GANGLION
BLOCKING ITS
PROPERTIES
RELATED
IWAO YAMAMOTO,
OF
THIAMINE
AND
COMPOUNDS
KIHEI OTORI,
SEKIZO KOJIMA
AND KOJI MIZOGUCHI Department of Pharmacology, OsakaUniversity DentalSchool, Kita-ku,Osaka Receivedfor publication February 10, 1965
In the course of investigation Yamamoto
and
his co-workers
of antagonistic
actions of thiamine
led to a conclusion
that a main
against
antagonistic
nicotine, site in the
peripheral region is the nervous ganglion and the antagonistic action is involved in the competition at the receptor site (1-6). The antagonism between nicotine and thiamine dealt with the investigation vitamin.
was by no means referable
In its thiazole ring structure
thiamine
to the action of thiamine
has a quaternary
ammonium,
as a
as other
ganglion blockers have. The ganglion blocking action of thiamine on the cat's nictitat ing membrane has been previously demonstrated by Yamamoto and his co-workers (3-6) and Mazzella macological
et al. (7). properties
The present of thiamine
nium and tetraethylammonium
investigation
was undertaken
and its related compounds
to compare
the phar
with those of hexametho
with special reference to the ganglion
blocking
activity.
MATERIALS Thiamine hydrofurfuryl
hydrochloride disulfide
(thiamine),
(TTFD),
thiamine
propyl disulfide (TPD), thiamine
3-(4-amino-2-methyl
tetra
pyrimidyl-5-methyl)-4-methyl-5
methyl thiazolium chloride (TM), provided by Research Laboratories, Takeda Chemical Industries, Ltd., were used. Chemical structures of those compounds are shown in Fig. 1. As the reference substances bitartrate
(C6) were used.
in 0.9% saline solution.
tetraethylammonium
The compounds
bromide
were used immediately
The other compounds
hydrochloride
chloride
torazoline
sulfate (atropine),
after being dissolved
used were as follows : acetylcholine
ride (ACh), l-nicotine (nicotine), l-adrenaline (Norad), atropine
(TEA) and hexamethonium
(Ad), dl-noradrenaline
chloride
chlo hydro
(tolazoline).
METHODS 1) Effects on blood pressure Blood pressure
was recorded
from
the unilateral
common
carotid
artery
on kymo
graph via a mercury manometer in pentobarbitalized dogs and cats. The vagus dissected in the neck and the splanchnic nerve extraperitoneally. The peripheral 山本
巌 ・大 鳥
喜 平 ・小 島
碩 蔵 ・溝 口
幸二
was cut
FIG.
1.
Chemical
structure
of
thiamine
and
its
related
compounds.
end of each nerve was stimulated with bipolar electrode. Sub and supramaximum stimulation with 1 millisecond duration, frequency of 20 per second were used for 5 seconds. Injection of each test compound was made into the femoral vein with a con stant speed for 10 seconds. 2) Effects on the contractionresponseof the cat's nictitating membrane Cats, weighing 2 to 4 kg, were anesthetized with intraperitoneal pentobarbital sodium (30 mg/kg). Contractions of the nictitating membrane were recorded with a frontal witing point lever as usual. At the lower part of the neck one preganglionic cervical sympathetic nerve was separated from the vagus. Supramaximum stimuli were given on the pre ganglionic sympathetic nerve with the frequency of 20 per second and submaximum stimuli on the postganglionic nerve with the frequency of 10 per second. Stimuli with 1 millisecond duration were given using bipolar electrode for 6 seconds every 5 minutes. Intraarterial injections of ACh and nicotine were made through the cervical end of the lingual artery into the blood supply of the nictitating membrane or the superior cervical ganglion, following the method of Trendelenburg (8). To obtain a dose-response curve, graded doses of a test compound solved in 0.2 ml of saline solution, were injected. The extracarotid artery was clamped and supramaximum stimulation of the pregang lionic nerve was made 1 minute after the injection. The clamp was removed 20 seconds after the preganglionic stimulation. The interval between each series of arterial injec
tion was 10 to 30 minutes. In other experiments, intravenous injection of thiamine and its related compounds was made at a constant speed for 120 seconds. Decentralized and denervated preparations were made 2 to 3 weeks before by the aseptical removal of about 2 cm of the appropriate cervical sympathetic nerve or the superior cervical ganglion. RESULTS 1)
Effects of test compounds on blood pressure a)
Blood pressure in dogs
A decrease of blood pressure or more of thiamine,
was observed
TPD and TTFD.
following the administration
Thiamine
(Fig. 2). Immediately after the administration response due to peripheral vagal stimulation However, a hypotensive of thiamine.
The
2).
TPD and
TTFD
the vagal stimulation
was more potent than TPD or TTFD
of 5 mg/kg of thiamine a hypotensive became about 60% of the initial level.
response to 2 ng/kg of ACh was not affected by the same dose
inhibitory
tion lasted in parallel
of 5 mg/kg
effect of thiamine
with the pressure did not produce
lowering
on the response
due to vagal stimula
effect caused by thiamine
such inhibitory
alone (Fig.
effects on the response
due to
and ACh, even in a dose of more than 5 mg/kg.
FIG. 2. Blood pressure in dog : Effects of thiamine and TTFD on hypotensive responses to peripheral vagal stimulation and intravenous 2 Itg/kg of ACh.
Thiamine,
in a dose of more than
to a peripheral. splanchnic of thiamine
10 mg/kg, inhibited
nerve stimulation.
this hypertensive
response
a hypertensive
response due
Following the administration
of 30 mg/kg
was completely
,"g/kg of Ad was significantly potentiated (Fig. 3). thiamine was diminished following preadministration sure lowering
effect of TPD and
TTFD
was hardly
blocked
and the response
to 2
The pressure lowering effect of of 2 mg/kg of C6j while the pres affected
following
pretreatment
with C6 or atropine. b) Blood pressure in cats Thiamine,
in a dose of 10 mg/kg,
lowered _the blood pressure.
TTFD,
in a dose
FIG. 3. Blood pressure in dog : Effects of thiamine and TPD on hypertensive responses to peripheral splanchnic nerve stimulation and intravenous 2 E.ig/kg of Ad or Norad.
FIG.
4.
Blood
pressure
in
cat
: Hypertensive
effect
of
TTFD.
of more than 5 mg/kg, tension
(Fig. 4).
and TTFD
were not influenced
administration
of tolazoline,
Ad, the hypertensive slight hypotensive 2)
produced
a transient
hypertension
TPD also showed a similar
by the preadministration
in the dose enough
action
action
of each compound
followed
effect to TTFD.
by a slight hypo
These effects of TPD
of Cs.
However,
to block the response was completely
after the
to 2 ug/kg of
abolished,
and only a
was observed.
Effects of test componuds on the contraction response of the cat nictitating membrane a)
Effects on contraction response due to preganglionic supramaximum electric stimulation
Thiamine depressed a contraction response due to the preganglionic stimulation, in a dose of more than 5 mg/kg. As shown in Fig. 5, 30 mg/kg of thiamine depressed the response by 30 to 60% of the initial level and such depression after the administration the response, whereas mg/kg, TM depressed served that thiamine
of the drug. more than
TM, in a dose of 5 mg/kg, transiently
10 mg/kg
FIG.
5.
almost the same as thiamine
response
stimulation
of
of
nictitating
cervical
effect.
effect by repeated
in contraction
membrane.
sympathetic
nerve
5 minutes,
augmented It was ob
administration
More than 60 mg/kg
with a transient
Preganglionic every
1 hour
In a dose of 30
did in the same dose.
replaced for the effect.
showed a slight depression
Contraction
electric
caused a depressive
and TM caused an accumulating
and that either of them could be mutually of TPD or TTFD
lasted about
supramaximum
lowering
of the basal line. When 4 mg/kg of TEA or 1.5 mg/kg of C6 was administered, the contraction response was depressed at almost the same potency and duration as in the case of 30 mg/kg of thiamine (Fig. 5). b) Effects on contractionresponsedue to the injectionof 100 ,ug of ACh or 30 jcg of nicotine into the bloodsupply of the superior cervicalganglion The contraction response of the nictitating membrane elicited by the repeated ad ministration of ACh every 10 minutes was depressed by 30 mg/kg of thiamine and recovered usually 1 hour after the administration (Fig. 6). Four milligrams per kilo gram of TEA or 1.5 mg/kg of Cs showed almost the same depression of the response to ACh as in the case of 30 mg/kg of thiamine. Having confirmed the fact that 30 ag of nicotine which is approximate to a dose of 100% reactivity according to Jones (9) showed no inhibition of contraction response due to preganglionic stimulation, the effect of thiamine was examined. Thiamine showed a depressive effect on the response to nicotine as shown in Fig. 7.
FIG. 6. Contraction response of nictitating membrane. Injection of 100pg of ACh into blood supply of the acute decapitated superior cervical ganglion every 10 minutes.
FIG. 7. Contraction response of nictitating membrane. Injection of 30 pg of nicotine into blood supply of the acute decapitated superior cervical ganglion every 30 minutes.
c) Effects on contraction response due to the injection of 100 ag of ACh into the blood supply of the decentralized superior cervical ganglion It was observed that that obtained
this contraction
by the intact
mg/kg of thiamine
animal
response to ACh was usually
(Fig. 8).
but in a dose of 60 mg/kg.
in a dose of 4 mg/kg.
This response was hardly
stronger depressed
TEA also showed a transient
But C6 showed only an augmenting
effect even
than by 30
depression
in a dose of 8
mg/kg (Fig. 8).
Fir. 8. Contraction response of nictitating membrane. Injection of 100 tog of ACh into blood supply, of the decentralized superior cervical ganglion every 15 minutes.
d) Effects of contractionresponsedue to pestganglionicsubmaximumelectricstimulation Five to 10 mg/kg of thiamine augmented the contraction response due to post ganglionic stimulation transiently and the dose more than 30 mg/kg caused a slight depression. TEA, CE, TM, TPD and TTFD hardly affected the response (Fig. 9). e) Effects of contractionresponsedue to 3 1tg1kgof Ad administeredintravenously Acutely ganglionectomized animals were used. Either 50 mg/kg of thiamine or 30 mg/kg of TM caused 130 to 170% increase of the initial contraction in height 5 minutes after the administration and more than 200% increase after 20 minutes. TEA showed about 120% increase in a dose of 8 mg/kg, but Cs scarcely showed the increasing effect. It was also observed that TPD and TTFD, in a dose of 60 mg/kg, caused an increasing effect respectively (Fig. 9). f)
Effects on con!ra.-lionresponsedue to the injectionof 100 ,rig of ACh into the bloodsupply of the nictitating membrane Acutely ipsilateral superior cervical ganglionectomized animals were employed. The contraction response due to the repeated injection of ACh in every 15 minutes was depressed slightly by 60 mg/kg of thiamine or 8 mg/kg of TEA but hardly depressed
Fir. 9. Contraction response of nictitating membrane. Postganglionic submaximum electric stimulation of cervical sympathetic nerve every 5 minutes. O : 3 fig/kg Ad, i.v.
FiG. 10. Contraction response of nictitating membrane. Injection of 100 jig of ACh into blood supply of the acute ganglionecto mized nictitating membrane every 15 minutes.
by C6 even in a dose of 6 mg/kg. After the intravenous injection of 2 mg/kg of atro pine the nictitating membrane failed to respond to ACh (Fig. 10). g) Effects on contractionresponsedue to the injectionof 100 fig of ACh into the bloodsupply of the denervatednictitating membrane The contraction response of the denervated nictitating membrane to ACh was usually more potent than that of a normal nictitating membrane; the potentiation was repre sented by an increased in duration and contraction height. Thiamine, in a dose of 30 mg/kg, depressed the response slightly. h)
Comparison of ganglion blocking potency of each test compound
An attempt
was made to evaluate
the ganglion
blocking potencies of test compounds.
Fig;. 11. Dose-response curves of C6 and a test compound for the inhibition of contraction response of the nictitating membrane to preganglionic maximum electric stimulation of the cervical sympathetic nerve in a single preparation. (A) C6 and thiamine. (B) C6 and TM. (C) C6 and TPD. Each compound was injected intraarterially.
Dose-response curves of Cs and a test compound for the inhibition of the contraction response to preganglionic maximum stimulation in intraarterial graded doses were ob tained in a single preparation (Fig. 11). At least 1 hour after serial injections of graded doses of Cs, a test compound was injected at graded doses. Then 50% blocking doses (BD50) were estimated from both dose-response curves and the ratio of BD50 of each test compound to that of C6 was calculated as follows : BD50 of a test compound/BD50 of C6. As shown in Fig. 11, A and B, dose-response curves were obtained with less than 20 mg of thiamine and TM in a dose. While with TPD and TTFD usually oc curred the inhibition in less than 50% in a dose more than 20 mg. However, in the preparation which was sensitive to a low dose of Cs, a clear-cut dose-response curve was obtained with TPD in a dose less than 20 mg (Fig. 11, C). As shown in Fig . 11, A to C, the ratio of each test compound was as follows : thiamine 17, TM 20 and TPD 64. DISCUSSION In the experiments on blood pressure, a single dose of thiamine caused a pressure lowering effect in dogs and cats, and these effects were observed in parallel with block ing effects on the pressure response to preganglionic stimulation of the vagal and splan chnic nerves. In addition, the pressure lowering effect of thiamine was diminished following a pretreatment with C6. Thus, it seems most reasonable to conclude that the pressure lowering effect of thiamine is mainly attributable to its peripheral ganglion blocking action, as stressed by Tamori (4) and Yamamoto (6). This conclusion is also supported by the present experimental result in which thia mine hardly acts on peripheral region away from the ganglion. That is, the hypoten sive response to ACh was not affected by thiamine, and thiamine hardly depress a con traction response of the nictitating membrane due to postganglionic stimuli of the cer vical sympathetic nerve and depress slightly a contraction response to ACh which had been injected into the blood supply of the nictitating membrane. This contraction response to ACh was abolished by intravenous atropine. Therefore, it is obvious that thiamine has a weaker effect on the muscarinic "receptor of the nictitating membrane (10) than the effect on the ACh receptor of the superior cervical ganglion. On the contrary, thiamine potentiated a contraction response of the acute ganglionectomized nictitating membrane to intravenous Ad. A hypertensive response to intravenous Ad was also potentiated by thiamine. However, those potentiating effects of thiamine were observed usually at a rather larger dose than a depressive dose to the normal ganglion. The above results also indicate that the most significant site of the action of thia mine on the autonomic nervous system is the ganglion. In the present study, contrac tion of the nictitating membrane elicited by preganglionic sympathetic nerve stimula tion was depressed 40 to 70% by intravenous injection of 30 mg/kg of thiamine as reported by Yamamoto (6). Following intravenous administration of 4 mg/kg of TEA or 1.5 mg/kg of Cs, that contraction response was depressed at almost the same potency and duration as shown by 30 mg/kg of thiamine, Moreover, similar results were ob
tained
by the depression
ACh.
From the report
arterial
ACh is about
fore, it appears identical
On the other
of TEA or C6 of which
by Perry
and
It led to the conclusion
Reinart
while
thiamine
cervical
blocking
ganglion.
action
thiamine
There
is essentially results
or TEA
from a
depressed
C6 augmented
It was also observed
acted
of 100 iag of
100 ,cag of intra
cell.
ganglion,
was analogous
that
the
the response
that a direct
effect of
to that of TEA rather
than C6.
on the peripheral
site of the autonomic
system as in the case of TEA.
Thiamine
as well as TEA
has a quaternary
and it seems to be of interest zole ring structure
with three
ammonium
but not in TPD and TTFD.
peripheral
carbones
In the experiment
ever, even in a intravenous
differing
of thiamine
structure in its thia
from that of TEA or C6.
of the nictitating
membrane
response to the preganglionic
dose of 60 mg/kg,
depression.
both TPD and
blocking
by intravenous
potency
both thia
stimulation.
TTFD
It was also observed that pressure
nerve stimuli were not inhibited of the ganglion
in its chemical
ammonium
just at the same position as in the case of thiamine
mine and TM depressed a contraction slight and transient
ammonium
that the quaternary
is combined
TM has a quaternary
parison
ganglion
that,
(12).
membrane
that
injection
on the ganglion
site of the ganglion
hand, it was observed
on the nictitating
nervous
dose to the superior
of action of thiamine
response to ACh on the decentralized
as reported thiamine
a 90% responsive
with ACh at the receptor
contraction
in case of intraarterial
et al. (11) it may be estimated
that the mechanism
with that
competition
of the response of Mclsaac
only a
responses to various
TPD and TTFD.
of each test compound
How
caused
A com
evidenced
that
the
ganglion blocking activity of TPD was 1/4 to 1/3 as potent as that of thiamine and TM. TTFD showed the potency similar to TPD which would be attributed to the failure
of obtaining
As a result
a clear-cut
it is assumed
dose-response
that
curve
the ganglion
mainly
attributable
to a quaternary
TTFD,
which showed a weak ganglion
at graded
blocking
ammonium blocking
action
in thiazole
doses less than of thiamine ring
20 mg.
and
structure.
TM is TPD or
potency as described above, has a pyri
midine ring in its chemical structure and this part of structure is common to the test compounds. Therefore, it is also suggested that the ganglion blocking activity of thia mine and its related derived
compounds
from the pyrimidine
involves
the weak
ring structure
sure lowering hypertensive
ganglionic
actions.
TPD and TTFD
effect which was not augmented
response of TPD and
tolazoline TTFD
in cats. in different
which would be
responses of TPD and TTFD
effect which was not antagonized
by preadministered
activity
of these agents.
It is also very likely that the pressure able to factor other than
blocking
It may
with atropine
species resulted
blood vessel wall or, may be, from an indirect
showed a transient
action
pres
in dogs, and a transient
by a pretreatment be considered,
were attribut
of C6 but abolished therefore,
from a direct
such pressure action
of some histamine-like
to the
substance
released by these compounds. Matsukawa
et al. (13) reported
that serial compounds
of allithiamine,
involving TPD,
show the vitamin
B, activity
after receiving
a reduction
the living body, and they are excreted slowly.
and forming
Therefore,
thiazole ring in
those thiamine
related
com
pounds may cause significant pharmacological effects due to accumulation after the chronic administration. However, from the fact that TM, which has no vitamin acti vity, had the same ganglion able to conclude
blocking potency as that of thiamine,
that the ganglion
pounds has nothing
blocking activity
to do with the vitamin
it seems most reason
of thiamine
and its related
com
activity.
SUMMARY Pharmacological
properties
with those of TEA and It was shown that nervous
system is the ganglion
follows : thiamine
and
its related
Cs, with special reference
the most significant
lion blocking property from 50% blocking
of thiamine
to their
site of action
compounds ganglion
of thiamine
and that there was a significant
between thiamine
and TEA.
dose of a test compound
were compared blocking
similarity
on the gang
Ratios of test compounds,
versus 50% blocking
17, TM 20 and TPD 64. It was evident
from
activity.
on the autonomic calculated
dose of C6, were as these ratios
that
the
ganglion blocking activity of TPD was 1/4 to 1/3 as potent as that of thiamine and TM. It was concluded that the ganglion blocking activity of thiamine was mainly due to the quaternary ammonium of thiazole ring structure and that the ganglion block ing activity of thiamine
and its related compounds
has nothing
to do with the vitamin
activity. REFERENCES 1) YAMAMOTO, I., IWATA,H., TAMORI,Y. ANDHIRAYAMA, M.: Folia pharmacol.japon. 52, 429 (1956) (Japanese) 2) YAMAMOTO, I., IWATA,H., TAMORI,Y. AND HIRAYAMA, M.: Ibid. 53, 307 (1957) (Japanese) 3) YAMAMOTO, I., KUROGOCHI, Y., KITAMURA, T., NISHIO,H. ANDTAMORI,Y. ; J. Nara Med. Assoc. 9, 36 (1958) (Japanese) 4) TAMORI,Y.: Folia pharmacol.japon. 54, 571 (1958) (Japanese) 5) YAMAMOTO, I., INOKi,R. ANDTsuJIMOTO,A. : Japan.J. Pharm. Chem.33, 731 (1961) (Japanese) 6) YAMAMOTO, I. : THISJOURNAL13, 240 (1963) 7) MAZZELLA, H. ANDFERRERO, N. : Arch. int. Pharmacodyn. 82, 220 (1950) 8) TRENDELENBURG, U. : Brit. J. Pharmacol.11, 74 (1956) 9) JONES,A. : J. Pharmacol.141, 195 (1963) 10) TRENDELENBURG, U. : Ibid. 135, 39 (1962) 11) McIsAAC,R.J. ANDMILLERSCHOEN, N.R.: Ibid. 139, 18 (1963) 12) PERRY,W.L.M. ANDREINERT,H. : J. Physiol.126, 101 (1954) 13) MATSUKAWA, T., YURUGI,S., KAWASAKI, H., ARAMAKI, Y. AND SUZUOKI, J. : Ann. Rep. Takeda Res. Lab. 12, 1 (1953) (Japanese)