Effects of topically delivered benzamil and amiloride on nasal potential difference in cystic fibrosis

T Hofmann, MJ Stutts, A Ziersch, C Ruckes… - American journal of …, 1998 - atsjournals.org
T Hofmann, MJ Stutts, A Ziersch, C Ruckes, WM Weber, MR Knowles, H Lindemann…
American journal of respiratory and critical care medicine, 1998atsjournals.org
The raised nasal transepithelial potential difference (PD) in cystic fibrosis (CF) reflects
accelerated active transport of Na+, and is inhibited by topical administration of the Na+
channel blocker, amiloride. The aim of this study was to investigate the dose-effect and time
course of topically administered Na+ conductance inhibitors to inhibit nasal PD, including
benzamil, an analog of amiloride. We measured the magnitude of drug inhibition of Na+
transport [percent inhibition of baseline PD (Δ PD%)] and duration of inhibition of PD …
The raised nasal transepithelial potential difference (PD) in cystic fibrosis (CF) reflects accelerated active transport of Na+, and is inhibited by topical administration of the Na+ channel blocker, amiloride. The aim of this study was to investigate the dose-effect and time course of topically administered Na+ conductance inhibitors to inhibit nasal PD, including benzamil, an analog of amiloride. We measured the magnitude of drug inhibition of Na+ transport [percent inhibition of baseline PD ( Δ PD%)] and duration of inhibition of PD, defined as the time when drug inhibition of PD had recovered by 50% (effective time = ET50). Amiloride [10 3 M (n = 16), 3 × 10 3 M (n = 9), 6 × 10 3 M (n  = 7), 10 2 M (n = 3)] or benzamil [1.7 × 10 3 M (n = 7), and 7 × 10 3 M (n = 5)] were administered to the nasal surface via an aerosol generated by a jet nebulizer and a nasal mask. The concentration-dependent magnitude ( Δ PD%) of inhibition was similar for amiloride and benzamil ( ∼ 67– 77%), whereas the duration of inhibition (ET50) was about two-and-a-half times longer after benzamil administration as compared with equivalent concentrations of amiloride [1.6 ± 0.06 versus 4.5 ± 0.6 h (ET50  ± SEM), at 6–7 × 10 3 M]. In vitro studies of cultured normal nasal epithelia demonstrated directly that benzamil induced an approximately 2-fold more prolonged inhibition of active Na+ transport than amiloride. These data suggest aerosolized benzamil is a candidate long-duration Na+ channel blocker for CF.
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