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内毒素血症休克中血小板活化因子(PAF)与肿瘤坏死因子-α(TNFα)的相互作用:使用新型PAF拮抗剂BN 50739的研究

Platelet activating factor (PAF) and tumor necrosis factor-alpha (TNF alpha) interactions in endotoxemic shock: studies with BN 50739, a novel PAF antagonist.

作者信息

Rabinovici R, Yue T L, Farhat M, Smith E F, Esser K M, Slivjak M, Feuerstein G

机构信息

Department of Pharmacology, Smithkline Beecham Laboratories, King of Prussia, Pennsylvania.

出版信息

J Pharmacol Exp Ther. 1990 Oct;255(1):256-63.

PMID:2213560
Abstract

BN 50739, a new PAF receptor antagonist, was tested in vitro and in vivo for its capacity to block PAF, endotoxin and recombinant human tumor necrosis factor-alpha (rTNF)-mediated effects. In vitro, BN 50739 blocked PAF-induced platelet aggregation by 60 to 100% at 0.2-1 x 10(-7) M (P less than .002), respectively. In the conscious rat, pretreatment (30 min) with BN 50739 (n = 5-13) dose-dependently attenuated PAF-induced hypotension (-5 +/- 5 vs. - 43 +/- 2 mm Hg, P less than .01) and shortened the recovery time of mean arterial pressure (22 +/- 13 vs. 325 +/- 46 sec, P less than .01). BN 50739 (10 mg/kg i.p., n = 5-11) prevented endotoxin (14.4 mg/kg) induced-hemoconcentration (54 +/- 1 vs. 46 +/- 1%, P less than .01) and reduced 24-hr mortality (100 vs. 60%, P less than .05). Only partial protection was conveyed by BN 50739 against the hypotensive response to endotoxin (115 +/- 3 vs. 91 +/- 4 mm Hg, P less than .03). Also, BN 50739 attenuated the lipopolysaccharide-induced elevation of plasma thromboxane B2 (21.2 +/- 0.8 vs. 46.7 +/- 11.8 pg/100 microliters, P less than .01) and tumor necrosis factor-alpha (7523 +/- 3983 vs. 26,430 +/- 3541 U/ml, P less than .05), whereas leukopenia and thrombocytopenia remained unchanged.(ABSTRACT TRUNCATED AT 250 WORDS)

摘要

新型血小板活化因子(PAF)受体拮抗剂BN 50739在体外和体内均被测试其阻断PAF、内毒素和重组人肿瘤坏死因子-α(rTNF)介导效应的能力。在体外,BN 50739在0.2 - 1×10⁻⁷ M时分别将PAF诱导的血小板聚集阻断60%至100%(P<0.002)。在清醒大鼠中,用BN 50739(n = 5 - 13)预处理(30分钟)剂量依赖性地减轻PAF诱导的低血压(-5±5对-43±2 mmHg,P<0.01),并缩短平均动脉压的恢复时间(22±13对325±46秒,P<0.01)。BN 50739(10 mg/kg腹腔注射,n = 5 - 11)可预防内毒素(14.4 mg/kg)诱导的血液浓缩(54±1对46±1%,P<0.01)并降低24小时死亡率(100%对60%,P<0.05)。BN 50739对内毒素引起的低血压反应仅有部分保护作用(115±3对91±4 mmHg,P<0.03)。此外,BN 50739减轻了脂多糖诱导的血浆血栓素B2升高(21.2±0.8对46.7±11.8 pg/100微升,P<0.01)和肿瘤坏死因子-α升高(7523±3983对26430±3541 U/ml,P<0.05),而白细胞减少和血小板减少则保持不变。(摘要截短于250字)

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Platelet activating factor (PAF) and tumor necrosis factor-alpha (TNF alpha) interactions in endotoxemic shock: studies with BN 50739, a novel PAF antagonist.内毒素血症休克中血小板活化因子(PAF)与肿瘤坏死因子-α(TNFα)的相互作用:使用新型PAF拮抗剂BN 50739的研究
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