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P Ernsberger, TH Damon, LM Graff, SG Schafer and MO Christen
Department of Medicine and Neuroscience, Case Western Reserve School of Medicine, Cleveland, Ohio.
Both the hypotension and the sedation elicited by centrally acting antihypertensive agents are traditionally attributed to activation of alpha 2 adrenergic receptors. Second-generation centrally acting agents such as moxonidine are less sedating but retain antihypertensive efficacy. A novel receptor which recognizes imidazolines may contribute to their vasodepressor action in the ventrolateral medulla (VLM). We sought to determine whether moxonidine was a selective ligand for these putative I1-imidazoline receptors in different species and tissues. Moxonidine inhibited [3H]clonidine binding to bovine VLM membranes in a heterogeneous manner, showing 40-fold selectivity for one component. Masking studies using selective inhibitors to block either I1- imidazoline or alpha 2 sites established that the population of sites showing high affinity for moxonidine were I1-imidazoline sites. Moxonidine also showed 70-fold selectivity for I1-imidazoline sites labeled by [125I]p-iodoclonidine in the VLM. Moxonidine competitively inhibited [3H]clonidine binding to I1-imidazoline sites at concentrations that failed to inhibit alpha 2 binding. In the rat renal medulla, moxonidine showed almost 700-fold selectivity for I1- imidazoline sites relative to the alpha 2B receptor subtype. The high affinity of moxonidine for I1 sites was confirmed by using membranes prepared from bovine adrenomedullary cells, which lack alpha 2 adrenergic receptors. Among centrally acting antihypertensives, clinical potency correlated with binding affinity at bovine VLM I1- imidazoline sites (r = 0.996, N = 4), but not with alpha 2 adrenergic affinity (r = -0.239, N = 6). The potent action of moxonidine on I1- imidazoline receptors may account for its antihypertensive efficacy.
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