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多沙唑嗪治疗与男性高血压患者低密度脂蛋白的过氧化:体外和体内研究

Doxazosin treatment and peroxidation of low-density lipoprotein among male hypertensive subjects: in vitro and ex vivo studies.

作者信息

Brude I R, Drevon C A, Viken K, Arnstad J E, Valnes K N, Nenseter M S

机构信息

Institute for Nutrition Research, University of Oslo, Norway.

出版信息

Biochem Pharmacol. 1999 Jul 1;58(1):183-91. doi: 10.1016/s0006-2952(99)00057-x.

DOI:10.1016/s0006-2952(99)00057-x
PMID:10403533
Abstract

Doxazosin is an antihypertensive drug that gives rise to 6- and 7-hydroxydoxazosin during hepatic metabolism. The structures of the hydroxymetabolites suggest that they may possess antioxidative properties. The aim of the present study was to examine whether doxazosin and 6- and 7-hydroxydoxazosin were able to scavenge free radicals and whether these compounds might protect low-density lipoprotein (LDL) against in vitro and ex vivo oxidation. Both 6- and 7-hydroxydoxazosin showed radical scavenging capacity as assessed by measuring scavenging of 1,1-diphenyl-2-picrylhydrazyl radicals. In vitro incubation with 10 microM 6- and 7-hydroxydoxazosin significantly reduced human mononuclear cell-mediated oxidation of LDL, measured as the formation of lipid peroxides and the relative electrophoretic mobility of LDL (to 10 and 6% of the control, respectively). Furthermore, formation of conjugated dienes in LDL during Cu2+-induced oxidation was significantly reduced in the presence of 5 microM 6- and 7-hydroxydoxazosin (to 28% of tmax [time to maximum] of control). However, treatment of hypertensive patients with increasing doses of doxazosin (from 1 to 8 mg/day) for 8 weeks altered neither Cu2+-catalyzed, 2,2'azobis-(2-amidinopropane hydrochloride)-initiated, nor cell-mediated oxidation of patient LDL ex vivo. Furthermore, the total antioxidative capacity of plasma was unaffected by treatment. In conclusion, the present study shows that 6- and 7-hydroxydoxazosin have radical scavenging properties and protect LDL against in vitro oxidation. However, treatment of hypertensive male subjects with increasing doses of doxazosin for 8 weeks did not affect ex vivo oxidation of LDL.

摘要

多沙唑嗪是一种抗高血压药物,在肝脏代谢过程中会产生6-羟基多沙唑嗪和7-羟基多沙唑嗪。这些羟基代谢产物的结构表明它们可能具有抗氧化特性。本研究的目的是检验多沙唑嗪、6-羟基多沙唑嗪和7-羟基多沙唑嗪是否能够清除自由基,以及这些化合物是否可以保护低密度脂蛋白(LDL)免受体外和离体氧化。通过测量对1,1-二苯基-2-苦基肼自由基的清除作用评估,6-羟基多沙唑嗪和7-羟基多沙唑嗪均显示出自由基清除能力。用10微摩尔/升的6-羟基多沙唑嗪和7-羟基多沙唑嗪进行体外孵育,可显著降低人单核细胞介导的LDL氧化,以脂质过氧化物的形成和LDL的相对电泳迁移率来衡量(分别降至对照的10%和6%)。此外,在5微摩尔/升的6-羟基多沙唑嗪和7-羟基多沙唑嗪存在下,铜离子诱导的LDL氧化过程中共轭二烯的形成显著减少(降至对照tmax[达到最大值的时间]的28%)。然而,用递增剂量的多沙唑嗪(从1毫克/天增至8毫克/天)治疗高血压患者8周,既未改变铜离子催化的、2,2'-偶氮双-(2-脒基丙烷盐酸盐)引发的,也未改变患者LDL的离体细胞介导氧化。此外,血浆的总抗氧化能力不受治疗影响。总之,本研究表明6-羟基多沙唑嗪和7-羟基多沙唑嗪具有自由基清除特性,并能保护LDL免受体外氧化。然而,用递增剂量的多沙唑嗪治疗高血压男性受试者8周并未影响LDL的离体氧化。

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引用本文的文献

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Add-on therapy with doxazosin in patients with hypertension influences arterial stiffness and albuterol-mediated arterial vasodilation.高血压患者联用多沙唑嗪进行附加治疗会影响动脉僵硬度以及沙丁胺醇介导的动脉血管舒张。
Br J Clin Pharmacol. 2007 Dec;64(6):792-5. doi: 10.1111/j.1365-2125.2007.02980.x. Epub 2007 Jul 17.