Triptans induce vasoconstriction of human arteries and veins from the thoracic wall.

Article Details

Citation

Wackenfors A, Jarvius M, Ingemansson R, Edvinsson L, Malmsjo M

Triptans induce vasoconstriction of human arteries and veins from the thoracic wall.

J Cardiovasc Pharmacol. 2005 May;45(5):476-84.

PubMed ID
15821444 [ View in PubMed
]
Abstract

A common side effect of migraine treatment with triptans is chest symptoms. The origin of these symptoms is not known. The aim of the present study was to examine the vasocontractile effect of triptans in human arteries and veins from the thoracic wall and in coronary artery bypass grafts. In vitro pharmacology experiments showed that the 5-hydroxytryptamine (5-HT) type 1B and 1D receptor agonists, eletriptan, naratriptan, rizatriptan, sumatriptan, and zolmitriptan, induced vasoconstriction in the thoracic blood vessels from 38% to 57% of the patients. 5-carboxamidotryptamine (5-CT) and sumatriptan elicited a vasoconstriction that was antagonized by the 5-HT1B receptor antagonist SB224289, whereas the 5-HT1D receptor antagonist BRL115572 had no effect. 5-HT induced a contraction that was inhibited by the 5-HT2A receptor antagonist ketanserin. 5-HT2A, 5-HT1B, and 5-HT1D receptor mRNA levels were detected by real-time PCR in all blood vessels studied. In conclusion, triptans induce vasoconstriction in arteries and veins from the thoracic wall, most likely by activation of 5-HT1B receptors. This response could be observed in only 38% to 57% of the patients, which may provide an explanation for why a similar number of patients experience chest symptoms as a side effect of migraine treatment with triptans.

DrugBank Data that Cites this Article

Drug Targets
DrugTargetKindOrganismPharmacological ActionActions
Eletriptan5-hydroxytryptamine receptor 1DProteinHumans
Yes
Agonist
Details
Rizatriptan5-hydroxytryptamine receptor 1BProteinHumans
Yes
Agonist
Details
Rizatriptan5-hydroxytryptamine receptor 1DProteinHumans
Yes
Agonist
Details