Remifentanil induces L-type Ca2+ channel inhibition in human mesenteric arterial smooth muscle cells

Zhao-Yang Hu1, Peng-Tao Lin, Jin Liu

  • 1Department of Pharmacology, West China Hospital, Sichuan University, 610041, Chengdu, P.R. China.

Abstract

Insights

Remifentanil, an anesthetic, was found to inhibit L-type calcium channels (Ca.(L)) in human mesenteric artery cells. This effect was dose-dependent, suggesting a mechanism for its vasodilation properties.

Area of Science:

  • Cardiovascular Pharmacology
  • Smooth Muscle Physiology
  • Anesthesiology

Background:

  • Remifentanil is an ultra-short-acting opioid anesthetic known to induce vasodilation.
  • The intracellular mechanisms of remifentanil-induced vasodilation may involve ion channel modulation.
  • L-type calcium channels (Ca.(L)) play a critical role in vascular smooth muscle contraction.

Purpose of the Study:

  • To investigate whether remifentanil inhibits Ca.(L) channels.
  • To determine if remifentanil exerts dose-dependent effects on Ca.(L) currents (I(Ba.L)) in human mesenteric arterial smooth muscle cells.

Main Methods:

  • Human mesenteric arterial smooth muscle cells were enzymatically isolated.
  • Whole-cell patch-clamp technique was employed to analyze I(Ba.L).
  • Cells were exposed to varying concentrations of remifentanil (1.21, 4.84, and 19.4 nmol.L(-1)) and compared to control.

Main Results:

  • Remifentanil demonstrated a concentration-dependent blockade of I(Ba.L) with an IC(50) of 38.90 ± 3.96 x 10(-3) µmol.L(-1).
  • The L-type calcium channel blocker, nifedipine, antagonized the remifentanil-induced currents.
  • Remifentanil shifted the current-voltage relationship of I(Ba.L) in the hyperpolarizing direction.

Conclusions:

  • Remifentanil significantly inhibits Ca.(L) channels in human mesenteric arteriolar smooth muscle cells.
  • The inhibition of Ca.(L) channels by remifentanil is concentration-dependent.
  • This finding provides insight into the cellular mechanisms underlying remifentanil's vasodilator effects.