Variable effect of calcium channel blockers on the decremental response in experimental autoimmune myasthenia gravis

Itzhak Wirguin, Talma Brenner, Camille Sicsic, Zohar Argov

Research output: Contribution to journalArticlepeer-review

8 Scopus citations

Abstract

We tested the effect of intravenous administration of verapamil and nimodipine on the decremental response in rabbits with experimental autoimmune myasthenia. Nimodipine produced an immediate augmentation of the decremental response to 3‐Hz nerve stimulation, which lasted about 30 min. In contrast, verapamil caused marked amelioration of the decrement beginning 30 min after injection. Our findings are consistent with previous reports suggesting that verapamil has a presynaptic effect of enhanced acetylcholine release at the neuromuscular junction. Since evaluation of a drug effect in vivo in animals with experimental autoimmune myasthenia gravis may be more pertinent to its effect on patients with myasthenia gravis (MG), verapamil might prove to be safer in MG than nimodipine. However, due to the additional effects of calcium channel blockers, the safety of their use in myasthenia gravis cannot be inferred from the experimental results. © 1994 John & Sons, Inc.

Original languageEnglish
Pages (from-to)523-527
Number of pages5
JournalMuscle and Nerve
Volume17
Issue number5
DOIs
StatePublished - 1 Jan 1994
Externally publishedYes

Keywords

  • calcium channel blockers
  • experimental myasthenia
  • myasthenia gravis
  • neuromuscular transmission
  • nimodipine
  • verapamil

ASJC Scopus subject areas

  • Physiology
  • Clinical Neurology
  • Cellular and Molecular Neuroscience
  • Physiology (medical)

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