Heart Attack Prevention: Potential New Use For Viagra?

Led by professor of Pharmacology and Toxicology Donald Maurice, the study focuses on the effects of Viagra – the popular erectile dysfunction drug, which is also used to treat pulmonary hypertension.

“As scientists, we’re excited about this discovery because it’s a fundamentally new approach to regulating what enzymes do in cells,” says Dr. Maurice, a Career Scientist with the Ontario Heart and Stroke Foundation. “The fact that it also offers a potentially novel use of a drug already widely in use for other applications is an unexpected bonus.”

The enzyme targeted by the Queen’s researchers is known to regulate the activity of platelets: small blood cells needed for normal blood clotting. Problems can arise when people have stents permanently implanted in their arteries to maintain blood flow. Their platelets sometimes bind to the stent and, if enough platelets accumulate to form a blockage, this may cause a sudden, massive heart attack or stroke to occur.

Drugs like Viagra have been shown to inhibit PDE5, explains Lindsay Wilson, a PhD student in Pathology and Molecular Medicine and first author on the study. Until now, however, it hasn’t been possible to isolate the small “pool” of activity within the cell where this is occurring.

The Queen’s study shows that within each cell there are two different pools of the PDE5 enzyme, but that only one of them regulates platelet activation. “Understanding how the cell works should allow us to affect the activity of enzymes in one neighborhood – and leave alone their ‘identical twins’ in a different neighborhood in that cell,” says Ms Wilson.

“The idea is to use a PDE5 inhibitor such as Viagra selectively to inhibit platelet function,” she continues. We now know that not all the enzymes in the cell are doing the same job. Just like in real estate, it’s all about the location!”

The team’s findings were recently published online in the international journal Proceedings of the National Academy of Sciences. Other members of the Queen’s research team are Hisham Elbatarny and Brian Bennett (Pharmacology and Toxicology), and Scott Crawley (Biochemistry). Funding came from the Ontario Heart and Stroke Foundation and the Canadian Institutes of Health Research (CIHR).