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Am J Physiol Regul Integr Comp Physiol (June 24, 2009). doi:10.1152/ajpregu.00134.2009
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Submitted on March 4, 2009
Revised on June 12, 2009
Accepted on June 12, 2009

Methazolamide does not impair respiratory work performance in anaesthetized rabbits

Heidrun F. Kiwull-Schöne1*, Yi Li1, Peter J Kiwull1, and Luc J. Teppema2

1 Ruhr-University Bochum
2 Leiden University Medical Center

* To whom correspondence should be addressed. E-mail: Heidrun.Kiwull-Schoene{at}rub.de.

In human medicine, the carbonic anhydrase(CA) inhibitor acetazolamide is used to treat irregular breathing disorders. Previously, we demonstrated in the rabbit that this substance stabilized closed-loop gain properties of the respiratory control system, but concomitantly weakened respiratory muscles. Among others, the highly diffusible CA-inhibitor methazolamide differs from acetazolamide in that it fails to activate Ca2+-dependent potassium channels in skeletal muscles. Therefore, we aimed to find out, whether or not methazolamide may exert attenuating adverse effects on respiratory muscle performance as acetazolamide. In anaesthetized spontaneously breathing rabbits (N=7), we measured simultaneously the CO2 responses of tidal phrenic nerve activity, tidal transpulmonary pressure changes and tidal volume before and after intravenous application of methazolamide at two mean (±SEM) cumulative doses of 3.5 ±0.1 and 20.8 ±0.4 mg•kg-1. Similar to acetazolamide, low- and high-dose methazolamide enhanced base-line ventilation by 52 ±10% and 166 ±30%, respectively (P<0.01) and lowered the base excess in a dose-dependent manner by up to 8.3 ±0.9 mmol•l-1 (P<0.001). The transmission of a CO2-induced rise in phrenic nerve activity into volume and/or pressure and hence respiratory work performance was 0.27 ±0.05 ml•kg-1•kPa•unit-1 under control conditions, but remained unchanged upon low- or high-dose methazolamide at 0.30 ±0.06 and 0.28 ±0.07 ml•kg-1•kPa•unit-1, respectively. We conclude that methazolamide does not cause respiratory muscle weakening at elevated levels of ventilatory drive. This substance (so far not used for medication of respiratory diseases) may thus exert stabilizing influences on breathing control without adverse effects on respiratory muscle function.







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