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麻醉药恩氟烷的致卟啉特性。

Porphyrinogenic properties of the anesthetic enflurane.

作者信息

Buzaleh A M, Enriquez de Salamanca R, Batlle A M

机构信息

Centro de Investigaciones sobre Porfirinas v Porifirias (CIPYP), (CONICET-FCEN, UBA), Ciudad Universitaria, Buenos Aires, Argentine.

出版信息

Gen Pharmacol. 1992 Jul;23(4):665-9. doi: 10.1016/0306-3623(92)90145-a.

DOI:10.1016/0306-3623(92)90145-a
PMID:1397973
Abstract
  1. The effect of enflurane, a volatile anesthetic, on heme metabolism was studied. Different doses (0.5-6.0 ml/kg) of this anesthetic were administered i.p. to mice and animals sacrificed at different times after administration (5-240 min). 2. The dose of 2 ml/kg was chosen as the optimum anesthetic dose producing more alterations in the heme pathway. 3. ALA-S was significantly induced at earlier times of anesthesia. 4. Blood PBGase and deaminase was greatly reduced. 5. This diminution coupled with ALA-S induction are in accordance with the known biochemical changes occurring in acute intermittent porphyria and include enflurane in the list of porphyrinogenic drugs, the use of which is not recommended for the management of anesthesia in porphyric patients.
摘要
  1. 研究了挥发性麻醉剂恩氟烷对血红素代谢的影响。将不同剂量(0.5 - 6.0毫升/千克)的这种麻醉剂腹腔注射给小鼠,并在给药后不同时间(5 - 240分钟)处死动物。2. 选择2毫升/千克的剂量作为在血红素途径中产生更多变化的最佳麻醉剂量。3. 在麻醉早期,ALA - S被显著诱导。4. 血液中的PBGase和脱氨酶大幅降低。5. 这种降低与ALA - S的诱导与急性间歇性卟啉症中已知的生化变化一致,并且将恩氟烷列入致卟啉药物名单,不建议使用其对卟啉症患者进行麻醉管理。

相似文献

1
Porphyrinogenic properties of the anesthetic enflurane.麻醉药恩氟烷的致卟啉特性。
Gen Pharmacol. 1992 Jul;23(4):665-9. doi: 10.1016/0306-3623(92)90145-a.
2
Effect of multiple doses of volatile anesthetics on heme enzymes.多次给予挥发性麻醉剂对血红素酶的影响。
Gen Pharmacol. 1994 Oct;25(6):1179-83. doi: 10.1016/0306-3623(94)90135-x.
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Strain and sex differences in the effect of enflurane and isoflurane on heme metabolism in mice.恩氟烷和异氟烷对小鼠血红素代谢影响的品系及性别差异
Gen Pharmacol. 1996 Sep;27(6):1009-12. doi: 10.1016/0306-3623(95)02137-x.
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Relevance of cytochrome P450 levels in the actions of enflurane and isoflurane in mice: studies on the haem pathway.细胞色素P450水平在小鼠中恩氟烷和异氟烷作用中的相关性:血红素途径研究
Clin Exp Pharmacol Physiol. 2000 Oct;27(10):796-800. doi: 10.1046/j.1440-1681.2000.03346.x.
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Volatile anaesthetics induce biochemical alterations in the heme pathway in a B-lymphocyte cell line established from hepatoerythropoietic porphyria patients (LBHEP) and in mice inoculated with LBHEP cells.挥发性麻醉剂在从肝红细胞生成性卟啉症患者建立的B淋巴细胞系(LBHEP)以及接种了LBHEP细胞的小鼠中,诱导血红素途径发生生化改变。
Int J Biochem Cell Biol. 2004 Feb;36(2):216-22. doi: 10.1016/s1357-2725(03)00214-0.
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Amiodarone is a pharmacologically safe drug for porphyrias.胺碘酮对卟啉症来说是一种药理安全性良好的药物。
Gen Pharmacol. 1999 Feb;32(2):259-63. doi: 10.1016/s0306-3623(98)00202-x.
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Administration of the anesthetic isoflurane to mice: a model for acute intermittent porphyria?给小鼠施用麻醉剂异氟烷:急性间歇性卟啉症的一种模型?
J Pharmacol Toxicol Methods. 1992 Dec;28(4):191-7. doi: 10.1016/1056-8719(92)90003-j.
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Heme oxygenase, aminolevulinate acid synthetase and the antioxidant system in the brain of mice treated with porphyrinogenic drugs.用致卟啉药物处理的小鼠大脑中的血红素加氧酶、氨基乙酰丙酸合成酶及抗氧化系统
Cell Mol Biol (Noisy-le-grand). 2005 Oct 3;51(5):487-94.
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Effect of chronic anesthesia on the drug-metabolizing enzyme system and heme pathway regulation.慢性麻醉对药物代谢酶系统和血红素途径调节的影响。
Gen Pharmacol. 1997 Apr;28(4):577-82. doi: 10.1016/s0306-3623(96)00245-5.
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Alterations in fluorinated ether anesthetics effects on heme metabolism following chronic ethanol consumption.长期饮酒后氟化醚麻醉剂对血红素代谢影响的改变。
Gen Pharmacol. 1995 Oct;26(6):1425-9. doi: 10.1016/0306-3623(94)00305-7.

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Ann Card Anaesth. 2016 Apr-Jun;19(2):367-71. doi: 10.4103/0971-9784.179623.
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[Desflurane in acute intermittent porphyria].[地氟烷与急性间歇性卟啉病]
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