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1 Clinical Pharmacology Department and 2 Histopathology Department, United Medical and Dental Schools, St. Thomas' Hospital, London SE1 7EH, United Kingdom
Calcium-channel
antagonist drugs are prescribed widely for angina and hypertension. A
limiting side effect is edema, which can make heart failure worse. We
show that nifedipine, a dihydropyridine-type calcium-channel
antagonist, can increase vascular permeability in rat skeletal muscle
and skin when injected locally. In nifedipine-injected cremaster
muscle, the copper content, used to quantify Monastral blue dye
accumulation, was 15.0 ± 2.4 µg/g compared with 5.3 ± 0.7 µg/g in control preparations (P < 0.05). The injection of nifedipine in rat skin in vivo increased local
plasma leakage in injected sites from 5.5 ± 1.1 µl in control
sites to 9.9 ± 2.5, 17.0 ± 2.4, 24.3 ± 5.9, and 23.3 ± 5.4 µl in sites injected with
10
10,
10
9,
10
8, or
10
7.2 mol/site,
respectively (P < 0.05 in each case
compared with control). Vascular labeling techniques using light
microscopy, electron microscopy, and microanalysis show that the
microvascular site of leakage is not from capillaries but from
postcapillary venules of 12-36 µm in diameter, the same site
that controls the edema response in inflammation. Nifedipine can act
within the microcirculation to increase the permeability of the
postcapillary venule.
calcium antagonists; vascular permeability; edema; vasodilation
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