L'Azou B, Lagroye I, Plande J, Lakhdar B, Cambar J
Groupe d'Etude de Physiologie et Physiopathologie Rénales, Facultés de Pharmacie, Bordeaux.
Presse Med. 1992 Dec 2;21(41):2021-3.
Cyclosporin A (CsA)-induced nephrotoxicity is characterized by dramatic changes in glomerular filtration rate and renal plasma flow, largely limiting the clinical use of this drug. The vasoconstrictive response of CsA could explain, in part, these hemodynamic alterations. The present study compares the area changes in rat-isolated glomeruli incubated with CsA alone or after pre-treatment with verapamil and dopamine. In verapamil-pretreated CsA-intoxicated glomeruli, size decrease was reduced (-1.5 percent at T10, -3.1 percent at T20 and -4.8 percent at T30), when compared with CsA alone (-4.7 percent at T10, -10.1 percent at T20 and -12 percent at T30). The results obtained with dopamine were similar. In conclusion, verapamil and dopamine can be regarded as fair protective agents against CsA-induced vasoconstriction in rat-isolated glomeruli.
环孢素A(CsA)诱导的肾毒性表现为肾小球滤过率和肾血浆流量的显著变化,这在很大程度上限制了该药物的临床应用。CsA的血管收缩反应可以部分解释这些血流动力学改变。本研究比较了单独用CsA孵育或先用维拉帕米和多巴胺预处理后大鼠分离肾小球的面积变化。与单独使用CsA相比(T10时为-4.7%,T20时为-10.1%,T30时为-12%),在维拉帕米预处理的CsA中毒性肾小球中,大小减小有所减轻(T10时为-1.5%,T20时为-3.1%,T30时为-4.8%)。用多巴胺获得的结果相似。总之,维拉帕米和多巴胺可被视为大鼠分离肾小球中对抗CsA诱导血管收缩的良好保护剂。