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氯吡格雷及其羧酸代谢物SR 26334在健康犬体内的药效学和药代动力学评价。

Pharmacodynamic and pharmacokinetic evaluation of clopidogrel and the carboxylic acid metabolite SR 26334 in healthy dogs.

作者信息

Brainard Benjamin M, Kleine Stephanie A, Papich Mark G, Budsberg Steven C

机构信息

Department of Small Animal Medicine and Surgery, College of Veterinary Medicine, University of Georgia, Athens, GA 30602, USA.

出版信息

Am J Vet Res. 2010 Jul;71(7):822-30. doi: 10.2460/ajvr.71.7.822.

Abstract

OBJECTIVE

To determine pharmacodynamic and pharmacokinetic properties of clopidogrel and the metabolite SR 26334 in dogs.

ANIMALS

9 mixed-breed dogs.

PROCEDURES

8 dogs received clopidogrel (mean +/- SD 1.13 +/- 0.17 mg/kg, PO, q 24 h) for 3 days; 5 of these dogs subsequently received a lower dose of clopidogrel (0.5 +/- 0.18 mg/kg, PO, q 24 h) for 3 days. Later, 5 dogs received clopidogrel (1.09 +/- 0.12 mg/kg, PO, q 24 h) for 5 days. Blood samples were collected for optical platelet aggregometry, citrated native and platelet mapping thrombelastography (TEG), and measurement of plasma drug concentrations. Impedance aggregometry was performed on samples from 3 dogs in each 3-day treatment group.

RESULTS

ADP-induced platelet aggregation decreased (mean +/- SD 93 +/- 6% and 80 +/- 22% of baseline values, respectively) after 72 hours in dogs in both 3-day treatment groups; duration of effect ranged from > 3 to > 7 days. Platelet mapping TEG and impedance aggregometry yielded similar results. Citrated native TEG was not different among groups. Clopidogrel was not detected in any samples; in dogs given 1.13 +/- 0.17 mg/kg, maximum concentration of SR 26334 (mean +/- SD, 0.206 +/- 0.2 microg/mL) was detected 1 hour after administration.

CONCLUSIONS AND CLINICAL RELEVANCE

Clopidogrel inhibited ADP-induced platelet aggregation in healthy dogs and may be a viable antiplatelet agent for use in dogs. Impact for Human Medicine-Pharmacodynamic effects of clopidogrel in dogs were similar to effects reported in humans; clopidogrel may be useful in studies involving dogs used to investigate human disease.

摘要

目的

确定氯吡格雷及其代谢物SR 26334在犬体内的药效学和药代动力学特性。

动物

9只杂种犬。

实验步骤

8只犬接受氯吡格雷(平均±标准差1.13±0.17mg/kg,口服,每24小时一次),持续3天;其中5只犬随后接受较低剂量的氯吡格雷(0.5±0.18mg/kg,口服,每24小时一次),持续3天。之后,5只犬接受氯吡格雷(1.09±0.12mg/kg,口服,每24小时一次),持续5天。采集血样用于光学血小板聚集测定、枸橼酸化全血和血小板功能血栓弹力图(TEG)检测以及血浆药物浓度测定。对每个3天治疗组的3只犬的样本进行阻抗聚集测定。

结果

两个3天治疗组的犬在72小时后,ADP诱导的血小板聚集均降低(分别为基线值的平均±标准差93±6%和80±22%);作用持续时间为>3至>7天。血小板功能TEG和阻抗聚集测定得出相似结果。枸橼酸化全血TEG在各组之间无差异。在任何样本中均未检测到氯吡格雷;在给予1.13±0.17mg/kg的犬中,给药后1小时检测到SR 26334的最大浓度(平均±标准差,0.206±0.2μg/mL)。

结论及临床意义

氯吡格雷抑制健康犬体内ADP诱导的血小板聚集,可能是一种可用于犬的抗血小板药物。对人类医学的影响——氯吡格雷在犬体内的药效学作用与在人类中报道的作用相似;氯吡格雷可能有助于涉及用于研究人类疾病的犬的研究。

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