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超短效μ阿片类镇痛药GI 87084B对麻醉犬的血流动力学影响。

Hemodynamic effects of GI 87084B, an ultra-short acting mu-opioid analgesic, in anesthetized dogs.

作者信息

James M K, Vuong A, Grizzle M K, Schuster S V, Shaffer J E

机构信息

Department of Pharmacology, Glaxo Inc. Research Institute, Research Triangle Park, North Carolina.

出版信息

J Pharmacol Exp Ther. 1992 Oct;263(1):84-91.

PMID:1403806
Abstract

Hemodynamic effects of GI 87084B, a novel ultra-short acting mu-opioid agonist, were studied in anesthetized dogs. In these studies, GI 87084B (0.3-20 nmol/kg/min i.v.) produced dose-dependent decreases in heart rate, arterial blood pressure, +dP/dt and cardiac output. Alfentanil produced similar effects but was less potent. After termination of the infusions (397 nmol/kg cumulative dose), the hemodynamic effects of GI 87084B dissipated over 30 to 40 min. The effects of alfentanil, however, persisted throughout the 60-min recovery period. Infusion of GI 87084B at lower dose rates (0.001-0.3 nmol/kg/min) in barbiturate-anesthetized dogs showed a threshold dose of 0.1 to 0.3 nmol/kg/min for effects on hemodynamic variables. After infusing 0.3 nmol/kg/min of GI 87084B for 10 min, hemodynamic variables recovered rapidly (10-20 min). Boli of GI 87084B (0.3-100 nmol/kg i.v.) produced dose-dependent decreases in the same hemodynamic variables. The duration of these effects increased from 5 to 20 min at 3 nmol/kg to 15 to 45 min at 100 nmol/kg. Naloxone (0.063 mg/kg/hr) decreased the magnitude and duration of the effects of GI 87084B, suggesting that these effects are mediated through opioid receptors. In summary, GI 87084B produced hemodynamic effects consistent with mu-opioid agonism when administered by infusion or bolus, but these effects were brief in duration compared to other opioids.

摘要

在麻醉犬中研究了新型超短效μ阿片受体激动剂GI 87084B的血流动力学效应。在这些研究中,静脉输注GI 87084B(0.3 - 20 nmol/kg/分钟)可使心率、动脉血压、+dP/dt和心输出量呈剂量依赖性降低。阿芬太尼产生类似效应,但效力较弱。输注终止后(累积剂量397 nmol/kg),GI 87084B的血流动力学效应在30至40分钟内消散。然而,阿芬太尼的效应在整个60分钟的恢复期内持续存在。在巴比妥类麻醉犬中以较低剂量率(0.001 - 0.3 nmol/kg/分钟)输注GI 87084B,显示对血流动力学变量产生影响的阈值剂量为0.1至0.3 nmol/kg/分钟。以0.3 nmol/kg/分钟的剂量输注GI 87084B 10分钟后,血流动力学变量迅速恢复(10 - 20分钟)。静脉注射GI 87084B的单次剂量(0.3 - 100 nmol/kg)可使相同的血流动力学变量呈剂量依赖性降低。这些效应的持续时间从3 nmol/kg时的5至20分钟增加到100 nmol/kg时的15至45分钟。纳洛酮(0.063 mg/kg/小时)可降低GI 87084B效应的幅度和持续时间,表明这些效应是通过阿片受体介导的。总之,GI 87084B通过输注或推注给药时产生与μ阿片受体激动作用一致的血流动力学效应,但与其他阿片类药物相比,这些效应持续时间较短。

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