United States
Environmental Protection
Agency
Health Effects Research
Laboratory
Research Triangle Park NC 27711
EPA-600 1-79-031
August 1979
Research and Development
Effects  of
Chlordimeform  on
Vascular Tissue

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                RESEARCH REPORTING SERIES

Research reports of the Office of Research and Development, U.S. Environmental
Protection Agency, have been grouped into nine series. These nine broad cate-
gories were established to facilitate further development and application of en-
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The nine series are:

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      2.  Environmental Protection Technology
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      4.  Environmental Monitoring
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This report has been assigned to the ENVIRONMENTAL HEALTH EFFECTS RE-
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 This document is available to the public through the National Technical Informa-
 tion Service, Springfield, Virginia 22161.

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                                                EPA-600/1-79-031
                                                August 1979
EFFECTS OF CHLORDIMEFORM ON VASCULAR TISSUE
                 Casey P. Robinson
               University of Oklahoma
               Health Sciences Center
                   P.O. Box 26901
           Oklahoma City, Oklahoma  73190
                      R804975
                  Jeffrey Charles
         Health Effects Research Laboratory
           Environmental Protection Agency
     Research Triangle Park, North Carolina  27711
         Health Effects Research Laboratory
         Office of Research and Development
         U.S. Environmental Protection Agency
     Research Triangle Park, North Carolina  27711

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                                   DISCLAIMER


   This report has been  reviewed by the Health Effects Research  Laboratory, U.S.
Environmental  Protection Agency, and approved for publication.   Approval does not
signify that the contents necessarily reflect the views and policies of  the U.S. Environ-
mental Protection Agency, nor does mention of trade names or commercial products
constitute endorsement or recommendation for use.
                                       11

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                                FOREWORD

     The many benefits of our modern, developing, industrial society are
accompanied by certain hazards.  Careful assessment of the relative risk
of existing and new man-made environmental hazards is necessary for the
establishment of sound regulatory policy.  These regulations serve to
enhance the quality of our environment in order to promote the public
health and welfare and the productive capacity of our Nation's population.

     The Health Effects Research Laboratory, Research Triangle Park,
conducts a coordinated environmental health research program in toxicology,
epidemiology, and clinical studies using human volunteer subjects.
These studies address problems in air pollution, non-ionizing radiation,
environmental carcinogenesis and the toxicology of pesticides as well as
other chemical pollutants.  The Laboratory participates in the development
and revision of air quality criteria documents on pollutants for which
national ambient air quality standards exist or are proposed, provides
the data for registration of new pesticides or proposed suspension of
those already in use, conducts research on hazardous and toxic materials,
and is primarily responsible for providing the health basis for non-
ionizing radiation standards.  Direct support to the regulatory function
of the Agency is provided in the form of expert testimony and preparation
of affidavits as well as expert advice to the Administrator to assure
the adequacy of health care and surveillance of persons having suffered
imminent and substantial endangerment of their health.

     The use of pesticides over the last several years has reduced human
and animal disease and increased crop yields.  Although alternate pest
control measures are being used to an increasing extent,  it appears that
the need for chemical measures for controlling pests will continue
strong for the forseeable future.   Many of the mainstays of chemical
pest control of previous years have proved to pose to great a risk to
human health and have been removed from distribution.   This has of
course increased useage of other pesticides and increased the urgency of
finding more specific pesticides which are less toxic to  humans and
other non-target organisms.

     One group of pesticides with a good deal of specificity (as acaricides)
and seemingly low acute toxicity to higher animals is available.   This
type information is necessary in assuring safety of these pesticides.
                                             F.  G.  Hueter, Ph.D.
                                                   Director
                                      Health Effects  Research Laboratory
                                    iii

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                                    PREFACE
     In order to fully understand potential risk to human beings of exposure to a chemi-
cal, one needs to understand the effects of that chemical upon each organ system and to
determine its mode of  action.  For some classes of pesticides their primary mode of
toxicity has been established.  An example of this is the organophosphorus cholinesterase
inhibitors.   There is general  agreement  that  their acute lethality and most  of  their
toxicities result  from cholinesterase  inhibition and subsequent acetylcholine  accum-
ulation.  Even among this group of compounds, however, there are toxic effects which
seem to be due to other actions.

     For other classes of compounds much less is known of their mechanisms of lethality
and effects on organ systems.  An example  of this is the formamidines, the first useful
one of which  was  chlordimeform.   Little  information  on the  mode  of action of
chlordimeform was available,  and on its other  effects.  This study was initally proposed
to determine vascular actions of chlordimeform.  The project was expanded to  examine
the cardiovascular  actions of  other available  formamidines  including  formamidine
metabolites which also retained the formamidine structure.
                                        IV

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                                    ABSTRACT


     In this study the effects  of  formamidine pesticides on  isolated arteries and on
cardiovascular responses of the  dog were determined.  The mode of these actions was
also investigated.

     Effects of formamidine pesticides were determined in vitro on the rabbit central
ear artery and aorta.  Demethylchlordimeform (DCDF), formetanate and  U-40481, but
not chlordimef orm (CDF) contracted strips of rabbit central ear artery.

  _q DCJDF caused contractions of the rabbit central ear artery in concentrations from
10   -10   M. The maximal contraction was approximately 40% of the maximal contrac-
tion to norepinephrine, and was obtained with 10   M.  Neither .1 mg/ml of atropine,
pyribenzamine nor methysergide affected these contractions,  but .001  mg/ml of phen-
tolamine reduced, and  .1 mg/ml  of phentoiamine almost abolished them. These contrac-
tions were not decreased in reserpinized rabbits.   Formetanate and U-40481 contracted
the rabbit central ear artery with maximal contractions 22 + 8% and 49 ±36% of NE
contractions, respectively.  Maximal contractions were obtained with 10   M  forme-
tanate and 10    IM  U-40481 and cumulatively-added higher  concentrations  caused  a
decrease irutensiofTfrom that maximum.  Their contractions were antagonized by 10  M
and 3 x 10   M phentoiamine.

     Three of  the four formamidines antagonized  contractions to vasoactive  agents.
CDF antagonized contractions of the rabbit aorta  induced by several vasoactive agents,
with the order  of antagonism being potassium   histamine   serotonin   norepinephrine.
DCDF  antagonized contractions of the vascular strip caused by two vasoactive agents. A
concentration of  10    M  antagonized  contractions caused  by  norepinephrine  and
potassium  but  not  by  serotonin  and histamine.   U-40481  reversibly  antagonized
contractions induced by serotonin, norepinephrine and histamine, and  to  some extent
potassium. Formetanate had little antagonist activity.
                               45
     CDF  increased the rate of    Ca washout from the medial-intLmal layer of rabbit
aorta,  but did  not affect  the norepinephrine-induced decrease in    Ca washout rate.
CDF also did not affect  Ca uptake by the medial-intimal strips from rabbit aorta.

     Neither DCDF, U-40481 nor formetanate altered the resting rate of norepinephrine
efflux  from the pre-loaded rabbit central  ear artery.  Both U-40481 and  formetanate
reduced electrically-induced norepinephrine  release.   DCDF, applied in  a lower con-
centration, did  not alter norepinephrine release induced by either electrical stimulation
or by nicotine addition.

     In the anesthetized  dog,  CDF  caused marked cardiovascular  effects.   These
included a  depressor effect on blood pressure, an initial decrease followed by an increase
in musculocutaneous blood flow, and in  high doses an increase in heart rate.   The

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mechanism of these effects does not involve stimulation of B-adrenergic nor muscarinic
receptors.   It enhances  the  vasodilation caused by  isoproterenol,  acetylcholine and
histamine.   It does not involve  blockade of °^ or  s8 -adrenergic, histaminergic nor
muscarinic receptors, nor does it involve an inhibition of monoamineoxidase.

     This report was submitted in fulfillment of Grant No. R804975 by the University of
Oklahoma, Health  Sciences Center under the sponsorship of the Environmental Pro-
tection Agency.  This report covers the period June 20, 1977 to May 20, 1979, and work
was completed as of June 20, 1979.
                                        VI

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                              CONTENTS

Foreword	i i i
Preface	    i v
Abstract	     v
Figures	viii
Tables	    xi
Abbreviations	xi i
Acknowledgements	xiii

     1.    Introduction	     1
     2.   Conclusions	     2
     3.   Recommendations	     3
     4.   Methods	     4
     5.   Chemicals Used	    11
     6.   Results	    12
     7.   Discussion	    42

References	    47
                                 vn

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                                   FIGURES

Number

   1    Effect of norepinephrine or demethylchlordimeform on the
              contractile tension of strips of rabbit central ear artery. ...  12

   2    Contractile response of the rabbit central ear artery in response
              to norepinephrine, formetanate	13

   3    Effect of NE, U-40481, or formetanate on the contractile
              tension of strips of rabbit central ear artery	14

   4    Effect on the contractile tension of strips of rabbit central ear
              artery of demethylchlordimeform alone and in strips pre-
              treated with phentolamine	15

   5    Contraction of a strip of rabbit central ear artery caused by
              addition of demethylchlordimeform and phentolamine.
              B.  Effect of phentolamine on tension of rabbit central ear
              artery strip contracted with demethylchlordimeform	17

   6    Contractile tension  of rabbit central ear artery strips  to U-40481
              and formetanate before and during contact with  phen-
              tolamine	18

   7    Responses to demethylchlordimeform of rabbit central ear
              artery strips from control and reserpinized rabbits	19

   8    Effect of CDF on contractions of rabbit aortic strips induced
              by serotonin, norepinephrine, potassium, or histamine   ....  20

   9    Isometric recordings of the effect of CDF on responses of
              aortic strips to agonists	21

   10   Isometric recordings of the effect of CDF on rabbit aortic
              strips contracted by exposure to cumulative" j increasing
              concentrations of agonist	22

   11   Responses of strips of rabbit central ear artery to norepinephrine,
              potassium, serotonin, and histamine with and without
              DCDF	23

   12   Contractile tension of rabbit central  ear artery strips  induced
              by norepinephrine, histamine, serotonin, or potassium in
              the absence or presence of formetanate	24

                                      viii

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13    Contractile tension of rabbit central ear artery strips induced
           by norepinephrine, histamine, serotonin, or potassium in
           the absence or presence of U-40481	25

14    Contractile tension of rabbit central ear artery strips to
           norepinephrine, histamine, serotonin, or potassium and
           the effect of U-40481 on the contractile tension	26
                       45
15    Effects of CDF on   Ca efflux from media-intima of
           rabbit aortic strips	27
                45
16    Uptake of  Ca by media-intima strips of rabbit aorta
           in the presence or absence of CDF	28

17    Uptake of  Ca in the absence and presence of forme-
           tanate, U-40481  and DCDF	29

18    Radioactivity in four-minute fractions of superfusate from
            H-norepinephrine loaded rabbit  central ear artery, as
           a percent of total radioactive efflux after initial
           eight minute washout	30

19    Radioactivity in four-minute fractions of superfusate from
            H-NE loaded rabbit central ear  artery as a percent of
           total radioactive efflux after initial eight minute
           washout	31

20    Effect of chlordimeform administered  at the arrow on blood
           flow and blood pressure recorded from femoral arteries
           of the anesthetized dog	33

21    Reduction in systolic and diastolic blood pressure following i.v.
           chlordimeform in dogs with no pretreatment, pretreatment
           with atropine, pretreatment with physostigmine, or pre-
           treatment with propranalol	34

22    Alteration in blood flow in the  dog femoral artery following
           chlordimeform administration	35

23    Effect of chlordimeform on heart rate  of dogs	36

24    Effect of isoproterenol on dog heart rate, systolic blood pressure,
           diastolic blood pressure, and musculocutaneous blood flow
           before and after  administration of chlordimeform	37

25    Effect of acetylchloline on cardiovascular responses before and
           after chlordimeform	38

26    Effect of epinephrine on cardiovascular responses before and
           after chlordimeform	39
                                   IX

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27   Effect of histamine on cardiovascular responses before and
          after chlordimeform	40

28   Effect of tyramine on cardiovascular responses before and
          after chlordimeform	41

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                                  TABLES

Number                                                              Page

   1     Effect of Preincubation of Artery Strips with Atropine,
               Methysergide, Pyribenzamine and Phentolamine
               on Demethylchlordimeform-Induced Contractions
               of Strips of Rabbit Central Ear Artery	16

   2     Effect of the Addition of Atropine, Methysergide,
               Pyribenzamine and Phentolamine on Strips of
               Rabbit Central Ear Artery Contracted with Deme-
               thylchlordimeform	17

   3     Effects of Demethylchlordimeform on Nicotine-Induced
               Efflux of Radioactivity from and Contractions
               of, the Rabbit Ear Artery	32

   4     Radioactivity of Rabbit Ear Artery Strips Incubated
               with Tritiated Norepinephrine in the Presence
               of Formamidines or Cocaine	32
                                     XI

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                          LIST OF ABBREVIATIONS
ACh      - - acetylcholine
CDF      - - chlordimeform
DCDF     - - demethylchlordimeform
MAO      - - monoamine oxidase
NE        - - norepinephrine
                                    Xll

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                              ACKNOWLEDGMENTS

     Generous supplies of several chemicals were gifts of their manufacturers.  These
were greatly appreciated, and are listed below.

     Ayerst Laboratories:   Propranolol

     Ciba Pharmaceutical Co.:    Phentolamine, pyribenzamine and reserpine

     Ciba-Geigy Agricultural Chemicals:    Chlordimeform

     Nor-Am Agricultural Products, Inc.:    Demethylchlordimeform and formetanate

     Sandoz Pharmaceuticals:  Methysergide

     The Upjohn Company:    Amitraz and U-40481

     Winthrop Laboratories:   1 -Norepinephrine
                                       xni

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                                   SECTION I

                                INTRODUCTION

     Some chemicals containing the formamidine moiety in their structure are active as
broad spectrum acaricides.  The first commercially important one was chlordimeform
(CDF).  CDF inhibits monoamine oxidase, an enzyme involved in inactivation  of  nore-
pinephrine in blood vessels as well as many other places in the body (Aziz and Knowles,
1973; Beeman and Matsumura, 1973). Although this effect does not contribute  to acute
lethality of chlordimeform  (  Robinson et al., 1975; Robinson  and Smith,  1977), it was
thought that it might affect cardiovascular "Function.

     In this study the effects of several formamides on isolated rabbit blood vessels and
anesthetized dogs have  been investigated.  The  structures of the compounds investigated
are below:
                           CH-
                 N=CH-N
                           CH3
                                                                       H
                                                             N=CH-N
                                                  CH3
Chlordimeform
            Dem ethylchlordi m ef orm
                                     CH3NHCOO
             N=CH-N.
.CH.

'H
HCI
=CH-N*
                                                               .CH
HCI
U-40481A
            Formetanate
CDF was the original formamidine investigated, and DCDF has been shown to be a meta-
bolite of CDF in vivo (Knowles and Sen Gupta, 1970). U-40481 is a metabolite of amitraz
(Knowles and Kbulston, 1973), an acaricide which currently has Section 18 approval for
use on pear trees. Formetanate is another formamidine with acaricidal activity (Knowles
and Ahmad, 1971).  These compounds are all available in forms which are sufficiently
water soluble to allow for their in vitro study.

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                                    SECTION 2

                                  CONCLUSIONS

     This study has demonstrated that formamidine  acaricides and the  formamidine
metabolites investigated have marked effects on isolated vascular muscle and on cardio-
vascular function.  These actions have been quantified.  The direct contractile activity of
some of them in isolated  arteries is  due to direct  stimulation  of  alpha-adrenergic
receptors.  They also interfere with contractions induced by norepinephrine, serotonin,
his tarn ine and potassium.  Some of them affect calcium flux,  and some interfere with
electrically-induced release of norepinephrine.

     In anesthetized dogs CDF affects both blood pressure and blood flow, but does  not
accomplish this through stimulation of the commonly known receptors.  It increases  the
vasodilation caused by some vasoactive agents.  From  the in vitro studies it is thought
that alteration in calcium availability may be involved in its actions.

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                                    SECTION 3

                               RECOMMENDATIONS

     Further study should be made of the direct cardiovascular effects of form ami dine
pesticides in intact animals.   Marked  CDF-induced cardiovascular  effects have  been
demonstrated, and other pesticides should be investigated in a similar fashion.

     The marked potentiation of vasodilation in the presence of CDF should be further
investigated.  This probably does not involve  any of  the  receptors usually involved in
vasodilation, and may well involve calcium availability.

     Effects  of   CDF  on calcium  mobilization  on  the  cellular  level  should  be
investigated.  This could  be done on  isolated mitochondria and sarcoplasmic reticulum
preparations from vascular smooth muscle.

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                                   SECTION 4

                                    METHODS

     The effects of fomamidines on the cardiovascular system were investigated in two
types of experiments.  In one type, their effects on isolated arteries were investigated.
These studies included evaluating their contractile activities on isolated arteries as well
as their activities and selectivities at blocking contractions of other vasoactive agents.
They also included  a  determination  of  their  effects  on calcium  flux,  and  on
norepinephrine (NE) release and reuptake.

     In the other type of experiment the effects of these  compounds injected into the
whole anesthetized dog were investigated. In these studies the effects on blood pressure,
heart rate, and musculo-cutaneous blood flow were observed.

     In these studies chlordimeform (CDF) was used as a prototype.  As time has per-
mitted the effects  of other foramidines have also  be  investigated.  These include U-
40481, formetanate and demethylchlordimeform (DCDF).

PROCEDURES FOR IN VITRO STUDIES IN RABBIT ARTERIES

Superfusion of Strips of Aorta Used in Chlordimeform Study

     In this study strips of whole aorta (not deadventitiated) were prepared and treated
as in Zelenski, et. al, 1978.  Male New Zealand white rabbits were sacrificed by cervical
dislocation, an
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      Responses to cumulatively added histamine were obtained on all six muscles using
concentrations of 1 to 3000 /rM. All concentrations were superfused for 2 min except for
the 1/i M solution which was applied for 5 min.  After obtaining responses to all of the
concentrations of histamine the  first time, tissues  were washed for  2 hr with normal
Ringers solution. Four  muscles were superfused for 7 min with normal Ringers solution
containing 2 x 10   g/ml of CDF.  Responses  were then obtained to the same  series of
histamine solutions  containing 2 x 10~ g/ml of CDF.  Tissues were washed withgRingers
solution for 2 hr, and the procedure described above was repeated using 3 x 10  g/ml of
CDF  in the four treated muscles.  Dose response curves were  obtained in two control
muscles each time  to verify the  stability of the responses over the experimental time
period.

      This basic procedure was also used for  NE, potassium, and serotonin with minor
modifications:  The concentration of  NE used was 10    to 10    g/ml  with the muscles
being exposed to each concentration for 4 min. CDF  concentrations used were  2 x 10
and 3 x 10~ g/ml.  The concentrations of potassium were 10 to 140 mM. The osmolarity
of the various  potassium solutions  was maintained constant by altering sodium concen-
tration of the solutions.  Muscles  were exposedJto each concentration of potassium for 6
min; the CDF concentrations used were 5 x 10  and 10~dg/ml. Serotonin concentrations
were  10     to  10  g/ml.   Muscles  were  exposed to  each concentration  for 4 min.
Concentrations used were 2 x 10  and 3 x 10   g/ml.

      The  effects of CDF on the contractions of aortic strips elicited by a single con-
centration of  each  of  the  agonists was  observed using approximately equipotent
submaximal concentrations of each agonist.  The concentrations used  were:  serotonin,
10 _g/ml;  NE,  10  g/ml; potassium, 30 m ]VI;  and histamine, 10^ M.  Superfusion with
(10~ g/ml) was begun  5 min before addition of each agonist and was continued throughout
exposure to the agonist.  Control responses to each agonist were obtained both before
and after exposure to  CDF.

      The  CDF used in these studies was  95% pure. Most of the remaining 5% would be
4-chloro-N-formyl-O-toluidine.  To determine whether the antagonism observed  could be
due to  this impurity,  studies  were done  using  the maximal concentration  of that
compound which could be present in the highest concentration of CDF used with each of
the four agonists.   These concentrations of the impurity were  without effect on con-
tractions induced by any of the agonists.

Method of Determining Contractile Activity of Rabbit Ear Artery


Strips Used in Studies  with DCDF, Formetanate, U40481A and BAAM

      In these studies, central ear artery strips were used to determine agonist activity.
The method  is as reported in Robinson and Bittle,  1979.   New Zealand White rabbits
weighing 1.5  to 2.5 kg were sacrificed by cervical dislocation. The proximal half of each
central  ear artery  was removed, cleaned, spirally-cut and divided into  four  sections
approximately equal in length.  Each strip was  tied at both ends and suspended in Ringers
solution (pH  7.4) in a temperature controlled  muscle chamber  at  38  +  0.5°  C.  The
incubation solution was as previously described.

      The  Ringers solution was aerated with 95% 02-5% COg for at least 30 min prior to
use,  and  continuously while in  the  muscle  chamber.  Tension was measured using

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isometric transducers and recorded by DMP-4A Physiographs (Narco Biosystems). Before
all experiments, strips of artery were allowed to equilibrate under 1 g tension for 60 min
with changes  of  bathing fluid every 15 min.  Repeated additions  of  a sub-maximal
concentration  of NE were made until contractions obtained were consistent. The muscle
strips were then considered to be equilibrated.

Determination of agonist activity.  Contractile effects,,on the central ear artery were
determined by the  cumulative addition of  10  to 10 R9 formamadine_£o the muscle
strips. Tension changes were stated as percent of tension generated to 10  M NE.

     Investigation of the Mode of Agonist Action of DCDF in the Central Ear Artery

     The mode of  contractile activity of DCDF  was investigated in the rabbit central
ear artery from both normal and reserpinized rabbits as reported in Robinson and Bittle,
1979.  It  was observed that DCDF had considerable agonist activity in the rabbit ear
artery.  Experiments were designed to observe the effects of an anthihistamine (pryi-
benzamine hydrochloride, J mg/ml) an antiserotonergic (methysergide,  J mg/ml), an
anticholinergic (atropine sulfate, J mg/ml),  and an alpha-adrenergic  blocking agent
(phentolamine, .001 & J mg/ml) on DCDF -  induced contractions.  In one type of experi-
j&cnt, responses to  cumulatively increasing  concentrations of DCDF were obtained,  then
DCDF was removed by several  washings.  Fifty  min later one of the antagonists was
added to the bath and the responses to cumulatively added DCDF were again observed.

     The effects of depleting  intraneuronal stores of NE on DCDF-induced contractions
were also  determined.   This  was accomplished by the intramuscular injection of 2.5
mg/kg of reserpine 72 and 24  hours prior to removing the arteries. Responses of cumu-
latively added DCDF were observed in muscle strips form reserpinized rabbits as  pre-
Triously described.  Amine depletion within the strips was verified by obtaining reduced
responses to nicotine.

Determination of Activity as Antagonists of Vasoactive Agents

      Three kinds of experiments were designed to determine antagonist activity of the
formamadines.   In one type, effects- on the concentration-response  curve to  NE,
histamine, serotonin and potassium were examined.  Responses to a cumulatively added
vasoactive agent were obtained, and then the agonist was removed by washing.  Fifty min
later a formamidine was added, and 10 min  after that responses to the same agonist were
again determined.

     In a second type of experiment, formamidine-induced effects on the response to a
single concentration of the same four agonists were observed.  In these studies, 10   M
NE,  10   M histamine, 10   M serotonin and 40m M potassium were used as agonists.  The"
response To one  of these agonists was obtained", the _drv*  was removed by multiple
washings and  80 min later one of the formamidines (10  M) was added.  After ten min
contact time,  the original agonist was re-added to the strip and the effects on the shape
of the contraction  and maximal contractile tension were observed.  In a third type of
experiment formamadine effects  on an agonist-contracted muscle strip were examined.
Concentrations of each compound were the same as in the previous study.  The response
to a single agonist  was obtained,  washed out and  elicited again 90 min later.  When the
contractile tension was maximal, the formamidine was added and the response observed.

     Reversibility  of the antagonism was  determined by recovery of control activity

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after washing out the formamidine and re-exposing the strip to the same agonist given
before the formamidine.

Determination of the Effects of Chlordimeform on Calcium Flux

Calcium efflux—-

     In these studies calcium flux was studied in deadventitiated aorta.  Methods for
CDF effects were reported in Zelenski, et al., 1978.

     In this investigation, strips were  prepared from the aorta as described previously,
and the adventitia was removed according to the method of Maxwell et al. (1968). The
deadventiated strip was then cut into two JL5-cm strips and hung at 2 g tension in 20 ml
of aerated Ringers solution.  Sufficient   Ca was added  to the incubation medium  to
make a  Ca concentration of l.S/fcCi/ml. During a 3-hr, incubation period, the Ringers
solution was continuously aerated with 95% 02-5% COo and maintained at 38 + 0.5 C.

     At the end  of 3 hr, the bath  solution was drained, and superfusion of both muscles
was started immediately with calcium-free (0-Ca) Ringers  solution (CaCl2,2.4 mM omit-
ted).   The superfusate was collected using a Buchler continuous  automatic fraction
collector Model  3T-4002 and fraction collector activator Model 3-400 8T.  The rate  of
superfusion was  2ml/min.  Samples were collected at 5-min intervals.  Muscles were
maintained under 2 g tension throughout the experiment.

     At the  end of 30  min of washing with 0-Ca Ringers solution, superfusion of one
muscle with 10  g/ml of CDF was  begun. The control muscle continued to receive 0-Ca
Ringers solution.

     After 45 min of CDF  superfusion, solutions were changed for both muscles.  The
muscle previously exposed to 0-Ca Ringer^solution containing CDF was superfused with
0-Ca Ringers solution containing CDF  (10   g/ml) and NE (10/g/ml).  The control muscle
was superfused with 0-Ca Ringers containing lOylg/ml of NE.  Samples were collected for
an additional 50 min.
                       45
     To determine the    Ca concentration  of the superfusate samples,  0.4-ml aliquots
were removed and placed in liquid scintillation mini vials containing 5 ml of Aquasol-2.
At the end of the  washout  period, muscle  strips were removed, blotted, weighed, and
dissolved in 0.2.ml of Soluene-100.  Five milliliters of Aquasol-2 was then added to each
sample. The   Ca concentration in each sample was determined using a Beckman liquid
scintillation counter (Model  LS-100).  The counting time was automatically adjusted to
obtain a  counting error of  less than  1%, and the counting rate of each  sample was
corrected for quenching.

     The mean of three calcuim efflux experiments was plotted as desaturation curves
showing the percentage of   Ca remaining  in the tissue  during the continuous super-
fusion.  (Bianchi, 1961; Weiss, 1966).   Methods for studying  effects on    Ca efflux of
DCDF, formetanate and U-40481 were similar.

Calcium uptake - -

                                              45
     Methods for studying the effects of CDF on 4cCa uptake were reported in Zelenski,
et al., 1978. The effect of CDF on the uptake of   Ca was also determined.  A deadven-

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titiated aortic strip was cut into 16 approximately equal pieces weighing 5 to 10 mg each
and incubated in aerated Ringers solution for 1 hr, then transferred to 0.1 mM calcium
Ringers solution for an additional 90 min. Each piece was gently blotted on filter paper
and  placed.Jnto a minivLal containing 4.2 ml of 0.1  mM  calcium _Ringers solution
containing   Ca, 3.33 x 10  cpm.  Eight of the vials contained CDF (10   g/ml). Control
and exposed strips were removed at 1,  2, 5, 10, 20, 40, 60, and 90 min. Upon removal,
strips were blotted on filter paper and  rinsed for 5 sec in each of four successive 20-ml
vol of a Tris buffer containing 10 mM  lanthanum, then blotted again.  (Lanthanum was
used to remove extracellular calcium and to prevent the efflux of intracellular calcium.)
The  strips were weighed and solubilized  in 0.1 ml  of  soluene, and their radioactivities
were determined as previously described.

      The significance of differences between groups  was  determined using Student's t
test for nonpaired data, with P <0.05 considered significantly different.

      Methods for studying the effect of DCDF, U-40481  and formetanate on Calcium
uptake were similar.

Initial calcium uptake on the addition of NE —

      Ten  small approximately equal sections of deadventitiated  aorta were prepared
from the thoracic aorta of a single rabbit as previously described in this report. A single
piece was placed into a tube in Ringers  solution in a shaker-heater bath for 10 minutes at
38 , then placed into another tube containing Ringers solution,   Ca,   C-mannitol, and
DCDF.   It  was removed  in 15  seconds,  lightly blotted,  weighed and prepared for
determination of the radioactive isotopes. In a single experiment, the 9 other strips were
treated in a similar  manner, with a total of 5 being  treated as described and 5 being
exposed to the same solutions without DCDF (i.e., control). One  control and one treated
strip were exposed to 15, 30, 60, 120 and 390 seconds each. Mannitol was used to enable
a differentiation of intracellular   Ca  from true intracellular uptake.  This experiment
was repeated 5 times.

      Similar experiments were done with U-40481 and formetanate using 5 or 6  rabbits
for each drug.

Determination of the Effects on Norepinephrine Release and Uptake

Electrically-induced NE release —

      The method of determining the effects of formamidines on the electrically-induced
release of NE was that described for DCDF in Robinson and Bittle, 1979. A helically cut
strip was  prepared  from the proximal 5 cm of each central ear artery as previously
described.  Strips from each ear were mounted between tw" parallel platinum electrodes
for superfusion  and transmural stimulation  as previously described (Su and Bevan, 1970;
Bevan et al., 1972), in temperature controlled organ baths (38 ) at 1 g tension. The strips
were incubated for 60 min in aerated Ringers solution  containing .5  Ci/ml of 1 -7-  H-
NE (specific activity  15 Ci/mmol).  The  baths were then drained and the strips superfused
with Ringers solution containing 10   M NE for 2.5 min. Superfusion was continued with
Ringers solution, or Ringers solution containing DCDF  throughout  the  experiment.
Stimulation periods were four min in length with 20 min between them. When the effects
of 10   M DCDF were to be observed, it was added to the superfusate 8  min before
electricaT~stimulation and maintained in the superfusate for the duration of electrical

-------
stimulation.   The superfusate was  collected at 4  min intervals  and an aliquot was
removed for radioactivity determination by scintillation spectrometry.  Radioactivity at
each time period was expressed as percent of the radioactive efflux during the experi-
ment starting  with  the third collection period through  the end of  the  experiment
(lOOmin).  Eight strips from 4 rabbits were used in the study.

     Similar studies were done with U-40481 and formetanate using 5 and 6 rabbits.

Nicotine induced release of NE —

     Effects of DCDF on nicotine-induced NE release were described in Robinson and
Bittle, 1979.  Effects of DCDF on nicotine-induced  contractions were studied in an
experiment similar to the above except that nicotine was added to the superfusate for
2.5 min every 30  min, timed so  that nicotine addition and collection of a 4 min sample
would begin simultaneously.  Maximal tension generated by the NE  released by nicotine
was calculated as a percent of the contraction to 10   M NE.

Effects on Uptake of NE —
                                               3
     Effect of the formamidines on the uptake of -H-NE were determined in the rabbit
central  ear  artery.   Both ear arteries were removed and cut into  4 segments each as
previously described in this report. They were allowed to equilibrate for 1 hour at room
temperature and  transferred to  a shaker-heater bath for an additional 30 min.  At the
time  of transferring  the  strips  to  the shaker-heater  bath,  either  CDF,  DCDF,
formetanate, cocaine, or U-40481 was added to the strip, or an equal  volumegof water
(10  1) as a control. After 30 min of  incubation with the various chemicals, 10   M 1- H-
NE was  added to the bath and 60 min later  the  strips  were  removed, rinsed in  3
consecutive baths and placed into freshly aerated Ringers solution and allowed to remain
there 30  min.   The  strips  were then  removed, blotted,  weighed and prepared for
redioactivity determination as previously described.

PROCEDURES FOR IN VIVO STUDIES IN THE ANESTHETIZED DOG

     Mongrel  dogs of either sex weighing between 14 and 23 kg were used.  All dogs
were vaccinated against canine distemper and infectious canine hepatitis, were free from
internal  and  external  parasites,  and  had  normal  hematocrit  values.   Dogs were
anesthetized with 30 mg/kg pentobarbital i.v.  and were given supplements as  needed
throughout the experiment.   Heparin  sodium was  administered  i.v.  to prevent blood
clotting.  Animals that  were to receive physostigmine were intubated  with  an endo-
tracheal tube attached to an animal pump respirator (Harvard Apparatus).

     The right cephalic vein and left femoral artery were cannulated for drug injections
and for blood pressure recording, respectively, and the right femoral artery was exposed
and a blood flow transducer placed around it.  Musculo-cutaneous blood flow to the right
hind limb, blood pressure  and  heart  rate  were constantly  recorded  throughout  the
experiment.

     Experiments were designed to study the effects of  CDF on the  cardiovascular
system of the dog, and to determine whether certain  compounds would modify the re-
sponses to CDF.   These  compounds were the beta  adrenergic receptor blocking drug
propranolol, .5 mg/kg, the muscarinic receptor blocking drug atropine, 2 mg/kg, and the
cholinesterase inhibitor physostigmine, 0.5 mg/kg.  Appropriate test drugs  were given

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                                  SECTION 6

                                   RESULTS

EFFECTS OF FORMAMIDINES ON RABBIT ARTERIES IN VITRO

Direct Agonist (Contractile) Activity

     DCDF, Formetanate  and U-40481 (but not CDF) all caused contractions of the
rabbit ear artery.
       O
       CO
       X
       <
100

 90

 80

 70

 60

 50

 40

 30

 20

 10

  0
               lO'10   10'9
                   10"8   10'7     10"    10

                      CONCENTRATION (M)
10
  -3
Fig. 1.  Effect of norepinephrine ( O ) or demethylchlordimeform ( 0 ) on the contrac-
tile tension of strips of rabbit central ear artery. Each value represents the Mean + SEM
of 26 or 28 observations.  (From Robinson and Bittle, 1979).
                                      12

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DCDF- -

     Effects of DCDF  as  an agonist  were reported  in  Robinson  and Bittle,  1979.
Cumulatively added DCDF increased contractile  tension of strips of  rabbit central ear
artery  in  concentrations  from  10   to  10   M  (Fig 1).  Maximal tension was usually
observed at 10   IM with the  addition  of  higher concentrations often  resulting  in a
decrease in contractile tension.  Concentrations of 10   M or higher  almost always
relaxed  the muscle strips to below  resting tension.   Maximal  tension generated in
response to DCDF was 39% of the maximal NE corjlraction.  The EC^ for contracting
the strips was 4 x 10  M for DCDF compared to 10  _M for NE.

Formetanate and U-40481- -

     Effects of Formetanate and U-40481 as an agonist are reported together. (Robin-
son, 1979).

     Low  concentrations of both  formamidines  increased contractile tension of ear
artery  strips  and high  concentrations decreased  their  tension (Fig.  2, 3).   U-40481
                                   U-40481   FORMETANTATE
                                   5  min
                                                                         ~5
Fig.  2.  Contractile response of the rabbit central ear artery in response to 10~  M
norepinephrine (NE), 10~  M_ formetanate (Form.), and 10  M U40481.                ~~
(From Robinson 1979).
                                      13

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achieved a maximal contractile tension of 49 + 6% of the maximal tension to 10   M NE.
Formetanate was less potent, achieving a maximal tension of 22 + 8% that of NE.  U-
40481 elicited itsinaximal  contraction at 10~  M,  while  that  of  formetanate was
obtained with  10    M.   In concentrations  higner  than those  eliciting  maximal
contractions, both compounds partially relaxed the strips from the maximal contraction
achieved.
              o
              I—
              o
              cr
              O
              o
              x
              <
                                                 -4   -3   -2
                                                               M
                                CONCENTRATION
 Fig. 3.  Effect of NE (A ) U-40481 (O ) or formetanate (0 ) on the contractile tension
 of strips of rabbit central ear artery. Each value represents the Mean + SEM of 6 obser-
 vations.
 (From Robinson, 1979).
                                      14

-------
             LU
             z
             z
             o
             X
             <
100

 90

 80

 70

 60

 50

 40

 30

 20

 10
                   10'
                                    .-o
                           -7
10^     10"    10'      10"   10

   CONCENTRATION OF DCDF (M)
-5
                                                                 10'
Fig. 4.  Effect on the contractile tension of strips of rabbit central ear artery of deme-
thylchlordimeform alone ( O ) and in strips pretreated with phentolamine. .001 mg/ml
( 0 ) or .1 mg/ml ( A ). Each value is the Mean + SEM from 5 or 7 observations.
(From Robinson and Bittle, 1979).
                                      15

-------
Mechanism of the Direct Agonist Activity

Use of Selective Blocking Drugs- -

DCDF--

     Specific receptor blocking drugs were used to investigate the nature of the DCDF-
induced contractions as reported in  Robinson and Bittle (1979).  The prior addition of
either atropine,  methysergide or pyribenzamine did not affect  the  contractions, but
phentolamine greatly reduced them (Table 1).  To observe the effects of phentolamine
                                   TABLE 1

  EFFECT OF PREINCUBATION OF ARTERY STRIPS WITH ATROPINE, METHYSER-
  GIDE,PYRIBENZAMINE AND PHENTOLAMINE ONT DjEMETHYLCHLORDIMEFpRM-
      INDUCED CONTRACTIONS OF STRIPS OF RABBIT CENTRAL EAR ARTERY

                                   CONTRACTILE TENSION (g) TO
                                10~& M DEMETHYLCHLORDIMEFORM
ANTAGONIST                CONTROL             WITH ANTAGONIST   (n)
                           MEAN + SEM               MEAN + SEM
ATROPINE, .Img/ml
METHYSERGIDE, .Img/ml
PYRIBENZAMINE, .Img/ml
PHENTOLAMINE, .Img/ml
.27 + .08
.21 + .09
.31 + .07
.27 + .03
.27 + .08
.22 +.07
.28 + .09
.02 + .01
(6)
(8)
(5)
(5)
 on DCDF-induced  contractions  more  fully,  the effects of two concentrations of
 phentolamine on  concentration response curves to DCDF were  determined.  In these
 experiments, .001 mg/ml phentolamine shifted the concentration response curve to the
 right, while .1 mg/ml phentolamine almost abolished DCDF-induced contractions (Fig. 2).
 The effect of phentolamine on the contraction  induced by a single concentration of
 DCDF (10   M) was observed (Fig. 5a) Incubation with .001 mg/ml phentolamine reduced
 the contraction toadded DCDF  (Fig. 5b) and with .1 mg/ml phentolamine abolished the
 contraction to  added DCDF (Fig.  5c).   In strips' contracted with 10   M DCDF, the
 addition of .001 mg/ml phentolamine partially  relaxed the strips and .1 mg/ml  almost
 abolished induced tension within the strip (Fig. 5B).  Neither atropine, methysergide, nor
 pyribenzamine reduced contractile tension of strips contracted with DCDF (Table 2).
                                      16

-------
       .8
    ^  4
    to
            DCDF
       .61-
    .2°  .4
    z
    o
    C/5
    z  ,
                                Ph      DCDF
                             .0001 mg/ml
            Ph      DCDF
          .01 mg/ml
               Ph (.0001 mg/ml)
                       Ph (.01 mg/mi;
            DCDF
Tig. 5.A.  Contraction of a strip of rabbit central ear artery caused by addition of 10  M_
demethylchlordimeform before (a) and after phentolamine, .001 mg/ml (b) and phentola-
mine, .1 mg/ml (c).  B. Effect of phentolamine, .0_Q1 mg/ml and .1 mg/ml on tension of
rabbit  central ear artery strip contracted with 10   M demethylchlordimeform.  (From
Robinson and Bittle, 1979).                        ~~
                                   TABLE 2
EFFECT 'OF THE ADDITION "OF
                                                            MENZAMINE AND
   PHENTOLAMINE ON STRIPS OF RABBIT  fiNTRAL EAR ARTERY CONTRAC
                        WITH DEMETHYLCHLORDIMEFORM

                                , CONTRACTILE TENSION (g) TO
                             10 ° M DEMETHYLCHLORDIMEFORM
ANTAGONIST
                           CONTROL
                          MEAN +SEM
AFTER ANTAGONIST
    MEAN + SEM
(n)
ATROPINE, .lmg/ml
METHYSERGIDE, .lmg/ml
PYRIBENZAMINE, .lmg/ml
PHENTOLAMINE, .OOlmg/ml
PHENTOLAMINE, .lmg/ml
.40 + .04
.29 + .03
.26 + .05
.39 + .02
.39 + .02
.40 + .04
.29 + .03
.25 + .05
.30 + .10
.00 + .00
(7)
(5)
(5)
(12)
(12)
                                      17

-------
Formetanate and U-40481- -
     Antagonism by phentolamine of contractions caused by formetanate and U-40481
are in Robinson, 1979.  Phentolamine reduced contractions to both U-40481 (Fig 6A) and
formetanate (Fig 6B). On the sam£ strips 3 x 10   M[ phentolamine reduced contractions
to 10  M NE to 1 + .8% and to 10~5 M NE to 42 + 8% of their control values.  Thus   the
contractile effects seem to be cause? by alpha-adrenergic-receptor stimulation.
                                                                  B
  H-
  O
  O
  o
  X
20 -


15 -


10 -


 5 -


 0
                                                                 ITIII
            10-9 -8 -7  -6 -5 -4  -3 -2 M
  10-9 -8 -7 -6 -5 -4 -3 -2!M
                   U-40481
      FORMETANATE
Fig. 6.  Contractile tension of rabbit central ear artery strips to U-40481 (A) and former
tanate (B) before ( £ ) and during contact with phentolamine 10   RI (  • ) and 3 x 10
M ( D  ).  Each value represents the Mean + SEM of 8 observations.  (From Robinson,
T979).

Use of Reserpinized Rabbits - -

      Reserpinized rabbits were used to investigate the mechanism of the agonist action
of DCDF as reported in Robinson and Bittle, 1979.

      Rabbits that had received reserpine injections were less active than normal. De-
pletion of intraneuronal  NE stores within the muscle strips was demonstrated  by  a
marked reduction in responsiveness of the strips to 2 mg/ml of tyramine. The sensitivity
of the central ear artery to DCDF was not reduced in arteries from reserpinized rabbits
(Fig. 7).  Thus contractions caused by DCDF are not dependent on NE stores.
                                       18

-------
            e
            4
            I
            K
            I
            M
                                             COHC. (M)

Fig. 7.   Responses to demethylchlordimeform of rabbit central ear artery strips from
control ( O ) and reserpinized rabbits ( Q  ). Each value is the Mean + SEM from 6 or 7
observations. (From Robinson and Bittle, 1979).

Activity at Antagonizing Contractions Elicited by Vasoactive Agents

CDF--

     Effects of CDF  on contractions elicited  by vasoactive  agents were reported in
Zelenski  et aL (1978).  Figure 8 shows the effects of two concentrations of CDF on log
concentraHon-response curves obtained with serotonin (Fig. 8A), NE (Fig. 8B), potassium
(Fig. 8C), and histamine (Fig. 8D). CDF caused a parallel shift to the right in the NE  and
serotonin concentration-response_
-------
curves were not achieved in the presence of CDF.  However, there was   no   indication
that the  tension  in these  muscles had reached a  plateau.   Potassium  and histamine
concentration-response curves were not shifted to the right in a parallel fashion.  After
treatment with CDF, maximal responses compared to control muscles were unattainable,
although maximal muscle tension in the  presence of CDF had been achieved.
                    IOO
                  UJ
                  §  80

                  |  60

                  |  40

                  1  20
                     100

                     80
                   UJ
                   K  6O
                   i  4O

                   2  20
                   3?
                                                    B
                       10 '
                            -8    -6

                         CONCENTRATION OF
                          SEROTONIN (g/ml)
                        10   2O   40  80 I4O

                           CONCENTRATION  OF
                                                                -4
                                                    CONCENTRATION OF
                                                      NE (g/ml)
                                                    3  10  3O I02
                                                    CONCENTRATION OF
                                                     HISTAMINE
Fig. 8.  Effect of CDF on contractions of rabbit aortic strips induced by serotonin (A),
norepinephrine (B), potassium  (C), on histamine (D).  .Control response (_n£ ) and in the
presence of chlordimeform: 5 x 10  g/ml ( A  ), 10  g/ml ( Q ), 2 x 10  g/ml ( A ), or
        g/ml ( • ). (From Zelenski, et al., 1978)
3 x 10  -
                                         20

-------
      The effects of CDF on contractions elicited by each of the agonists may be seen in
Fig. 9.  In each case, CDF caused a decrease in both the maximal tension generated and
in the rate of  tension development by the muscle strips.  The slowed rate of tension
development in the presence of CDF resulted in a change in the single tension peak in the
control serotonin contraction into a double-peaked response in each of six muscles (Fig.
9A).  This same effect of CDF on the shape of the response was  also seen  in some but
not all of the responses to NE (Fig. 9B). A single-peaked response  after exposure to CDF
was observed in both potassium-and histamine-induced contractions (Figs. 9C and 9D).
                   9
                  CM
                       SEROTONIN 10"* g/ml
          CDF I x 10'g/ml

             SEROTONIN K)~6g/ml
                       NE KTg/ml
                                            CDF Ixl0~3g/ml


                                               NE I0"7g/ml
                        K* 30 mM
         CDF Ixl0*g/ml

            K* 30 mM
                                                        5min
                         HISTAMINE
CDF I x 10"* g/ml

   HISTAMINE  10 mM
Fig. 9. Isometric recordings of the effect of  CDF on responses of  aortic strips  to
agonists.  Drugs  perfused during periods indicated ( i—I ); at other times perfused with
physiological solution only.
                                        21

-------
     The addition of chlordimeform to muscle strips contracted by cumulatively added
agonists resulted in a decrease in contractile tension in each case (Fig. 10).  The initial
decrease in tension  was more rapid than that observed when  the agonist was removed in
the absence of CDF.   Tension  continued to decrease to almost baseline in muscles
contracted  by serotonin (Fig.  10A), potassium (Fig.  IOC), and  histamine (Fig.  10D).
However, in the presence  of NE (Fig. 10B), muscles  relaxed an average  of only 48%
(range,  41-61%) within the 2-hr  observation period.
                  '3xlO~3 g/ml CDF. SEROTONIN
                  MAINTAINED
 '3xlO~3 g/ml CDF,
 NOREPINEPHRINE MAINTAINED
            (b)
                            POTASSIUM REMOVED
                                      7n*i
                         f   ^
                          IO"3 g/ml CDF,
                         POTASSIUM MAINTAINED
                                                                      7min
3xK>~3 g/ml CDF,
HISTAMINE MAINTAINED
Fig. 10. Isometric recordings of the effect of CDF on rabbit aortic strips contracted by
exposure to cumulatively  increasing  concentrations of agonist.  Drugs and final con-
centration of  agonist  are  as follows:  (A) serotonin,  10  g/ml; (B) norepinephrine, 10
  g/ml;  (C) potassium, 140 mM; and (D) histamine, 3 AM. Upper tracings show relaxation
on removal  of agonist (arrow);  lower, relaxation  on addition of CDF, 3 x 10  g/ml,
(arrow) without removing agonist. (From Zelenski et al, 1978).
                                          22

-------
 DCDF--

      Effects of DCDF  on contractions elicited by vasoactive agents were reported in
 Robinson and Bittle (1979).

      In experiments  in  which muscle  strips were  pre-incubated  with 10   M DCDF
 before  the cumulative addition of agonist, there was a reduction in  contractions induced
 by NE (Fig. 11 A) and to a lesser extent to those induced by potassium (Fig. 11B). Sero-
 tonin-induced contractions were not altered by this low concentration of DCDF  (Fig.
 11C), and contractions to low concentrations of histamine were potentiated (Fig. 11D).
                  100
              I
                                 -7
&M  10   20   4O 60 1OO  ZOOmM
              s
              a
              o
              o

              i
                  M



                  40


                  20
  100
                       -7
                              -B   -4   -S  -2M  io-«
                                            20
                                  CONCENTIATION OF AOOHIST
Fig. 11.  Responses of strips of rabbit central ear artery to norepinephnne (a), potassium
(b), serotonin (c) and  histamine (d) with ( Q ) and without ( 9 ) 10   M  DCDF. Each
value is the Mean + SEM from 6-14 observations.  (From  Robinson and Bitfle, 1979).
                                       23

-------
Formetanate and U-40481- -

     Effects  of  formetanate  and U-40481 on  agonist-induced  contractions are  from
Robinson (1979).  10  M_ formetanate had little effect oncontractions elicited by any of
the vasoactive agents  (Fig. 12).  With lower  concentrations of  NE  there  was  some
depression of contractile responses (Fig. 12A).   With lower concentrations of histamine
(Fig. 12B) and through much of the curve to serotonin (Fig. 12C),  contractile tension was
higher than control levels.  The  concentration  response  curve to  potassium was  little
affected by formetanate (Fig. 12D). 10~ Rl U-40481 had much more marked effects on
responses to three of the agonists.
                o
                Q-
                C/3
                                                               2 M
                          NOREPINEPHRINE
                                                       HISTAMINE
                ts>
                z
                o
                Q-
                tr
                	i
                <
                5
                x
                S
                      10 6
                                                  10
I   1 I   I IT
20 3040 6080100mM
                            SEROTONIN
                                                       POTASSIUM
Fig. 12.  Contractile tension of rabbit central ear artery strips induced by norepiner
phrine, histamine, serotonin, or potassium in the absence (  Q) or presence ( £ ) of 10
M formetanate.  Each value  represents the Mean + SEM from 5-8 observations.  (From
Robinson, 1979).
                                        24

-------
      Responses to NE (Fig. 13A), histamine (Fig. 13B), and serotonin (Fig. 13C) were all
markedly depressed by U-40481. Effects on potassium contractions were much less, with
lower concentrations eliciting somewhat higher contractions in the presence of U-40481,
and higher concentrations eliciting slightly depressed responses (Fig. 13D).
10-9   -8   -7  -6   5 M


    NOREPINEPHRINE
                                                              2 M
                                                     HISTAMINE
              o
              a.
              CO
                          SEROTONIN
                                \  I  I  I  I T
                           10  20 3040 eOSOlOOmU


                                POTASSIUM
Fig. 13.   Contractile  tension of rabbit central ear artery strips induced by norepine?
phrine, histamine, serotonin, or potassium in the absence ( Q ) or presence ( % ) of 10
M U-40481.   Each value represents the Mean + SEM from  6-10 observations.  (From
Robinson, 1979).
     The addition of U-40481 to strips contracted by 10   M NE caused a rapid reduction
(Fig. 14A, center) of 68 + 20% of muscle tension. On serotonin-contracted strips there
was a rapid reduction (Fig.ISC, center) in tension almost to baseline (97 + 37%).  Hista-
mine-contracted strips were also rapidly affected, but were reduced only~31 + 6% (Fig.l4B
center).  Potassium contractures were sometimes slightly but slowly reducedT The mean
effect was a reduction of 19 + 10% in tension.
                                        25

-------
              A.
  T         r~
  \ QD      I
  r   J
                          NE
              B
            r—.
  TM
.  r  J       -
           4.        *
                          H
                    00
                    Lf>
              c.  1
              0.1
                                                     Adj.  S
                         U
     DO
         4      4
         K+      K+
                                               U    Adj.  K+
                                               5 min
Fig. 14.  Contractile tension of rabbit central ear artery strips to 10   M norepinephrine
(A), 10"  M histamine (B), 10   M_ serotonin (C), or 40 mM potassium (SJ and the effect
of 10   MTr-40481 on the contractile tension. Left, control contraction. Center, effect
of U-40481 added to contracted  strip.   Right,  effect  of  presence of U-40481 on
contractions to added agonist.  Tension adjusted to  baseline at Adj. during contact to U-
40481 before exposure to agonist.(From Robinson, 1979).
                                        26

-------
      Preincubation of U-40481 with muscle strips greatly diminished responses obtained
to added NE (Fig. 14A, right), serotonin (Fig. 14C, right), and to a lesser extent histamine
(Fig.  14B, right). Total tension induced in strips by potassium in the presence of U-40481
was not always  depressed  but  the  normally biphasic responses were  separated more
clearly into two components (Fig. 14D, right) by a slowing of the second phase.

Effects of Formamidines on Calcium Flux

Calcium Efflux

      Effects of CDF on the efflux of 45Ca was reported in Zelenski, et aL, 1978.
      Figure 15
containing NE,
control muscles
70-min washout
NE (10^ g/ml)
The  projected
extrapolated.
 illustrates the   " Ca efflux  rates during superfusion with 0-Ca media
CDF, or a combination of both.  The upper desaturation curve is from
.  The first part depicts a normal rate of calcium efflux during an initial
 with the 0-Ca medium.  The latter part of the control curv.e  shows that
when added to the superfusate caused a slight decline in  Ca release.
slope  of a normal washout curve with 0-Ca  Ringers solution was
100
lil ^^
35
co 70
i—
\ *°
z 4O

| 30
*
o
0 on
D 2O
fr
IO
r 100
- 90
O 70
°0 60
°0 NE,IOug/ml 50
O i **vx
O I
°0 1 40
O A W
o •
x O
^x. O
x o
xx O
XX0 o 20
xv

.
• O Chlordimeform, K)"3 g/ml
- °°o|
°^ ChJordimeform,IO"3g/ml
^x NE, lOug/ml
°oX 1
O J.
O If
°°0
V " O ft A
x ^^ O
x"»
x
.

i i . t i i • i . i • i 1 1 • 1 1 i . i . i
              20   4O    60   80
                      TIME (min)

                           45.
                     100
20   40   GO    80
         TIME (min )
IOO
Fig. 15.  Effects of CDF on 45Ca efflux from media-intima rabbit aortic strips.  Strips
were incubated for 3 hr with   Ca prior to perfusion with calcium-free Ringers solution.
Arrows indicate the addition  to the perfusate  of  (A) norepinephrine, ID  ^ g/ml; (B)
Chlordimeform, 10~ g/ml; or (C) norepinephrine, 10>^g/ml plus CDF, 10~3g/ml.  (From
Zelenski et aL, 1978)

                                       45
     CDF produced an initial increase in   Ca efflux which was maintained for approxi-
mately 25  min before a gradual  decrease in efflux was observed.   The rate of   Ca
washout at this time was approximately that of the control washout curve.  Addition of
NE (10/rg/ml) to the Ringers-chlordimeform solution resulted in an immediate decrease
in calcium  efflux  from the tissue.  This change was even more  pronounced than that
observed when NE was added to the muscle strips in the absence of CDF.
                                       27

-------
Calcium Uptake
                                    45
     Effects of CDF on the uptake of ™Ca by deadventitiated aorta strips was reported
in Zelenski et al., 1978. CDF did not affect either the rate of   Ca uptake or the total
uptake at 9(TrnTn in deadventitiated muscle strips (Fig. 16).
                        0 5 10  20
40
TIME (min)
Fig. 16.  Uptake of   Ca bv media-intimal strips of rabbit aorta in the presence ( • ) or
absence ( • ) of CDF, 10  g/ml. Each value represents the mean + SEM of observations
of  strips  from five or six rabbits.  Values compared at  each time interval were not
significantly different (P  0.05).  (From Zelenski et al., 1978).
Initial Calcium Uptake on the Addition of Norepinephrine
                                                                              45,
      Results of the effects  of DCDF, formetanate and U-40481  on the initial ""Ca
 uptake upon  addition of NE are  presented  in  Robinson and  Pento, 1979.    Neither
 compound altered   Ca uptake significantly (Fig. 17).
                                         28

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                                    TIME (MIN.)
                  45
Fig. 17. Uptake of  Ca in the absence ( Q ) and presence ( £ ) of U-40481 (A), DCDF

(B), and f ormetanate (C). (From Robinson and Pento, 1979).
                                      29

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Activity at Altering Norepinephrine Release From Sympathetic Nerves by Nerve Stimu-
lation

DCDF- -
                                                                          3
     The effects of DCDF on electrically-induced release of radioactivity from  H-NE
loaded central ear arteries is described in Robinson and Bittle, 1979. In the experiments
in which helically cut strips from the central ear artery were mounted between parallel
platinum electrodes and superfused with Ringers solution, the addition of DCDF did not
alter (P>.05) the efflux of tritiated NE fromthe strips (Fig. 18). Transmural stimulation
causes an  increased  release  of radioactivity  which decreases  with each succeeding
stimulation period.  Prior and concurrent exposure to DCDF did not block the increased
tritiated outflow from the muscle strips caused by transmural stimulation (Fig. 18).
                40
                 35
                 30
              •   25
              o   20
              o
              o
              Of
                 15
                 10
                       I
                            tmd
TT-r
"hhr-n-Tl-n
                        TS
                                     TS
                                                  TS
                                                              TS
                                  DCDF
                                                          DCDF
Fig. 18.   Radioactivity in four-minute fractions of superfusate from  H-norepinephrine
loaded rabbit  central ear artery, as a percent  of total radioactive efflux after initial
eight minute washout.  Transmural stimulation (TS) and demethylchlordimeform (DCDF)
where indicated (— ).  From Robinson and Bittle, 1979.
                                       30

-------
 Formetanate and U-40481- -

      The effects of formetanate and U-40481 on electrically-induced release of radio-
 activity from H-NE loaded central ear arteries is reported in Robinson, 1979.  Control
 muscle strips pre-loaded with  H-NE,  and transmurally stimulated had a  progressive
 decrease in the  radioactivity  released during  each of the four stimulation periods (Fig.
 19A). The control strips and those treated with U-40481 were from the same rabbits, and
 both data were obtained simultaneously.

 Neither formamidine altered the resting rate of radioactivity washout (Fig. 19B, C), but
 both depressed  the stimulation-induced radioactive efflux.  This depression of elec-
 trically-induced  release was still present in the formetanate exposed strip on the second
 control response, despite three or more  washes and a 20 min resting period (Fig. 19).
2  10 -
I
                          I
                               10-
                     Vrr
S
                                    TrrlriTrr
rnrnn
                                                              1
              TNS     TNS
                                   TNS    TNS    TNS    TNS

                                       U 40481         U 40481
                                                              TNS     TNS
                                                                          TNS
Fig. 19.  Radioactivity in four-minute fractions of superfusate from 3H-NE loaded rabbit
central ear artery as  a percent of total radioactive efflux after initial eight  minute
washout.  Transmural stimulation (TNS) and U-40481 (in B) or formetanate (Form.) (in C)
where indicated ( — ).  Each value represents the Mean + SEM of either 5 or 6 observa-
tions. From Robinson,  1979.
                                        31

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Activity at Altering Nicotine-Induced Release of Norepinephrine
                                                   3
     Effects of DCDF on nicotine induced release of  H-NE was reported in Robinson
and Bit tie, 1979.  In the experiments in which nicotine was added to the superfusate, the
increase  in tritiated efflux  was not  reduced, (Table 3),  while  the nicotine-induced
contractions were abolished.   Thus,  from the   H-NE experiments it  was learned that
DCDF does not alter the rate of release of NE either in the absence of releasing stimuli,
or during electrical or nicotine-stimulation.

                                     TABLE 3

      EFFECTS OF DEMETHYLCHLORDIMEFpRM ON NICOTINE INDUCED
           EFFLUX OF RADIOACTIVITY FROM AND CONTRACTIONS
                       OF, THE RABBIT EAR  ARTERT

                                    %Increase in                 Contraction to
                                 Radioactive Efflux                 Nicotine
                                     Mean + S.E.  (n)              Mean + S.E.  (n)

Nicotine,  10"5 M                       50.5 + 19.1  (9)               16.1 + 3.9  (10)
Nicotine  + DCD~F,                     49.8 + 34.9  (7)                  .0 f .0  (7)
                          Q
a. Incubated for 60 min, in H-NE before,-beginmng superfusion.
b. As a percent of the contraction to 10  ]VI NE.

Activity at Altering the Uptake of Norepinephrine

      None of the formamidines tested significantly altered uptake of radioactivity by
strips of rabbit central ear artery  (Table 4).

                                     TABLE 4

   RADIOACTIVITY OF RABBIT EAR ARTERY STRIPS INCUBATED WITH TRITIATED
               NOREPINEPHRINE IN THE PRESENCE OF
                    FORMAMIDINES OR COCAINE

Chemical                                              Uptake as Percent  of
                                                       Control Uptake
                                                       Mean + SE       (n)
Chlordimeform, 10 M _5
Demethylchlordmeform, 10 M
FormetanateJ.0 M
U-40481, 10^4 M
Cocaine, 10 M
93 + 19
83 + 28
98 + 24
103 + 31
32 + 11
(6)
(5)
(6)
(6)
(6)
                                                           -8     3
 9.  Incubated for 30 minutes with chemicals, then 60 min with 10   M 1- H-norepine-
 phrine.
                                        32

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EFFECTS OF CHLORDIMEFORM ON CARDIOVASCULAR RESPONSES OF THE DOG

     Chlordimeform caused several dose related effects on the cardiovascular system.
These include a fall in diastolic  pressure (Fig. 20, 21A), a fall in systolic pressure (Fig.
20, 21B), an initial decrease (Fig. 20, 22A) followed by an increase in musculo^cutaneous
blood flow (Fig. 20, 22B), and, in the highest dose, an increased heart rate (Fig. 23).  The
mean time to the maximal decrease in blood pressure following CDF injection for all
doses of CDF taken together was 26 + 2.1 sec. The mean time from the injection to the
maximal initial decrease in blood pressure was 27 + 2.0 sec.  Thus the initial decrease in
blood flow seems to be related to the initial fall in blood pressure.
   35
         m
  1/min.
                                  10 sec.
                                                            8.5 min. later
  180
  140
  100
   60
   20'
mmHg
Fig. 20.  Effect of 10 mg/kg chlordimeform administered 10 sec. before start of tracing
on blood flow (upper tracing) and blood pressure (lower tracing) recorded from femoral
arteries of the anesthetized dog.  (From Robinson et al., 1979).
                                       33

-------
                                Chlordimeform Doselmg/kg)
Fig. 21.   Reduction in systolic (A) and diastolic (B) blood pressure following i.v. chlor-
dimeform in dogs with no pretreatment (   D  ), pretreatment with 2 mg/kg atropine
( A ),.5  mg/kg physostigmine ( Q ) or with 15 mg/kg propranolol (  • ).  Each value is
the mean + SEM of observations from 5 dogs. (From Robinson et al., 1979).
                                         34

-------
                                Chlordimeform (mg/Kg)
Fig. 22.  Initial decrease (A) and subsequent increase (B) in blood flow in the dog femoral
artery following chlordimeform.  Symbols same as in Fig. 21.  Each value is the mean +
SEM of observations from 5 dogs.  (From Robinson et al., 1979).
                                        35

-------
                      o
                      z
                      <
                      X
                      u

                      Z
                      III
                      u
                      oc
                         oT
                            Chlordimcform Dose(mg/kg)
Fig. 23.  Effect of chlordimeform on dog heart rate. Symbols same as in Fig. 21. Each
Value is the mean + SEM of observations from 5 dogs. (From Robinson et al., 1979).

     The maximal increase in blood flow occurred 42 + 1.9 sec. after injection of CDF
and was after blood pressure had only recovered slightly (Fig.20).

     Propranolol,  the beta-adrenergic receptor blocking agent, was one of two receptor-
blocking drugs  used to investigate the mechanism  of  the CDF-induced cardiovascular
responses.   Propranolol did  not  significantly reduce the CDF-induced  fall  in blood
pressure at any point, and at one point the decrease in diastolic blood  pressure was even
                                        36

-------
greater in propranolol-treated dogs (Fig. 21). Propranolol reduced the initial decrease in
blood flow at only the two highest CDF-doses, and did not reduce the secondary increase
in blood flow (Fig. 22) nor affect CDF-induced alterations of heart rate (Fig. 23).

     The muscarinic blocking drug atropine did not significantly affect CDF alterations
of blood pressure (Fig. 21).  At only one CDF-dose did it reduce the initial decrease in
blood flow, and at only one dose did  it reduce the secondary increase in blood flow (Fig.
22).  It did not affect  the small changes in heart rate which were caused only by higher
doses of CDF (Fig.23).
              200T
               -80J-
                      H.R.
                  tnitid

SYS.   DIA.    Bkxxi  Flow
Fig. 24.  Effect of 1/fg/kg isoproterenol on dog heart rate (H.R.), systolic blood pressure
(Sys.), diastolic blood pressure (Dias.) and musculocutaneous blood flow before ( D ) and
after (  •  ) administration of 20.8 mg/kg of  chlordimeform.  Bar represents mean
percent change + SEM from 3 dogs.  (From Robinson et aL, 1979)

     The cholinesterase  inhibitor  physostigmine-treated  dogs  showed greater CDF-
induced effects  on both blood pressure and blood flow.  At several CDF doses, falls in
systolic blood pressure (Fig.21A), diastolic blood pressure (Fig. 21B), and initial blood
flow (Fig. 22A)  and  the increase in secondary blood  flow (Fig.  22B)  were all larger in
these dogs that  had received physostigmine.  Physostigmine treatment caused a signifi-
cantly faster heart rate following CDF treatment than was observed in control dogs.
                                       37

-------
     Isoproterenol increased heart rate, decreased both  systolic  and diastolic blood
pressure,  slightly  decreased initial  blood flow in the  femoral artery and  markedly
enhanced  the subsequent increase  in blood flow (Fig. 24).  Chlordimeform altered only
the increase in blood flow, increasing it from a 68% increase in control dogs, to a 157%
increase in CDF-treated dogs.

     The  effects of ACh on blood flow were qualitatively  similar to those of isoprote-
renol (Fig. 25).  CDF effects on ACh responses also resembled those  isoproterenol re-
sponses, i.e.  with a  significant effect only on the  secondary increase  in  blood flow.
Acetylcholine increased blood flow by 23% in control dogs and by 43% in CDF-treated
dogs.
                 100-r
              UJ
-60 J-
                                                   Initial  Subsequent

                          H.R.   SYS.    DIA.   Blood  Flow
Fig. 25.  Effect of .4,//g/kg acetylcholine on cardiovascular responses before and after
20.8 mg/kg chlordimeform.  Symbols, etc. as in Fig. 25. (From Robinson et al., 1979).
                                        38

-------
     Administered alone in a dose of 0.4 Xf g/kg,  ACh caused a slight slowing of the
heart, a fall in blood pressure, and a  decrease in blood flow in the femoral artery (Fig.
26).   After  CDF the  decreases in  blood flow  and systolic blood  pressure  were
significantly different whereas heart rate and diastolic pressure were not.

     Responses to epinephrine included increased  blood pressure, a brief decrease in
blood flow, and a secondary increase in blood flow (Fig. 26), all of which were unaffected
by CDF. The  compensatory slowing of the heart rate following epinephrine was blocked
by CDF, with a resulting increase in heart rate.
             300-r
             -100-1-
                     H.R.  SYS.   DIA.  Blood  Flow
Fig. 26. Effect of 2j4 g/kg epinephrine on cardiovascular responses before and after 20.8
mg/kg chlordimeform. Symbols, etc., as in Fig. 25. (From Robinson et al., 1979).
                                       39

-------
     Histamine also increased heart rate, decreased blood pressure, caused an initial fall
in blood flow and a subsequent increase in blood flow (Fig. 27), all quantitatively similar
to the effects of both isoproterenol and ACh. CDF altered only the secondary blood flow
increase, causing a large increase in blood flow from 16% in control dogs to 67% in CDF-
treated dogs.
              100-r
                                                  Intkil Subsequent

                       H.R.  SYS.   DIA.   Blood  Flow
Fig. 27.  Effect of 10/( g/kg histamine on cardiovascular responses before and after 20.8
mg/kg chlordimeform.  Symbols, etc., as in Fig. 25. (From Robinson et al., 1979).
                                       40

-------
     Responses to tyramine before CDF were as expected for a compound that releases
catechlolamines, and to a lesser extent directly stimulates adrenergic receptors (Fig. 28).
These effects were not altered by CDF treatment.
                240 -r
                                                 Initial Subsequent

                        H.R.  SYS.   DIA.   Blood  Flow
Fig. 28.  Effect of 40/f g/kg tyramine on cardiovascular responses before and after 20.8
mg/kg chlordimeform.  Symbols, etc., as in Fig. 2. (From Robinson et al., 1979).
                                      41

-------
                                    SECTION 7

                                    DISCUSSION

STUDIES IN ISOLATED BLOOD VESSELS

Actions of Chlordimeform

   This is as reported in Zelenski et al., (1978),  Pharmacornechanical coupling has been
suggested as a name for the processes through  which drugs  can affect smooth muscle
contraction  without  a  necessary  change  in  membrane  potential  (Somlyo  and
Somlyo, 1968).  Contractile responses are elicited by a rise in free intracellular calcium
levels, while relaxation is brought about by a fall in the cytoplasmic concentration  of
calcium (Bianchi, 1968). Drug-induced pharm acorn echanical coupling may result, at least
in part, from a rise in free intracellular calcium  levels caused  by an increased influx  of
extracellular  calcium  (Somlyo  and  Somlyo,  1968a;  Durbin  and  Jenkinson,  1961).
Activator calcium may also arise from displacement of membrane-bound calcium (Briggs,
1962).  Thus druginduced contractions of smooth muscle may involve mobilization  of
activator calcium  from  two sources:  one,  an extracellular or perhaps  loosely bound
calcium; the other intracellular,  membrane-bound or "sequestered" calcium (Hudgins and
Weiss, 1969; Hinke, 1965).  Differences in maximal responses to vasoactive agents may
be  due in part  to either their unequal abilities  to  translocate calcium  to contractile
proteins from  an  intracellular store or to  an  unequal maximal  increase in calcium
permeability. In eliciting their responses, vasoactive agents  seem to have considerable
selectivity in the sources from which they  mobilize  calcium (Hudgins and Weiss, 1969,
Hudgins and Weiss, 1969a; Goodman and Weiss, 1961; Adams et al., 1974; Goodman and
Weiss, 1974).

    It appears that CDF affects both stores  of calcium but has a proportionally greater
effect on extracellular or loosely bound calcium  stores, if NE primarily releases bound,
intracellular calcium and potassium primarily affects extracellular or loosely bound cal-
cium as has been reported (Briggs, 1962; Hudgins and Weiss, 1968). Results of the effects
of vascular strips to various agonists, on their rates of contraction after a singlejconcen-
tration of agonist, on their rates of relaxation after addition of CDF, and on   Ca flux
are consistent with this interpretation and will be discussed individually.

    CDF  antagonized  contractions  to  all four  agonists examined, with the order  of
antagonism being  potassium, histamine,  serotonin,  NE.   The  order of antagonism for
potassium, histamine, and NE is that reported by Hudgins and Weiss  (1969a) in decreasing
order of mobilization of extracellular calcium and by Kalsner et al. (1970) in decreasing
order of  effect of /^-diethyl-aminoethyl-diphenylpropylacetate which they  judged  to
selectively  antagonize utilization of calcium from  extracellular or loosely bound sites.
However, the antagonism of CDF for serotonin-induced contractions was not as great  as
would have been anticipated from the results of  the studies of Kalsner et al. (1970) with
 /? -diethyl-aminoethyl-diphenylpropylacetate, which they found to resemble  potassium
as to the pools of calcium which it affects.  We are unable to explain this difference,

                                        42

-------
except that the effects of serotonin in the present study may have been somewhat po-
tentiated by CDF inhibition of the enzyme MAO which inactivates serotonin, thus par-
tially overcoming the antagonism of CDF. Thus the relative antagonism of CDF for NE,
potassium, and histamine (but not serotonin) are in the  order anticipated  for an  agent
that interferes more with intracellular or loosely bound calcium stores.

   CDF slowed contractions induced by all of the agonists. Serotonin and sometimes NE
responses were thereby resolved into two peaks.  The response to NE is biphasic, with the
initial response probably being mediated by release of  intracellular calcium and  the slow
phase by  the release  of loosely bound  calcium  or an  influx of extracellular calcium
(Brodie et al., 1959; Bohr,  1963; Sitrin and Bohr, 1971).  Thus the resolution by CDF of
the biphasic response to NE into two partially separated peaks must result from a slowing
of the second phase of contraction.

   CDF caused a rapid decrease in tension in muscles contracted by all of  the agonists.
Even if CDF affected only extracellular of loosely bound calcium, it would be expected
to partially relax NE-induced contraction as  the slow phase of contraction seems  to be
mediated through this calcium  source (Goodman and Weiss, 1971; Kalsner et al., 1970).
That NE contractures could only be partially antagonized may indicate that ITE mobilized
calcium from some sources unaffected by CDF.

Actions of Demethylchlordimeform

   This is as reported in Robinson and Bittle,  1979.  DCDF  causes contractions of the
rabbit central ear artery which are not reduced by blocking the muscarinic, histaminergic
or serotonergic receptors, but are reduced by blocking  alpha-adrenergic receptors. There
are two  methods  by which alpha-adrenergic stimulation can  occur within  the rabbit
central ear  artery.  One is by increasing the concentration at the receptor of NE  from
sympathetic  nerve stores; the  other  is by a  direct action on the  alpha-adrenergic
receptor.    Among the several mechanisms whereby DCDF could increase NE   con-
centrations  at the receptor is  inhibition of  MAO.   DCDF does inhibit MAO  and this
could, theoretically at least, cause an increase in NE accumulation at  alpha-adrenergic
receptors.  However,  because  reduction of  NE stores  by prior  reserpimzation of the
rabbits did not reduce DCDF-induced contractions and because the addition of DCDF to
vascular  strips preloaded with  tritiated NE did not affect tissue stores of NE, it thus
seems to be acting directly at the alpha-adrenergic receptor as a partial agonist.

   The effects of DCDF on vascular tissue have not been previously reported, but in the
rabbit aorta (Zelenski, et al.,  1978) as well as in the  central ear artery  (unpublished
observations)  CDF,  unlike DCDF  in the central ear  artery, had  almost no  agonist
activity.   CDF does have  agonist activity_jn the rectus abdominis muscle from  some
species of frogs (Rana nigromaculata in 10  M, and Rana Catesbianabut only in 10 _M
concentrations, Watanabe et al., \L975).  In another speciesTTlana  pipiens, CDF does not
cause contractions of the esennized rectus muscle in 10   IM (Beeman and Matsumura,
1974). In the one species in which 10    M DCDF  has agonist activity, it caused a slow
contraction unaffected by d-tubocurarine~lWatanabe et al., 1975).  The authors specu-
lated that the contraction may result from  depolarization of the end-plate membrane,
but it is  apparent that it  did not result from  a direct  stimulation of the cholinergic
receptor.  Thus, even in the tissue where agonist activity has been shown for the parent
compound, it does not seem to result from receptor stimulation. That DCDF has agonist
activity at the alpha-adrenergic receptor and the  parent compound CDF does not, may
seem unusual, as DUDF differs  from CDF only in that a methyl group has been replaced

                                        43

-------
by a hydrogen on the terminal nitrogen.  However, if this nitrogen is considered anala-
gous to the one in epinephrine, then both DCDF and epinephrine have the same substi-
tuent groups on this nitrogen, and CDF has the same groups as does N-methylepinephrine.
Epinephrine  is  an excellent alpha-receptor stimulant, while N-methylepinephrine, like
other teniary amines of similar structure, does not stimulate alpha-adrenergic receptors.

   DCDF has antagonist activity as well as agonist activity. That a partial agonist such
as DCDF antagonized contractions to the full agonist NE is  expected, as partial agonists
are   also partial  antagonists.    DCDF  also reduced potassium  contractures.   The
contractions  of rabbit aorta to these two agonists as well as to serotonin and histamine
were also antagonized by CDF in the rabbit aorta (Zelenski; et al.,  1978).  CDF  antago-
nized contractions of non-vascular muscle. Watanabe et al. reported that CDF non-com-
petitively antagonized contractions of the frog rectus abdominis muscle caused by potas-
sium and acetylcholine (Watanabe et al.,  1978), and Yamamoto and Fukami reported that
it blocks at the neuromuscular juncTTon of the larvae of the waxmoth, Galleria mellonella
(Yamamoto  and Fukami, 1976).   In the studies on NE flux  using labeled NE,  there was
little effect  on either resting NE flux or on the amount of NE released by  electrical
stimulation  or  by nicotine.  No comparable studies with  either DCDF  or the parent
compound on NE flux have been previously reported.  However, CDF did not alter the
release of another transmitter, acetylcholine, in the frog sciatic nerve sartorius Muscle
preparation(Wang et al., 1975).

   Thus DCDF, an active metabolite of CDF, stimulates alpha-adrenergic receptors, and
in high concentrations can block alpha-adrenergic and other receptors.  If these actions
observed at the alpha-adrenergic receptor in the  central ear artery also occur at alpha-
receptors within the brain, it is possible that this direct effect of DCDF may account for
part of the  central toxic signs (Beeman  and Matsumura, 1973; Aziz and  Knowles, 1973)
observed after  the injection of the parent compound CDF.

Actions of U-40481 and Formetanate

   This is as reported in Robinson, 1979. These two formamidines, one a cholinesterase
inhibiting acaricide  and insecticide, the other a metabolite of an  acaricide and insec-
ticide, have several  common effects on isolated arteries. One of these effects is agonist
activity.  Lower concentrations  of both compounds cause  dose-related ear artery con-
tractures which are  markedly reduced by phentolamine. Thus  they both seemingly cause
activation of the alpha  receptor. U-40481, a secondary amine, is much  more potent  at
this effect  than  the tertiary amine  formetanate.  DCDF also had alpha-adrenergic
activity, whereas the N-methylated tertiary amine CDF did not.

   Activation  of alpha-adrenergic receptors  does not seem to be due to release of NE
because neither  compound altered  the  resting rate of radioactive efflux from  HNE
loaded strips and in fact both decreased the electrically-induced radioactive efflux.

    MAO-inhibiting activity has been demonstrated for several  formamidines including  U-
40481  (Aziz and Knowles, 1973;  Beeman and Matsumura, 1973).  However, it is not likely
that MAO-inhibition and a  resulting  decreased  amine metabolism contributes to the
agonist activity of these compounds since acute exposure even to potent  MAO inhibitors
does not usually cause contractions of arterial strips.

    The antagonist activities of  the two formamidines also varied considerable. For-
metanate had  little, while an  equimolar  concentration of U-40481  markedly  reduced

                                         44

-------
contractions ot NE, serotonin and histamine, but not to potassium.  That antagonism by
U-40481 to NE and serotonin contractures is similar is consistent with an earlier report
that both of those amines contract the rabbit ear artery through stimulation of the same
phentolamine sensitive receptor (Apperley et al., 1974).

   The antagonism for histamine-induced contractions was somewhat less than for NE
and serotonin  contractures, and must  be at  a different receptor since  histamine
contractures  do not result  from alpha-adrenergic receptor stimulation  (Carrol  et al.,
1977).  Since all antagonist  activities were reversible, they did nqt result from irrever-
sible binding or from damaging components of the contractile mechanism.

   U-40481 and formetanate-inhibition of electrically-induced release of radioactivity,
may be related to local anesthetic-like activity similar to that reported for another for-
mamidine (Chinn et al., 1976).  These compounds have not been examined for that ac-
tivity.  On the other "Rand, DCDF did not inhibit electrical release but the concentration
used was one-one hundreth of the one used in this study.

   Structurally, U-40481  and formetanate differ in two respects.  One is that U-40481
has a hydrogen and a methyl group on the terminal nitrogen, while formetanate has two
methyl groups.  The other is on the ring where U-40481 has two methyl groups while
formetanate has a carbamyl group.  It is the carbamyl moiety that confers upon forme-
tanate cholinesterase-inhibiting  activity,  and it  may, in addition to the extra  methyl
group on the  nitrogen, contribute to the reduced alpha-adrenergic agonist activity com-
pared to U-40481.  This bulky group may also  contribute to the relative inactivity as an
antagonist that was observed with formetanate.

STUDIES IN THE ANESTHETIZED DOG

Effects of Chlordimeform

   CDF markedly affected cardiovascular function in the anesthetized dog. It caused an
initial decrease followed by an increase in musculocutaneous blood flow.   A decrease in
blood pressure was also observed at the same time the  maximal increase in blood flow
occurred.  Thus, these  were both probably caused by vasodilation. The initial decrease in
blood flow may have been caused by constriction of resistance vessels of the hindlimb.
This could result  form  central  stimulation, or  from peripheral  actions.    In the
experiments on  isolated rabbit arteries,  although other formamidines did contract ar-
teries directly, this was not consistantly observed with CDF. It is possible that CDF may
directly constrict smaller resistance vessels initially and then cause  vasodilation  due to
some direct effects on the blood vessels later.

Effects of Receptor Antagonists on Chlordimeform Induced Cardiovascular Changes

   CDF could  relax blood vessels by stimulating either y^-adrenergic  or muscarinic
receptors found in the  medial layer of blood vessels.  However, because neither blockade
of /fi'-adrenergic receptors by propranolol, nor blockade of muscarinic receptors by atro-
pine blocked  the effects of  CDF, it seems that CDF-induced cardiovascular effects do
not involve stimulation of those two receptors. With physostigmine, however, there were
some increased  effects.  This may  indicate some involvement of muscarinic sites, or
perhaps the effect is due to hemodynamic or other changes caused by physostigmine.
                                       45

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Effects of Cholrdimeform on Cardiovascular Actions of Vasoactive Compounds

   Tyramine exerts its pressor effects through stimulation of adrenergic receptors to an
extent, and  to  a much greater extent  through release of catecholamines stored in
sympathetic  nerves.  It is inactivated by MAO.  If CDF inhibits MAO sufficiently to
reduce the rate of inactivation of tyramine, then tyramine's effects should be intensified.
Since tyramine's cardiovascular effects  were not significantly  altered by CDF, several
inferences as to CDF actions can be made. One is, that CDF inhibition of MAO, even at
this  high  dosage is  not physiologically important, at  least  not as far  as the vascular
system is concerned.  Another is, that CDF does not reduce the tyramine-induced release
of catecholamines from  sympathetic nerves.  A third is, that CDF blocks neither alpha
                                                                               r the
nor beta adrenergic receptors in the dog cardiovascular system.  Further evidence for
lack of alpha- or beta-blocking ac
blocking activity with isoproterenol.
lack of alpha- or beta-blocking activity was obtained with epinephrine,  and for beta-
         activi
  «
   Histamine exerts its effects by stimulating two kinds of receptors:  H, receptors and
   receptors.  Both are found  in the cardiovascular system, with both receptors being
involved in vasodilation, (Turker,  1973; Roberts et al., 1979), and probably primarily H2
receptors involved in the stimulant action on theTeart (Shimizu et al., 1970).  From the
data on blood flow there is no evidence of blocking the vasodilatioTTinduced by histamine,
nor is there any decrease in heart rate.  Heart rate in vivo  following a fall in blood
pressure is increased primarily  by non-histaminergic me"chanisms, and therefore drawing
firm conclusions about histamine effects form an innervated heart in vivo is not possible.

   CDF enhancement of vasodilation  as demonstrated by increased blood flow following
several different vasodilator drugs may be related to calcium mobilization, but no studies
were done to directly study this possibility in vivo.

   Thus, in summary of the study of  the  mode of action of the profound cardiovascular
effects of CDF, we have ruled out several possible modes of action, because the effects
appear not  to  be  caused primarily by stimulation or blockade  of the  common vascular
receptors.  CDF may affect calcium  availability, as CDF effects on calcium flux have
been noted in the studies on isolated arteries.
                                          46

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S.A. Aziz and C.O. Knowles, Inhibition of monoamine oxidase by the pesticide chlor-
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R.W. Beeman and F. Matsumura, Studies on the action of chlordimeform in cockroaches,
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     Clin. Exp. Pharmacol. Physiol. 4 , 43 (1977).

C. Chinn, W.R. Pfister, and G.K.W. Yim, Local anesthetic-like actions of the pesticide
     chlordimeform. Fedn. Proc. Fedn. Am. Soes. exp. BioL 35, 729 (1976).

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                                       47

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R.I. Furchgott and S. Bhadrakom, Reactions of strips of rabbit aorta to epinephrine,
     isopropylarterenol, sodium nitrate and other drugs, J. Pharmacol. Exp. Ther. 108,
     129 (1953).
                                                    45
F.R. Goodman and G.B. Weiss, Effects of lanthanum on  Ca movements and on contrac-
     tions induced by norepinephrine, histamine and potassium in vascular smooth muscle.
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J.A.M. Hinke, Calcium requirements for noradrenaline and high potassium ion contrac-
     tion in arterial smooth muscle, in "Muscle" (W.M. Paul, E.E. Daniel, C.M. Kay
     and G. Monckton, Eds.), p. 269,  Pergamon Press,  New York, 1965.

P.M. Hudgins and G.B. Weiss, Differential effects of calcium removal upon vascular
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     col.  Exp. Ther. 159, 91 (1968).

                                             45
P.M. Hudgins and G.B. Weiss, Characteristics of   Ca  binding in vascular smooth muscle,
     Amer. J. Physiol. 217, 1310 (1969)a.

S. Kalsner, M. Nickerson, and G.N. Boyd, Selective blockade of potassium-induced con-
     tractions of aortic strips by beta-diethylaminoethyl diphenylpropylacetate. (SKF
     525  A), J. Pharmacol. Exp. ffierT 174, 500 (1970).

C.O. Knowles and S. Ahmad,  Mode of action studies with formetanate and formpara-
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C.P. Robinson, J.A. Rieger, P. Cox, and M.J. Sullivan.   Cardiovascular effects of chlor-
     dimeform.  In preparation.


                                        48

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C.P. Robinson, P.W. Smith, Lack of involvement of monoamine oxidase inhibition in
     the lethality of acute poisoning by chlordimeform. J. Toxicol. Environ, Health
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C.P. Robinson, P.W. Smith, J.D. Zelenski, and B.R. Endecott, Lack of an effect of inter-
     ference with amine mechanisms on the lethality of chlordimeform in the rat.
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     pounds on the formation of adenosine 3, 5 -monophosphate in slices form cere-
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                                                               45
G.B. Weiss, Effect of potassium on nicotine-induced contracture and   Ca movements
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     muscle. Pest. Biochem. Physiol. 8,  278 (1978).
                                       49

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                                    TECHNICAL REPORT DATA
                            (Please read Instructions on the reverse before completing)
 . REPORT NO.
 EPA-600/1-79-031
               3. RECIPIENT'S ACCESSION NO.
4. TITLE AND SUBTITLE
 Effects of Chlordimeform on Vascular Tissue
               5. REPORT DATE
                   August 1979
                                                             6. PERFORMING ORGANIZATION CODE
 . AUTHOR(S)
 Casey P. Robinson
               8. PERFORMING ORGANIZATION REPORT NO.
9. °ERFORMING ORGANIZATION NAME AND ADDRESS
 University of Oklahoma
 Health Sciences  Center
 P.O. Box 26901
 Oklahoma City, OK   73190
                10. PROGRAM ELEMENT NO.
                   1EA615
               ill. CONTRACT/GRANT NO.

                   R804975
12. SPONSORING AGENCY NAME AND ADDRESS
 Health Effects Research Laboratory
 Office of Research  and  Development
 U.S. Environmental  Protection Agency
 Research Triangle Park, NC  27711
                13. TYPE OF REPORT AND PERIOD COVERED
RTP, NC
                14. SPONSORING AGENCY CODE
                   EPA 600/11
15. SUPPLEMENTARY NOTES
16. ABSTRACT
      In order  to  fully understand potential  risk to human beings of exposure  to a chemical
 one needs to understand the effects of that  chemical upon each organ system and to deter-
 mine its mode  of  action.   For some classes of  pesticides their primary mode of toxicity
 has been established.   An example of this is the organophosphorus cholinesterase inhibi-
 tors.  There is general agreement that their acute lethality and most of  their toxicities
 result from cholinesterase inhibition and subsequent acetylcholine accumulation.  Even
 among this group  of compounds, however, there  are toxic effects which seem to be due to
 other actions.

      For other classes of compounds much less  is known of their mechanisms of lethality
 and effects on organ systems.  An example of this is the formamidines, the first useful
 one of thich was  chlordimeform.  Little information on the mode of action of  chlordime-
 form was available, and on its other effects.   This study was initially proposed to deter-
 mine vascular  actions  of chlordimeform.  The project was expanded to examine  the
 cardiovascular actions of other available formamidines including formamidine  metabolites
 which also retained the formamidine structure.
17.
                                 KEY WORDS AND DOCUMENT ANALYSIS
                   DESCRIPTORS
  b-IOENTIFIERS/OPEN ENDED TERMS  C. COSATI Field/Group
 Demethylchlordimeform
 Pesticides
 Serotonin
   In Vitro
   Phentolamine
 06B,T
 18. DISTRIBUTION STATEMENT

      RELEASE  TO PUBLIC
  19. SECURITY CLASS (ThisReport)
     UNCLASSIFIED
21. NO. OF PAGES
     63
  20. SECURITY CLASS (Thispage)
     UNCLASSIFIED
                              22. PRICE
 EPA Form 2220-1 (Rev. 4-77)   PREVIOUS EDITION is OBSOLETE
                                                 50

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