Calcium Antagonistic Effects of an Angiographic Contrast Medium In Vitro A Comparison of the Effects of Iohexol with the Effects of Nifedipine in Isolated Arteries

摘要

RATIONALE AND OBJECTIVESVasodilatation is a well-known side effect of contrast media. Contrast media inhibit the action of vasoconstrictors. The nonionic contrast medium, iohexol, inhibits vasoactive substances to a lesser extent than ionic contrast media. Iohexol inhibited the action of vasoconstrictors in a way that raised suspicion of a calcium antagonistic effect of the medium. The authors test this hypothesis by comparing the inhibitory effect of iohexol with the inhibitory effect of a calcium antagonist (nifedipine). The vasoconstrictors were KCl, which depends on potential-operated calcium channels, and histamine, endothelin-1, and prostaglandin F2α(PGF2α), which depend on receptor-operated calcium channels.METHODSSegments of rabbit coronary arteries were mounted between two L-shaped prongs in tissue baths containing calcium-free buffer, calcium-free buffer with 10-8M nifedipine, or iohexol. One of the vasoconstrictors, KCl, histamine, endothelin-1, or PGF2α, was added to induce a level of activation. Thereafter, increasing concentrations of CaCl2were added in a stepwise manner, and the contractile responses of the vessel segments were recorded.RESULTSAddition of CaCl2caused concentration-dependent vasoconstrictions in the buffer. The effect of adding CaCl2was inhibited in the buffer with nifedipine and in iohexol when the vessels were activated with histamine, endothelin-1, or PGF2α. When the vessels were activated with the potential-operated calcium channel-dependent vasoconstrictor, KCl, the effect of adding CaCl2was inhibited in the buffer with nifedipine but not in iohexol.CONCLUSIONSIn vitro, iohexol had the same effect as the calcium antagonist nifedipine on the action of receptor-operated calcium channel-dependent vasoconstrictors. This suggests a calcium antagonistic effect of iohexol on the action of the ROC.