Possible role of thiamine in neuromuscular transmission

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Abstract
Pyrithiamine (50 mg/kg), a thiamine antagonist, decreased the muscle twitches of the rat masseter muscle at stimulation frequencies above 1 Hz 40–80 min after an i.v. injection. The post‐tetanic potentiation (PTP) induced by nerve stimulation of the masseter muscle was abolished by pyrithiamine. Administration of thiamine restored the muscle twitches at stimulation frequencies above 1 Hz and the PTP. The muscle twitches elicited by direct muscle stimulation were not affected by pyrithiamine treatment. The abolishment of the PTP was accompanied by a decrease in thiamine and thiamine‐diphosphate. The pyruvate level in the blood was unchanged after pyrithiamine treatment. Oxythiamine, on the other hand, had no effect on the PTP but increased the pyruvate level in the blood. Fern extract which contains thiaminase I also abolished the PTP–an effect reversible by the addition of thiamine. The frequency‐induced depression of the muscle twitches induced by pyrithiamine was similar to the effect of low doses of d‐tubocurarine (8 μg/kg). The results support the hypothesis that thiamine may play a role in neuromuscular transmission.