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二甲基亚砜的药理和生化考量

Pharmacologic and biochemical considerations of dimethyl sulfoxide.

作者信息

Wood D C, Wood J

出版信息

Ann N Y Acad Sci. 1975 Jan 27;243:7-19. doi: 10.1111/j.1749-6632.1975.tb25339.x.

Abstract

DMSO has multiple known pharmacological properties. In addition to those referred to include: cryoprotective action, radioprotective effect, influence on serum cholesterol in experimental hypercholesteremia, and platelet aggregation antagonism. How the multiple properties of this chemical affect therapy in clinical medicine must yet be explained. It is clear, however, that DMSO does affect biological systems, and that this influence has many clinical applications. Perhaps one of the most interesting and significant properties of DMSO is its ability to move other drugsthrough membranes. When mixed with DMSO, many drugs appear to be potentiated in their physiologic effect; thus smaller doses are required and less toxicity is demonstrated. In cancer chemotherapy, this value already has practical use. Some of the studies to be reported in this monograph will describe additional, almost unbelievable observations. Perhaps the mechanism of action of these clinical phenomena will be found in one or more of the pharmacological properties described. It would not be surprising, however, if we were to conclude with a resolution to search for new explantations of the mystery of DMSO, for it would appear that DMSO is really a new principle in medicine and cannot always be measured by existing standards.

摘要

二甲基亚砜(DMSO)具有多种已知的药理特性。除了上述特性外,还包括:冷冻保护作用、辐射防护作用、对实验性高胆固醇血症中血清胆固醇的影响以及血小板聚集拮抗作用。这种化学物质的多种特性如何影响临床医学治疗仍有待解释。然而,很明显二甲基亚砜确实会影响生物系统,而且这种影响有许多临床应用。也许二甲基亚砜最有趣和最重要的特性之一是它能够使其他药物透过细胞膜。当与二甲基亚砜混合时,许多药物的生理效应似乎会增强;因此所需剂量更小,毒性也更低。在癌症化疗中,这一特性已经有了实际应用。本专著中将要报道的一些研究将描述其他几乎令人难以置信的观察结果。也许这些临床现象的作用机制可以在上述一种或多种药理特性中找到。然而,如果我们最终决定寻找关于二甲基亚砜奥秘的新解释,也不足为奇,因为二甲基亚砜似乎确实是医学中的一个新原理,不能总是用现有标准来衡量。

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