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synthesis and in vitro pharmacology of a series of histamine h2 ...

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Chapter 1<br />

3) N-type channels are found <strong>in</strong> neurones <strong>and</strong> may regulate neurotransmitter<br />

release. Like P-type channels, they have an <strong>in</strong>termediate s<strong>in</strong>gle-channel conductance<br />

compared to L- or T-type channels. N-type channels are highly<br />

sensitive to co-conotox<strong>in</strong>s.<br />

4) P-type channels, like L- <strong>and</strong> N-type channels, are high voltage activated Ca 2+<br />

-<br />

channels. P-type channels are located <strong>in</strong> cerebellar Purk<strong>in</strong>je cells <strong>and</strong> may be<br />

responsible for neurotransmitter release <strong>in</strong> many bra<strong>in</strong> regions.<br />

In vascular smooth muscle cells, calcium <strong>in</strong>flux ma<strong>in</strong>ly takes place via specific L-type<br />

Ca 2+<br />

-channels <strong>and</strong> to a lesser extent via the Na +<br />

/Ca 2+<br />

-exchange process.<br />

Several exogenous lig<strong>and</strong>s exist which can selectively block Ca 2+<br />

-entry through Ltype<br />

calcium channels. These lig<strong>and</strong>s can be classified accord<strong>in</strong>g to several criteria,<br />

based upon: chemistry, specificity on calcium current <strong>in</strong>hibition <strong>and</strong> tissue selectivity /<br />

cl<strong>in</strong>ical usage 72<br />

.<br />

In this chapter the chemical criterion is used to def<strong>in</strong>e the classes <strong>of</strong> CCBs (fig. 9f):<br />

- phenylalkylam<strong>in</strong>es, like verapamil 55<br />

- benzodiazep<strong>in</strong>es, like diltiazem 56<br />

- dihydropyrid<strong>in</strong>es (DHPs), like nifedip<strong>in</strong>e 57<br />

57 Nifedip<strong>in</strong>e 58 Nicardip<strong>in</strong>e<br />

Figure 9f: Antihypertensives; calcium channel blockers<br />

24

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