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Abstract
Alkaloids from Aconitum sp., used as analgesics in traditional Chinese medicine, were
investigated to elucidate their antinociceptive and toxic properties considering:
(1) binding to Na+ channel epitope site 2, (2) alterations in synaptosomal Na+ and
Ca2+ concentration ([Na+]i, [Ca2+]i), (3) arrhythmogenic action of isolated atria,
(4) antinociceptive and (5) acute toxic action in mice. The study revealed a high
affinity group (Ki 1 microM) and a low affinity group (Ki 10 microM) of alkaloids
binding to site 2. The compounds of the high affinity group induce an increase in
synaptosomal [Na+]i and [Ca2+]i (EC50 3 microM), are antinociceptive (ED50, 25 microg/kg),
provoke tachyarrhythmia and are highly toxic (LD50 70 microg/kg), whereas low affinity
alkaloids reduce [Ca2+]i, induce bradycardia and are less antinociceptive (ED50 20
mg/kg) and less toxic (LD50 30 mg/kg). These results suggest that the alkaloids can
be grouped in Na+ channel activating and blocking compounds, but none of the alkaloids
seem to be suitable as analgesics because of the low LD50/ED50 values.