
o the anti-hypertensive action of cicletanine.