Waud B E
Anesthesiology. 1977 Feb;46(2):94-6. doi: 10.1097/00000542-197702000-00002.
The effect of a new neuromuscular blocking agent, AH8165, on carbachol-induced end-plate depolarization was measured in isolated guinea pig lumbrical muscles. The results showed that the kinetics were competitive (parallel shift of dose-response curves to the right and a slope of Schild plot of 1.09 +/- 0.07) and the AH8165-receptor dissociation constant was estimated as 0.337 +/- 0.008 muM. Once the dissociation constant was known, the fraction of receptors occupied by any given concentration of AH8165 could be determined. This fractional receptor occupancy was then compared with the indirect twitch response in an isolated guinea pig nerve-lumbrical muscle preparation. These measurements of the effect of AH8165 on the margin of safety of neuromuscular transmission gave values comparable to those obtained with d-tubocurarine, i.e., the twitch remained normal until 75-80 per cent of the receptors were blocked and was abolished when 90-95 per cent of the receptors were occluded. Thus, the neuromuscular blocking action of AH8165 appears to be consistent with a simple postsynaptic competitive interaction with the transmitter.
在分离的豚鼠蚓状肌中,测量了一种新型神经肌肉阻滞剂AH8165对卡巴胆碱诱导的终板去极化的影响。结果显示其动力学为竞争性(剂量-反应曲线平行右移,Schild图斜率为1.09±0.07),AH8165与受体的解离常数估计为0.337±0.008μM。一旦知道解离常数,就可以确定任何给定浓度的AH8165所占据的受体分数。然后将这种受体占据分数与分离的豚鼠神经-蚓状肌标本中的间接抽搐反应进行比较。这些对AH8165对神经肌肉传递安全边际影响的测量结果与用d-筒箭毒碱获得的值相当,即直到75-80%的受体被阻断时抽搐仍正常,而当90-95%的受体被占据时抽搐消失。因此,AH8165的神经肌肉阻滞作用似乎与与递质的简单突触后竞争性相互作用一致。