Nakajima E
First Department of Anesthesiology, Toho University School of Medicine, Tokyo.
Masui. 1999 Jul;48(7):716-22.
It was reported that phosphodiesterase (PDE) inhibitors such as caffeine, theophylline and amrinone accelerate Ca(2+)-induced Ca2+ release (CICR) rate from sarcoplasmic reticulum (SR) in skeletal muscle. In this study, the effects of PDE III inhibitors, olprynone hydrochloride and milrinone, on the Ca(2+)-related functions (CICR rate from SR, Ca2+ uptake into SR and Ca2+ sensitivity of the contractile system) of the skeletal muscle were examined using the chemically skinned fiber technique (Endo's method) in the extensor digitorum longus of gunia pigs. Olprynone hydrochloride and milrinone accelerated CICR rate in a dose-dependent manner (at higher concentrations than their clinical concentrations). Initial rate of Ca2+ uptake into SR and Ca2+ sensitivity of the contractile system were not affected at 1 mM of olprynone hydrochloride and 0.3 mM of milrinone. These results suggest that olprynone hydrochloride and milrinone may be safe to use within the limits of the clinically recommended concentrations in a MH susceptable patient, especially in a case in which CICR rate is accelerated compared with that in a normal patient using the skinned fiber test.
据报道,磷酸二酯酶(PDE)抑制剂如咖啡因、茶碱和氨力农可加速骨骼肌肌浆网(SR)中Ca(2+)诱导的Ca2+释放(CICR)速率。在本研究中,使用化学去膜纤维技术(远藤法),在豚鼠趾长伸肌中检测了PDE III抑制剂盐酸奥普力农和米力农对骨骼肌Ca(2+)相关功能(SR的CICR速率、Ca2+摄取到SR以及收缩系统的Ca2+敏感性)的影响。盐酸奥普力农和米力农以剂量依赖性方式加速CICR速率(在高于其临床浓度的浓度下)。在1 mM盐酸奥普力农和0.3 mM米力农时,Ca2+摄取到SR的初始速率和收缩系统的Ca2+敏感性不受影响。这些结果表明,在MH易感患者中,在临床推荐浓度范围内使用盐酸奥普力农和米力农可能是安全的,特别是在使用去膜纤维试验时,与正常患者相比CICR速率加快的情况下。