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咖啡因在失代偿性I型和II型糖尿病患者中的药代动力学。

Pharmacokinetics of caffeine in patients with decompensated type I and type II diabetes mellitus.

作者信息

Zysset T, Wietholtz H

机构信息

Department of Pharmacy, Regionalspital Biel, Switzerland.

出版信息

Eur J Clin Pharmacol. 1991;41(5):449-52. doi: 10.1007/BF00626367.

DOI:10.1007/BF00626367
PMID:1761072
Abstract

Diabetes may alter the pharmacokinetics of aminopyrine and antipyrine, which are used to assess liver function. Caffeine has recently been used to test liver function, but the effect of diabetes on caffeine kinetics is not known. The kinetics of caffeine has been examined in patients with decompensated Type I and Type II diabetes and in two age- and sex-matched control groups. In both types of diabetes the apparent caffeine clearance, half-life, and apparent volume of distribution were similar to controls. It is concluded that decompensated diabetes does not influence the cytochrome P-448 mono-oxygenase system responsible for caffeine metabolism.

摘要

糖尿病可能会改变用于评估肝功能的氨基比林和安替比林的药代动力学。咖啡因最近已被用于测试肝功能,但糖尿病对咖啡因动力学的影响尚不清楚。已对失代偿性I型和II型糖尿病患者以及两个年龄和性别匹配的对照组进行了咖啡因动力学研究。在两种类型的糖尿病中,咖啡因的表观清除率、半衰期和表观分布容积与对照组相似。结论是,失代偿性糖尿病不会影响负责咖啡因代谢的细胞色素P-448单加氧酶系统。

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本文引用的文献

1
Impaired elimination of caffeine in cirrhosis.肝硬化患者咖啡因清除受损。
Dig Dis Sci. 1980 Mar;25(3):193-7. doi: 10.1007/BF01308138.
2
Effect of diabetes on rat liver cytochrome P-450. Evidence for a unique diabetes-dependent rat liver cytochrome P-450.糖尿病对大鼠肝脏细胞色素P-450的影响。一种独特的依赖糖尿病的大鼠肝脏细胞色素P-450的证据。
Biochem Pharmacol. 1982 Oct 15;31(20):3329-34. doi: 10.1016/0006-2952(82)90569-x.
3
Caffeine disposition after oral doses.口服剂量后的咖啡因处置情况。
Clin Pharmacol Ther. 1982 Jul;32(1):98-106. doi: 10.1038/clpt.1982.132.
4
Antipyrine metabolism in patients with diabetes mellitus.糖尿病患者的安替比林代谢
Clin Exp Pharmacol Physiol. 1983 Jan-Feb;10(1):7-13. doi: 10.1111/j.1440-1681.1983.tb00165.x.
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Disturbances of the alimentary tract motility and hypermotilinemia in the patients with diabetes mellitus.糖尿病患者的消化道动力障碍与高胃动素血症
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6
Assessment of the cytochrome P-448 dependent liver enzyme system by a caffeine breath test.通过咖啡因呼气试验评估细胞色素P-448依赖的肝脏酶系统。
Eur J Clin Pharmacol. 1981;21(1):53-9. doi: 10.1007/BF00609588.
7
Cytochrome P450 mediated drug metabolism in the streptozotocin diabetic rat.细胞色素P450介导的链脲佐菌素糖尿病大鼠体内的药物代谢
Horm Metab Res. 1980 Dec;12(12):706-7. doi: 10.1055/s-2007-999239.
8
Early diagnosis of alcoholic cirrhosis by the aminopyrine breath test.通过氨基比林呼气试验早期诊断酒精性肝硬化。
Gastroenterology. 1980 Jul;79(1):112-4.
9
Basal C-peptide in the discrimination of type I from type II diabetes.基础C肽在鉴别1型糖尿病和2型糖尿病中的作用。
Diabetes Care. 1981 Nov-Dec;4(6):616-9. doi: 10.2337/diacare.4.6.616.
10
Diabetes and the stomach.糖尿病与胃
Yale J Biol Med. 1983 May-Jun;56(3):179-87.