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尿酸排泄:药物相互作用。

Urate excretion: drug interactions.

作者信息

Fanelli G M, Weiner I M

出版信息

J Pharmacol Exp Ther. 1979 Aug;210(2):186-95.

PMID:110920
Abstract

A derivative of probenecid, 2-nitroprobenecid, was studied in chimpanzees and Cebus monkeys. The uricosuria induced by the drug could be diminished by the infusion of p-aminohippurate (chimpanzee) or hippurate (monkey). Both hippurates inhibited the secretion of the drug and it is likely that the diminished response was the result of decreased access of 2-nitroprobenecid to its site of action. In contrast, pyrazinoate diminished the response to 2-nitroprobenecid without disturbing its renal disposition (both species). This action of pyrazinoate is attributed to its ability to inhibit the secretory flux of urate. The effect of pyrazinoate is diminished at high levels of 2-nitroprobenecid, i.e., it appears as if pyrazinoate causes a shift to the right of the concentration-response curve of 2-nitroprobenecid. A mathematical model is developed which seems to explain this apparent shift in the concentration-response curve. This model requires that the transepithelial fluxes for urate be very large. In the chimpanzee the action of salicylate resembles that of pyrazinoate but it is less prominent.

摘要

对丙磺舒的衍生物2-硝基丙磺舒在黑猩猩和卷尾猴身上进行了研究。通过输注对氨基马尿酸(黑猩猩)或马尿酸(猴子),可减少该药物诱导的尿酸尿。两种马尿酸盐均抑制该药物的分泌,反应减弱可能是由于2-硝基丙磺舒到达其作用部位的机会减少所致。相比之下,吡嗪酸盐可减弱对2-硝基丙磺舒的反应,而不影响其在肾脏的处置(两种动物均如此)。吡嗪酸盐的这种作用归因于其抑制尿酸分泌通量的能力。在高剂量的2-硝基丙磺舒时,吡嗪酸盐的作用减弱,也就是说,似乎吡嗪酸盐使2-硝基丙磺舒的浓度-反应曲线向右移动。建立了一个数学模型,该模型似乎可以解释浓度-反应曲线的这种明显移动。该模型要求尿酸的跨上皮通量非常大。在黑猩猩中,水杨酸盐的作用与吡嗪酸盐相似,但不太明显。

相似文献

1
Urate excretion: drug interactions.尿酸排泄:药物相互作用。
J Pharmacol Exp Ther. 1979 Aug;210(2):186-95.
2
Renal excretion of a slauretic-uricosuric agent (MK-196) and interaction with a urate-retaining drug, pyrazinoate, in the chimpanzee.一种利钠-促尿酸尿剂(MK-196)在黑猩猩体内的肾脏排泄及其与尿酸潴留药物吡嗪酸盐的相互作用。
J Pharmacol Exp Ther. 1977 Feb;200(2):413-9.
3
Species variations among primates in responses to drugs which alter the renal excretion of uric acid.灵长类动物对改变尿酸肾脏排泄的药物反应的种间差异。
J Pharmacol Exp Ther. 1975 May;193(2):363-75.
4
Pyrazinoate excretion in the chimpanzee. Relation to urate disposition and the actions of uricosuric drugs.黑猩猩体内吡嗪酸盐的排泄。与尿酸盐代谢及促尿酸排泄药物作用的关系。
J Clin Invest. 1973 Aug;52(8):1946-57. doi: 10.1172/JCI107379.
5
Effects of p-aminohippurate and pyrazinoate on urate excretion in Cebus monkeys.对氨基马尿酸盐和吡嗪酸盐对卷尾猴尿酸排泄的影响。
J Pharmacol Exp Ther. 1984 Jan;228(1):252-5.
6
Effects of pyrazinoate and p-aminohippurate on renal urate excretion by the dog and guinea pig.吡嗪酸盐和对氨基马尿酸盐对犬和豚鼠肾脏尿酸排泄的影响。
J Pharmacol Exp Ther. 1983 Feb;224(2):364-8.
7
Bidirectional renal urate transport in the chimpanzee. Effects of drugs on secretory and reabsorptive fluxes.黑猩猩肾脏尿酸盐的双向转运。药物对分泌和重吸收通量的影响。
Prog Biochem Pharmacol. 1974;9:163-73.
8
Inhibition of probenecid uricosuria by pyrazinamide and para-aminohippurate.吡嗪酰胺和对氨基马尿酸对丙磺舒促尿酸尿作用的抑制。
Am J Physiol. 1977 Mar;232(3):F222-6. doi: 10.1152/ajprenal.1977.232.3.F222.
9
Diuretic-induced uricosuria: interaction with pyrazinoate transport in man.利尿剂诱导的尿酸尿症:与人体中吡嗪酸盐转运的相互作用。
J Pharmacol Exp Ther. 1977 Jan;200(1):58-64.
10
Saluretic and uricosuric effects of (6, 7-dichloro-2-methyl=1-oxo-2-phenyl-5-indanyloxy) acetic acid (MK-196) in the chimpanzee.(6,7-二氯-2-甲基-1-氧代-2-苯基-5-茚满氧基)乙酸(MK-196)对黑猩猩的促尿钠排泄和促尿酸排泄作用
J Pharmacol Exp Ther. 1977 Feb;200(2):402-12.

引用本文的文献

1
Individualized treatment strategies for hyperuricemia informed by a semi-mechanistic exposure-response model of uric acid dynamics.基于尿酸动力学半机制暴露-反应模型的高尿酸血症个体化治疗策略
Physiol Rep. 2018 Mar;6(5). doi: 10.14814/phy2.13614.
2
Clinical pharmacokinetics of probenecid.丙磺舒的临床药代动力学。
Clin Pharmacokinet. 1981 Mar-Apr;6(2):135-51. doi: 10.2165/00003088-198106020-00004.
3
Drug interactions with urate excretion in man.人体中药物与尿酸排泄的相互作用。
Eur J Clin Pharmacol. 1987;32(5):499-502. doi: 10.1007/BF00637677.