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6,7-二羟基-3-苯基香豆素可抑制凝血活酶诱导的弥散性血管内凝血。

6,7-Dihydroxy-3-phenylcoumarin inhibits thromboplastin induced disseminated intravascular coagulation.

作者信息

Tunali Tugba, Yarat Aysen, Bulut Mustafa, Emekli Nesrin

机构信息

Faculty of Dentistry, Department of Biochemistry, Marmara University, Nisantasi, Turkey.

出版信息

Br J Haematol. 2004 Jul;126(2):226-30. doi: 10.1111/j.1365-2141.2004.05033.x.

Abstract

6,7-Dihydroxy-3-phenylcoumarin (DHPC) was tested to determine whether it had any effect on vitamin K inhibition, by investigating the prothrombin time (PT), activated partial thromboplastin time (APTT), fibrinogen level and platelet count. The anticoagulant and antithrombotic effects of DHPC were compared with those of warfarin by conducting a 4 h acute trial on thromboplastin-induced disseminated intravascular coagulation (DIC), investigating various haemostatic and antioxidant system parameters and performing a haemogram. Of most significance was that in the 5-d DHPC trial on healthy controls, PT, APTT, fibrinogen, platelet count remained within normal levels. In the 4-h DIC trial, both DHPC (0.025 mg/kg, i.v.) and warfarin (0.25 mg/kg, i.v.) significantly inhibited DIC, by reducing the PT, APTT, and fibrin degradation products and increasing fibrinogen levels and platelet count. In the DIC drug groups, lipid peroxidation significantly increased only in the warfarin group and glutathione significantly increased only in the DHPC group. However leucocyte count was significantly higher in the DHPC than the warfarin group. Further investigation is required for why DHPC is effective on the parameters investigated, at doses one-tenth of those of warfarin.

摘要

通过研究凝血酶原时间(PT)、活化部分凝血活酶时间(APTT)、纤维蛋白原水平和血小板计数,对6,7 - 二羟基 - 3 - 苯基香豆素(DHPC)进行测试,以确定其是否对维生素K抑制有任何影响。通过对凝血酶原诱导的弥散性血管内凝血(DIC)进行4小时急性试验,研究各种止血和抗氧化系统参数并进行血常规检查,将DHPC的抗凝和抗血栓作用与华法林的作用进行比较。最重要的是,在对健康对照进行的为期5天的DHPC试验中,PT、APTT、纤维蛋白原、血小板计数均保持在正常水平。在4小时的DIC试验中,DHPC(0.025 mg/kg,静脉注射)和华法林(0.25 mg/kg,静脉注射)均通过降低PT、APTT和纤维蛋白降解产物并增加纤维蛋白原水平和血小板计数,显著抑制了DIC。在DIC药物组中,脂质过氧化仅在华法林组中显著增加,而谷胱甘肽仅在DHPC组中显著增加。然而,DHPC组的白细胞计数显著高于华法林组。对于为什么DHPC在剂量仅为华法林十分之一的情况下,对所研究的参数有效,还需要进一步研究。

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