β—淀粉样蛋白31—35片段对海马神经元分离膜片Ca^2＋激活大电导钾通道的抑制

为了确定β－淀粉样蛋白（AβP）在影响神经元电生理特性并导致神经毒作用时的最短活性序列,实验采用片钳技术,在急性分离的大鼠海马CA1区锥体细胞的“内面向外”式膜片上,观察了AβP的31－35和25－35片段对C^2 a激活大电导钾（BK）通道活动的影响,结果显示,浴液中给预5umol/L的AβP31－35后,BK通道的平均开放概率（P0）和开放频率在1－3min内分别减少了85．8％（P＜0．01）和72．1％（P＜0．01）,平均开放时间减少了41．1％（P＜0．01）,平均电流幅度则无明显改变（P＞0．05）,给予同样摩尔浓度的AβP25－35后,BK通道平均P0减少了85．5％（P＜0．01）,平均开放时间减少51．4％,（P＜0．05）,结果提示：两种AβP片段对海马神经元BK通道具有抑制作用,。这可能与AβP的神经性作用有关,AβP－31－35片段可能是AβP分子中影响细胞电生理特性的最小活性序列。     

孤啡肽对大鼠顶叶皮层神经元瞬时外向钾电流的抑制作用

目的：研究孤啡肽（N／OFQ）对大鼠顶叶皮层神经元瞬时外向钾电流（IA）的影响,初步探讨其作用的通道动力学机制。方法：采用全细胞膜片钳技术,观察N／OFQ对急性分离的大鼠顶叶皮层神经元IA的作用。结果：①0．1μmol／L N／OFQ使IA幅值由给药前的（5356．1±361．6）pA下降为（4113．3±312．7）pA,抑制率为23．20％±2．17％（P〈0．01,n=10）。②0．1μmol／L N／OFQ使IA的电流-电压（I-V）曲线降低（P〈0．01,n=10）。③0．1μmol／L N／OFQ使,IA激活曲线的半数激活电压（V1／2）和斜率因子（κ）分别由给药前的（-9．2±2．5）mV和（20．4±2．3）mV变为给药后的（30．6±3．7）mV（P〈0．01,n=8）和（22．6±2．1）mV（P〉0．05,n=8）。④0．1μmol／L N／OFQ使IA失活曲线的半数失活电压（V1／2）和斜率因子（κ）分别由给药前的（-64．1±3．2）mV和（21．5±2．1）mV变为给药后的（-55．9±1．9）mV（P〈0．05,n=5）和（19．6±2．2）mV（P〉0．05,n=5）。结论：N／OFQ可抑制大鼠顶叶皮层神经元IA,使其激活曲线、失活曲线均右移。     

磁共振波谱评价脑缺血大鼠海马神经元损伤的实验研究

目的：应用磁共振波谱（MRS）观察大鼠大脑中动脉缺血（MCAO）再灌流后海马的迟发性神经元死亡,评价N-乙酰天门冬氨酸（NAA）能否准确反映神经元的损伤程度。方法：Wistar大鼠16只MCAO1h后再灌流及假手术对照组10只,6周后分别进行MRS和病理学的对比观察,根据海马的形态、及免疫组化结果对比分析磁共振波谱中NAA的对应性变化。结果：MCAO再灌流组大鼠缺血同侧海马的NAA、Cr及NAA／Cr的比值显著低于对侧和对照组,平均为2．05±0．33、2．42±0.41和0．86±0．10（对侧3．45±0．58、3．10±0．93、1．18±0．32;对照组3．42±0．43、3．57±0．47、0．98±0．14）。NAA下降的水平不能与病理显示海马叫区神经元的脱失完全对应。结论：通过磁共振波谱的NAA显示MCAO再灌流后海马的迟发性神经元死亡。但神经元的丢失程度与NAA存在不完全对应性,这种变化可能与反应性星形胶质细胞增生密切相关.     

不同温度条件对下丘脑神经元K+单离子通道簇状开放的影响

目的：探讨温度对下丘脑神经元电压依赖性K^ 单离子通道（Kv）簇状开放（Burst opening）的影响。方法：采用膜片钳细胞贴附式技术观察和记录32℃、37℃和39℃时下丘脑神经元Kv的活动。结果：温度升高,单位时间内记录到的Burst开放明显增多,平均开放间期变长。当温度从32℃升至39℃,B1从1．5ms升至8．1ms,B2从6．6ms升至83．2ms,Burst内部开放数目也由1－2个升至8个,从以简单Burst开放（SB）为主转变成以复杂Burst开放（CB）占优势。结论：温度升高,下丘脑神经元上IK通道更多地处于活动状态,这可能有利于下丘脑神经元对体温变化的调节。     

腺苷易化大鼠颈动脉窦压力感受器的活动

在36只麻醉大鼠,以隔离灌流颈动脉窦区记录窦神经传入放电的方法观察了腺苷（adenosine,Ado）对颈动脉窦压力感受器传入放电的影响。所得结果如下：（1）以75μmol／LAdo隔离灌流大鼠左侧颈动脉窦区时,窦内压-窦神经传入放电积分（ISP－ISNA）关系曲线向左上方移位,曲线最大斜率（PS）由（18．75±0．12）％／kPa增至（22．21±0．11）％／kPa（P＜0．001）,最大积分值（PIV）由（209．83±2．57）％增至（239．17±1．75）％;阈压（TP）和饱和压（SP）则分别从（8．57±0．24）和（22．99±0．34）下降至（7．15±0．23）kPa（P＜0．001）和（21．21±0,43）kPa（P＜0．01）。再分别以125和175μmol／LAdo灌流,机能曲线进一步向左上方移位,PS、TP和SP的变化均呈明显的剂量依赖性。（2）用腺苷选择性A1受体拮抗剂8－cyclopentyl－1,3－dipropylxanthine（0．134mmol／L）预处理后,Ado的上述效应即被阻断。（3）先给予KATP通道阻断剂格列苯脲（10μmol／L）亦可取消腔苷对窦神经传入放电的影响。结果表明,在体隔离灌流大鼠颈动脉窦区条件下,Ado对颈动脉窦压力感受器活动有易化作用,此作用似与腺苷A1受体介导的KATP通道开放有关。     

β-淀粉样蛋白31-35片段对海马神经元分离膜片Ca~(2 )激活大电导钾通道的抑制

为了确定β－淀粉样蛋白（ＡβＰ）在影响神经元电生理特性并导致神经毒作用时的最短活性序列，实验采用膜片钳技术，在急性分离的大鼠海马ＣＡＩ区锥体细胞的“内面向外”式膜片上，观察了ＡβＰＲ的３１－３５和２５－３５片段对Ｃａ２＋激活大电导钾（ＢＫ）通道活动的影响。结果显示，浴液中给予 ５μｍｏｌ／Ｌ的ＡβＰ ３１－３５后，ＢＫ通道的平均开放概率（Ｐｏ）和开放频率在１～３ｍｉｎ内分别减少了８５．８％（Ｐ＜０．０１）和７２．１％（Ｐ＜０．０１）；平均开放时间减少了４１．１％（Ｐ＜０．０１）；平均电流幅度则无明显改变（Ｐ＞０．０５）；给子同样摩尔浓度的ＡβＰ　２５－３５后，ＢＫ通道平均Ｐｏ减少了８５．５％（Ｐ＜０．０１），平均开放时间减少了５１．４％，（Ｐ＜０．０５）。结果提示，两种ＡβＰ片段对海马神经元ＢＫ通道具有抑制作用，这可能与ＡβＰ的神经毒性作用有关；ＡβＰ３１－３５片段可能是ＡβＰ分子中影响细胞电生理特性的最小活性序列。     

海马CA1区ripple节律相关高频放电中间神经元

通过在清醒小（Mus musculus）大脑同步记录海马区单神经元放电和场电位,发现在海马CAl区存在两类-9慢波睡眠时海马特征场电位“ripple”高频振荡（100-250Hz）相关的高频放电中间神经元．这两类神经元在慢波睡眠时的放电与ripple在时间上有高度同步性,对应每个ripple振荡波,它们都有一串高频放电．其中一类中间神经元（类型Ⅰ）在一个ripple振荡波的每个子振荡周期基本有1个放电,而另一类中间神经元（类型Ⅱ）则有1-2个放电．在ripple振荡波时段,这两类中间神经元的峰值放电频率分别高达310±33．17Hz（类型Ⅰ）和410±47．61Hz（类型Ⅱ）．动物清醒活动时,这两类中间神经元的放电与海马场电位的theta节律有锁相关系,它们的最大放电概率在theta节律的波谷段．给予动物摇晃刺激时,这两类中间神经元的放电频率均会短促增加．这些研究结果显示,海马CAl区的这种高频放电中间神经元参与调节海马神经元网络的整体活动状态．     

乳鼠海马神经干细胞的体外分离、扩增和分化研究

探讨海马神经干细胞（neuralstemcells,NSCs）在体外分离扩增和诱导分化的可行性。无菌条件下分离新生（24h）SD大鼠海马神经干细胞,采用无血清培养和胎牛血清诱导分化。免疫荧光染色技术分别检测诱导前细胞巢蛋白（Nestin）的表达,以及分化细胞的神经元特异性烯醇化酶（neuron specific enolase,NSE）、胶质纤维酸性蛋白（glialfibrillaryacidicprotein,GFAP）的表达,以鉴定细胞类型。流式细胞仪检测神经干细胞分化前后增殖能力的变化。结果显示：从乳鼠海马分离培养的细胞生长状态良好,具有克隆增殖能力,并呈Nestin表达阳性,分化后可出现NSE及GFAP表达阳性的细胞。流式细胞仪检测显示：诱导前,细胞增殖活跃,S＋G2／M期细胞为（36．27±1．99）％,而分化各阶段（3,7,10d）S＋G2／M期细胞比例与诱导前（Ctrl）相比则明显下降（尸〈0．05）,分别为（26．39±1．10）％、（26．33±1．33）％和（24．54±1．12）％。这些结果表明乳鼠海马存在神经干细胞,并具有自我更新和多向分化的潜能,可用于基础和临床的相关研究。     

琥珀酸对大鼠海马CA1区神经元电压依赖性钙电流的影响

目的：观察不同浓度的琥珀酸对大鼠海马CA1区神经元电压依赖性钙通道（voltage—dependent calcium channels,VDCC）电流的作用,初步探讨琥珀酸对神经元保护的电生理学基础。方法：采用传统全细胞膜片钳技术和制霉菌素（nystatin）穿孔膜片钳技术观察琥珀酸对海马CA1区神经元VDCC电流的影响。结果：不同浓度的琥珀酸（10^-6、10^-5、10^-4、10^-3、10^-2和10^-1mol·L^-1）在海马CA1区对低电压激活（low—voltage activated,LVA）钙通道电流未见任何影响,而对高电压激活（high—voltage activated,HVA）钙通道电流的抑制呈浓度依赖性。对照组HVA钙电流为580．05±17．32pA,分别给予10^-6、10^-5、10^-4、10^-3、10^-2和10^-1mol·L^-1。的琥珀酸后,HVA钙电流依次为563．74±16．65,517．99±15．24,444．66±13．26,405．32±19．11,269．03±9．96和86．41±3．25pA,同对照组相比差异有统计学意义（n=8,P〈0．01）。结论：琥珀酸能浓度依赖性地抑制HVA钙电流,而对LVA钙电流无影响。由此推测琥珀酸可能通过抑制HVA钙电流减少Ca^2＋内流而影响海马CA1区神经元的兴奋性,从而抑制癫痫的形成,其脑保护作用可能与此有关。     

腺苷对颈动脉窦压力感受器反射的易化作用

在27只隔离灌流颈动脉窦区的麻醉大鼠,观察了腺苷（adenosine,Ado）对颈动脉窦压力感受器反射的影响。所得结果如下：（1）以 Ado（125μmol／L）隔离灌流大鼠左侧颈动脉窦区时,压力感受器机能曲线向左下方移位,曲线最大斜率（PS）由0．37±0．02增至0 55±0．02kPa／KPa（P＜0．001）,反射性血压下降幅度（RD）由5．53±0．12增至7．76±0．36KPa;阈压（TP）、平衡压（EP）和饱和压（SP）则分别从8．60±0．27,12．53±0．30和23．69±0．15下降至5．63± 0．11kPa,10．89±0．29KPa和20．18±0．55KPa（P＜0．01－0．001 ）。其中RD,PS和TP的变化呈明显的剂量依赖性。（2）用腺苷选择性 A1受体拮抗剂（8－cyclopentyl－l,3－dipropylianthene,0．134mmol／L）预处理后,Ado的上述反射效应即被阻断。（3）先给予KATP通道阻断剂格列苯脲（glibenclamide．10μmol／L）亦可取消腺苷对压力感受器反射的影响。以上结果表明, Ado对大鼠颈动脉窦压力感受器活动有易化作用,这一作用似与腺苷A1受体介导的KATP通道开放有关。     

Effect of ethanol on tracheal potassium channels reconstituted into bilayer lipid membranes.

We examined the effect of ethanol on single potassium channels derived from plasma membranes of bovine tracheal smooth muscles. The observed potassium channels had a conductance of 296 +/- 31 pS (mean +/- S.D.) in symmetrical 250 mmol/l KCl solutions, and exhibited a voltage- and Ca2+-dependence similar to BKCa channels. Ethanol at 50, 100 and 200 mM concentrations increased the probability of open potassium channels to 112 +/- 5, 127 +/- 7 and 121 +/- 13% (mean +/- S.E.M.), respectively. It is suggested that increased activity of the BKCa channels by ethanol hyperpolarizes the plasma membrane and thus may contribute to relaxation of tracheal smooth muscle.     

Muscarinic potassium channels augment dynamic and static heart rate responses to vagal stimulation

Vagal control of heart rate (HR) is mediated by direct and indirect actions of ACh. Direct action of ACh activates the muscarinic K(+) (K(ACh)) channels, whereas indirect action inhibits adenylyl cyclase. The role of the K(ACh) channels in the overall picture of vagal HR control remains to be elucidated. We examined the role of the K(ACh) channels in the transfer characteristics of the HR response to vagal stimulation. In nine anesthetized sinoaortic-denerved and vagotomized rabbits, the vagal nerve was stimulated with a binary white-noise signal (0-10 Hz) for examination of the dynamic characteristic and in a step-wise manner (5, 10, 15, and 20 Hz/min) for examination of the static characteristic. The dynamic transfer function from vagal stimulation to HR approximated a first-order, low-pass filter with a lag time. Tertiapin, a selective K(ACh) channel blocker (30 nmol/kg iv), significantly decreased the dynamic gain from 5.0 +/- 1.2 to 2.0 +/- 0.6 (mean +/- SD) beats.min(-1).Hz(-1) (P < 0.01) and the corner frequency from 0.25 +/- 0.03 to 0.06 +/- 0.01 Hz (P < 0.01) without changing the lag time (0.37 +/- 0.04 vs. 0.39 +/- 0.05 s). Moreover, tertiapin significantly attenuated the vagal stimulation-induced HR decrease by 46 +/- 21, 58 +/- 18, 65 +/- 15, and 68 +/- 11% at stimulus frequencies of 5, 10, 15, and 20 Hz, respectively. We conclude that K(ACh) channels contribute to a rapid HR change and to a larger decrease in the steady-state HR in response to more potent tonic vagal stimulation.     

Single-channel recordings from two types of amiloride-sensitive epithelial Na+ channels

We report here the first evidence in intact epithelial cells of unit conductance events from amiloride-sensitive Na+ channels. The events were observed when patch-clamp recordings were made from the apical surface of cultured epithelial kidney cells (A6). Two types of channels were observed: one with a high selectivity to Na+ and one with relatively low selectivity. The characteristics of the low-selectivity channel are as follows: single-channel conductance ranged between 7 and 10 pS (mean = 8.4 +/- 1.3), the current-voltage (I-V) relationship displayed little if any nonlinearity over a range of +/- 80 mV (with respect to the patch pipette) and the channel Na+/K+ selectivity was approximately 3-4:1. Amiloride, a cationic blocker of the channel, reduced channel mean open time and increased channel mean closed times as the voltage of the cell interior was made more negative. Amiloride induced channel flickering at increased negative potentials (intracellular potential with respect to the patch) but did not alter the single-channel conductance or the I-V relationship from that observed in control patches. The characteristics of the high-selectivity channel are: a single-channel conductance of 1-3 pS (mean = 2.8 +/- 1.2), the current-voltage relationship is markedly nonlinear with a Na+/K+ selectivity greater than 20:1. The mean open and closed times for the two types of channels are quite different, the high-selectivity channel being open only about 10% of the time while the low-selectivity channel is open about 30% of the time.     

GTP-dependent regulation of myometrial KCa channels incorporated into lipid bilayers

The regulation of calcium-activated K (KCa) channels by a G protein-mediated mechanism was studied. KCa channels were reconstituted in planar lipid bilayers by fusion of membrane vesicles from rat or pig myometrium. The regulatory process was studied by exploring the actions of GTP and GTP gamma S on single channel activity. KCa channels had a conductance of 260 +/- 6 pS (n = 25, +/- SE, 250/50 mM KCl gradient) and were voltage dependent. The open probability (Po) vs. voltage relationships were well fit by a Boltzmann distribution. The slope factor (11 mV) was insensitive to internal Ca2+. The half activation potential (V1/2) was shifted -70 mV by raising internal Ca2+ from pCa 6.2 to pCa 4. Addition of GTP or GTP gamma S activated channel activity only in the presence of Mg2+, a characteristic typical of G protein-mediated mechanisms. The Po increased from 0.18 +/- 0.08 to 0.49 +/- 0.07 (n = 7, 0 mV, pCa 6 to 6.8). The channel was also activated (Po increased from 0.03 to 0.37) in the presence of AMP-PNP, a nonphosphorylating ATP analogue, suggesting a direct G protein gating of KCa channels. Upon nucleotide activation, mean open time increased by a factor of 2.7 +/- 0.7 and mean closed time decreased by 0.2 +/- 0.07 of their initial values (n = 6). Norepinephrine (NE) or isoproterenol potentiated the GTP-mediated activation of KCa channels (Po increased from 0.17 +/- 0.06 to 0.35 +/- 0.07, n = 10). These results suggest that myometrium possesses beta-adrenergic receptors coupled to a GTP-dependent protein that can directly gate KCa channels. Furthermore, KCa channels, beta-adrenergic receptors, and G proteins can be reconstituted in lipid bilayers as a stable, functionally coupled, molecular complex.     

Properties of single Na+ channels in cut-open Myxicola giant axons

Time- and voltage-dependent behavior of the Na+ conductance in dialyzed intact Myxicola axons was compared with cut-open axons subjected to loose-patch clamp of the interior and to axons where Gigaseals were formed after brief enzyme digestion. Voltage and time dependence of activation, inactivation, and reactivation were identical in whole-axons and loose-patch preparations. Single channels observed in patch-clamp axons had a conductance of 18.3 +/- 2.3 pS and a mean open time of 0.84 +/- 0.12 ms. The time-dependence of Na+ currents found by averaging patch-clamp records was similar to intact axons, as was the voltage dependence of activation. Steady-state inactivation in patch-clamped axons was shifted by an average of 15 mV from that seen in loose-patch or intact axons. Substitution of D2O for H2O decreased single channel conductance by 24 +/- 6% in patch-clamped axons compared with 28 +/- 4% in intact axons, slowed inactivation by 58 +/- 8% compared with 49 +/- 6%, and increased mean open time by 52 +/- 7%. The results confirm observations on macroscopic channel behavior in Myxicola and resemble that seen in other excitable tissues.     

Modulation of single cardiac sodium channels by DPI 201-106

Single sodium channel currents were analysed in cell attached patches from single ventricular cells of guinea pig hearts in the presence of a novel cardiotonic compound DPI 201-106. The mean single channel conductance of DPI-treated Na channels was not changed by DPI (20.8 +/- 4 pS, control, 3 patches; 21.3 +/- 1 pS with DPI, 5 mumol/1,3 patches). DPI voltage-dependently prolongs the cardiac sodium channel openings by removal of inactivation at potentials positive to -40 mV. At potentials negative to -40 mV a clustering of short openings at the very beginning of the depolarizing voltage steps can be observed causing a transient time course of the averaged currents. Long openings induced an extremely slow inactivation. Short openings, long openings and nulls appeared in groups referring to a modal gating behaviour of DPI-treated sodium channels. DPI-modified Na channels showed a monotonously prolonged mean open time with increased depolarizing voltage steps, e.g. the open state probability within a sweep was increased. However, the number of non-empty sweeps was decreased with the magnitude of the depolarizing steps, e.g. the probability of the channel being open as calculated from the averaged currents was voltage-dependently decreased by DPI (50% decrease at -50.7 +/- 9 9 mV, 3 patches). Short and long openings of DPI-modified channels could be separated by variation of the holding potential. The occurrence of long Na channel openings was much more suppressed by reducing the holding potential (half maximum inactivation at -112 +/- 8 mV, 4 patches) than that of short openings (half maximum inactivation at -88 +/- 8 mV, 4 patches). Otherwise, short living openings completely disappeared at potentials positive to -40 mV where the occurrence of long openings was favoured. The differential voltage dependence of blocking and activating effects of DPI on cardiac Na channels as well as the differential voltage dependence of the appearance of short and long openings refers to a modal gating behaviour of cardiac Na channels.     

Gating of Na channels in the rat cortical collecting tubule: effects of voltage and membrane stretch

The gating kinetics of apical membrane Na channels in the rat cortical collecting tubule were assessed in cell-attached and inside-out excised patches from split-open tubules using the patch-clamp technique. In patches containing a single channel the open probability (Po) was variable, ranging from 0.05 to 0.9. The average Po was 0.5. However, the individual values were not distributed normally, but were mainly < or = 0.25 or > or = 0.75. Mean open times and mean closed times were correlated directly and inversely, respectively, with Po. In patches where a sufficient number of events could be recorded, two time constants were required to describe the open-time and closed-time distributions. In most patches in which basal Po was < 0.3 the channels could be activated by hyperpolarization of the apical membrane. In five such patches containing a single channel hyperpolarization by 40 mV increased Po by 10-fold, from 0.055 +/- 0.023 to 0.58 +/- 0.07. This change reflected an increase in the mean open time of the channels from 52 +/- 17 to 494 +/- 175 ms and a decrease in the mean closed time from 1,940 +/- 350 to 336 +/- 100 ms. These responses, however, could not be described by a simple voltage dependence of the opening and closing rates. In many cases significant delays in both the activation by hyperpolarization and deactivation by depolarization were observed. These delays ranged from several seconds to several tens of seconds. Similar effects of voltage were seen in cell-attached and excised patches, arguing against a voltage-dependent chemical modification of the channel, such as a phosphorylation. Rather, the channels appeared to switch between gating modes. These switches could be spontaneous but were strongly influenced by changes in membrane voltage. Voltage dependence of channel gating was also observed under whole-cell clamp conditions. To see if mechanical perturbations could also influence channel kinetics or gating mode, negative pressures of 10-60 mm Hg were applied to the patch pipette. In most cases (15 out of 22), this maneuver had no significant effect on channel behavior. In 6 out of 22 patches, however, there was a rapid and reversible increase in Po when the pressure was applied. In one patch, there was a reversible decrease. While no consistent effects of pressure could be documented, membrane deformation could contribute to the variation in Po under some conditions.     

External cadmium and internal calcium block of single calcium channels in smooth muscle cells from rabbit mesenteric artery.

The patch clamp technique was used to record unitary currents through single calcium channels from smooth muscle cells of rabbit mesenteric arteries. The effects of external cadmium and cobalt and internal calcium, barium, cadmium, and magnesium on single channel currents were investigated with 80 mM barium as the charge carrier and Bay K 8644 to prolong openings. External cadmium shortened the mean open time of single Ca channels. Cadmium blocking and unblocking rate constants of 16.5 mM-1 ms-1 and 0.6 ms-1, respectively, were determined, corresponding to dissociation constant Kd of 36 microM at -20 mV. These results are very similar to those reported for cardiac muscle Ca channels (Lansman, J. B., P. Hess, and R. W. Tsien. 1986. J. Gen. Physiol. 88:321-347). In contrast, Cd2+ (01-10 mM), when applied to the internal surface of Ca channels in inside-out patches, did not affect the mean open time, mean unitary current, or the variance of the open channel current. Internal calcium induced a flickery block, with a Kd of 5.8 mM. Mean blocking and unblocking rate constants for calcium of 0.56 mM-1 ms-1 and 3.22 ms-1, respectively, were determined. Internal barium (8 mM) reduced the mean unitary current by 36%. We conclude that under our experimental conditions, the Ca channel is not symmetrical with respect to inorganic ion block and that intracellular calcium can modulate Ca channel currents via a low-affinity binding site.     

Comparative effects of levosimendan, OR-1896, OR-1855, dobutamine, and milrinone on vascular resistance, indexes of cardiac function, and O2 consumption in dogs

Levosimendan enhances cardiac contractility via Ca(2+) sensitization and induces vasodilation through the activation of ATP-dependent K(+) and large-conductance Ca(2+)-dependent K(+) channels. However, the hemodynamic effects of levosimendan, as well as its metabolites, OR-1896 and OR-1855, relative to plasma concentrations achieved, are not well defined. Thus levosimendan, OR-1896, OR-1855, or vehicle was infused at 0.01, 0.03, 0.1, and 0.3 mumol.kg(-1).30 min(-1), targeting therapeutic to supratherapeutic concentrations of total levosimendan (62.6 ng/ml). Results were compared with those of the beta(1)-agonist dobutamine and the phosphodiesterase 3 inhibitor milrinone. Peak concentrations of levosimendan, OR-1896, and OR-1855 were 455 +/- 21, 126 +/- 6, and 136 +/- 6 ng/ml, respectively. Levosimendan and OR-1896 produced dose-dependent reductions in mean arterial pressure (-31 +/- 2 and -42 +/- 3 mmHg, respectively) and systemic resistance without affecting pulse pressure, effects paralleled by increases in heart rate; OR-1855 produced no effect at any dose tested. Dobutamine, but not milrinone, increased mean arterial pressure and pulse pressure (17 +/- 2 and 23 +/- 2 mmHg, respectively). Regarding potency to elicit reductions in time to peak pressure and time to systolic pressure recovery: OR-1896 > levosimendan > milrinone > dobutamine. Levosimendan and OR-1896 elicited dose-dependent increases in change in pressure over time (118 +/- 10 and 133 +/- 13%, respectively), concomitant with reductions in left ventricular end-diastolic pressure and ejection time. However, neither levosimendan nor OR-1896 produced increases in myocardial oxygen consumption at inotropic and vasodilatory concentrations, whereas dobutamine increased myocardial oxygen consumption (79% above baseline). Effects of the levosimendan and OR-1896 were limited to the systemic circulation; neither compound produced changes in pulmonary pressure, whereas dobutamine produced profound increases (74 +/- 13%). Thus levosimendan and OR-1896 are hemodynamically active in the anesthetized dog at concentrations observed clinically and elicit cardiovascular effects consistent with activation of both K(+) channels and Ca(2+) sensitization, whereas OR-1855 is inactive on endpoints measured in this study.