Development of tolerance to the antihypertensive effects of highly selective adenosine A2a agonists upon chronic administration

J Pharmacol Exp Ther. 1993 Oct;267(1):287-95.

Abstract

Three highly A2a-selective adenosine agonists were examined for their effects on blood pressure during chronic administration in conscious spontaneously hypertensive rats. Sodium 4-[2-[[6-amino-9-(N-ethyl-beta-D-ribofuranuronamidosyl)-9H-purin-2 -yl] amino]ethyl]benzenepropionate (CGS 21680C) 2-[(2-cyclohexyl-ethyl)amino]adenosine (CGS 22492) and 2-[[2-(1-cyclohexen-1-yl)ethyl]amino]adenosine (CGS 22989) were administered at a rate of 0.25 and 0.5 micrograms/kg/min i.v. for 2 weeks using osmotic minipumps. Significant systolic blood pressure reductions were seen in the A2a agonist-treated groups compared to vehicle-treated (50% dimethyl sulfoxide) animals. Maximum effects occurred on days 1 and 2 in the treated animals. However, the antihypertensive effect diminished with time such that no differences between treatments were seen at 2 weeks. In contrast, a sustained antihypertensive effect was evident with benazeprilat (an angiotensin converting enzyme inhibitor). Tolerance was associated with a decrease in Bmax values (375 +/- 22, 410 +/- 18 and 548 +/- 17 fmol/mg of protein in the CGS 21680C, CGS 22989- and vehicle-treated spontaneously hypertensive rats, respectively) without affecting the Kd value. In addition to a reduction in A2 receptor number, increased heart rates were seen on day 1 and 2 in both the CGS 21680C- and CGS 22989-treated animals and a mild stimulation of the renin angiotensin system occurred with CGS 21680C. In separate acute experiments using identical infusion rates, plasma concentrations of CGS 21680C were 157 +/- 41 ng/ml compared to 30.4 +/- 8.8 ng/ml after chronic administration.(ABSTRACT TRUNCATED AT 250 WORDS)

MeSH terms

  • Adenosine / analogs & derivatives*
  • Adenosine / blood
  • Adenosine / metabolism
  • Adenosine / pharmacology
  • Animals
  • Antihypertensive Agents / administration & dosage*
  • Blood Pressure / drug effects
  • Corpus Striatum / metabolism
  • Cyclohexanes / blood
  • Cyclohexanes / pharmacology*
  • Dose-Response Relationship, Drug
  • Drug Tolerance
  • Heart Rate / drug effects
  • Male
  • Phenethylamines / blood
  • Phenethylamines / metabolism
  • Phenethylamines / pharmacology
  • Rats
  • Rats, Inbred SHR
  • Receptors, Purinergic P1 / drug effects*
  • Renin / blood
  • Time Factors

Substances

  • Antihypertensive Agents
  • Cyclohexanes
  • Phenethylamines
  • Receptors, Purinergic P1
  • 2-(4-(2-carboxyethyl)phenethylamino)-5'-N-ethylcarboxamidoadenosine
  • 2-((2-cyclohexylethyl)amino)adenosine
  • 2-((2-(1-cyclohexen-1-yl)ethyl)amino)adenosine
  • Renin
  • Adenosine