Aconitine, an alkaloid obtained from the plant Aconitum napellus is recognized
for its phytomedical effects on the heart, central nervous system, and skeletal
muscle (Catterall, Honerjager and Meissner, Ameri ). The arrhythmogenic effects
of aconitine include the induction of premature ventricular contractions (PVC),
ventricular tachycardia (VT), torsades de pointes, ventricular fibrillation
(VF), and mortality in a dose-dependent manner (Lu and Clerck). Experimentally,
aconitine-induced arrhythmias are thought to be induced by triggered activity
due to delayed afterdepolarization and early afterdepolarization. At the
molecular level, aconitine binds to Na+ channels and prolongs their open state
favoring entry of a large quantity of Na+ into cytosol, which may be accompanied
by Ca2+ overload via an electrogenic Na+-Ca2+ exchange (NCX) system and
eventually induces triggered activity (Sawanobori et al., Watano et al.). Thus,
the role of NCX is suspected to be important to generate triggered activity in
the heart (Adaniya et al.,Sawanobori et al.). (source: http://jpet.aspetjournals.org/)
The analgesic activity of lappaconitine, which is contained in the root of
Aconitum sinomantanum Nakai, was examined after oral and subcutaneous
administration to mice or rats by using methods for screening of analgesics,
i.e., hot plate, tail immersion, tail pinch, tail pressure, acetic acid-induced
writhing, bradykinin-induced flexor reflex of hind limb and Randall-Selitto
methods. The results were compared with those for morphine, indometacin and
acetylsalicylic acid (ASA). Analgesic activities of lappaconitine were greater
than those of indometacin and ASA, but generally about 2 to 5 times less than
those of morphine. However, in the rat tail immersion test, orally administered
lappaconitine exhibited more potent analgesic activity than morphine; in this
test, lappaconitine was almost equipotent when given orally and subcutaneously,
whereas the potency of orally administered morphine was only one-twentieth of
that of subcutaneously administered morphine. Like morphine, lappaconitine
increased the pain threshold of the normal paw as well as that of the inflamed
paw when tested by the Randall-Selitto method. The results show that
lappaconitine has strong analgesic activity, and further suggest that the
central nervous system may be involved in the action on the pain threshold.
(source: http://grande.nal.usda.gov/)
The roots from Aconitum sp. plants have long been used in Chinese herbal
medicine for treating pain and various heart conditions. The principal component
of Aconitum remedies is usually aconitine, a site 2 neurotoxin that may induce
severe neurological symptoms and cardiovascular collapse. Some Aconitum species
also contain lappaconitine, the structure of which is remarkably similar to that
of aconitine. In contrast to aconitine, a sodium channel agonist, lappaconitine
reportedly blocks voltage-gated sodium channels in heart tissue. The results in
the present study demonstrate that lappaconitine blocks cloned human heart (hH1)
sodium channels under whole-cell, voltage-clamp conditions. Lappaconitine
binding has several characteristics in common with the binding of site 2
neurotoxins, such as aconitine and batrachotoxin. For example, lappaconitine
binds almost exclusively to open channels, but has little affect on resting or
inactivated channels. Moreover, lappaconitine binding is inhibited by
bupivacaine, a tertiary amine local anesthetic. Whereas site 2 neurotoxins often
irreversibly modify channel kinetics, lappaconitine irreversibly blocks the
channels. Finally, channels containing lysine substitutions within the local
anesthetic receptor region at residues F1760 or N1765 are resistant to block by
bupivacaine or lappaconitine. Given that site 2 neurotoxins and local
anesthetics have nonidentical but overlapping binding regions, these data
suggest that lappaconitine irreversibly blocks hH1 channels by binding to the
site 2 receptor. (sourec: http://molpharm.aspetjournals.org/)
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