King G L, Landauer M R
Department of Physiology, Armed Forces Radiobiology Research Institute, Bethesda, Maryland.
J Pharmacol Exp Ther. 1990 Jun;253(3):1026-33.
The antiemetic and locomotor effects of two substituted benzamides, zacopride and batanopride (BMY25801), were compared in ferrets after bilateral 60Co irradiation at 2, 4 or 6 Gy. Both zacopride and BMY25801 were effective against emesis and related signs. Zacopride, tested at several doses (0.003, 0.03 and 0.3 mg/kg), appeared to be more potent because it abolished emesis at 100-fold lower doses than did BMY25801 (3 mg/kg). The ED50 value for the antiemetic effect of zacopride was 0.026 mg/kg (confidence levels = 0.0095, 0.072 mg/kg). However, analysis of emetic parameters recorded from vomiting animals (e.g., latency to first emesis) demonstrated that BMY25801 provided greater antiemetic protection in this population than zacopride without any apparent side effects. Locomotor activity was significantly depressed by both radiation (all doses) and zacopride alone (0.03 mg/kg and 0.3 mg/kg). BMY25801 alone did not affect locomotor activity, and protected against the radiation-induced locomotor decrement. Although zacopride potentiated the locomotor decrement to radiation, no clear dose-response relationship was evident. Bilateral abdominal vagotomy significantly increased the latency to the first emetic episode and significantly reduced the number of retches, but did not alter the duration of the prodromal response to 4-Gy irradiation. Unilateral vagotomies had no effect. Zacopride (at 0.03 mg/kg and 0.3 mg/kg) remained an effective antiemetic in animals that received a bilateral vagotomy, abolishing emesis in four of eight and two of eight ferrets, respectively. These data suggest that the antiemetic action of zacopride does not fully depend on intact vagal innervation and also acts via other pathways.
在雪貂经2、4或6 Gy的双侧钴-60照射后,比较了两种取代苯甲酰胺类药物扎考必利和巴他必利(BMY25801)的止吐和运动效应。扎考必利和BMY25801均对呕吐及相关症状有效。在几个剂量(0.003、0.03和0.3 mg/kg)下进行测试时,扎考必利似乎更有效,因为它消除呕吐的剂量比BMY25801(3 mg/kg)低100倍。扎考必利止吐作用的半数有效量(ED50)值为0.026 mg/kg(置信区间 = 0.0095,0.072 mg/kg)。然而,对呕吐动物记录的呕吐参数(如首次呕吐潜伏期)分析表明,BMY25801在该群体中提供的止吐保护作用比扎考必利更强,且无明显副作用。辐射(所有剂量)和单独的扎考必利(0.03 mg/kg和0.3 mg/kg)均显著抑制运动活动。单独使用BMY25801不影响运动活动,并可防止辐射引起的运动能力下降。尽管扎考必利增强了辐射引起的运动能力下降,但未观察到明显的剂量反应关系。双侧腹部迷走神经切断术显著延长了首次呕吐发作的潜伏期,并显著减少了干呕次数,但未改变对4 Gy照射前驱反应的持续时间。单侧迷走神经切断术无影响。在接受双侧迷走神经切断术的动物中,扎考必利(0.03 mg/kg和0.3 mg/kg)仍然是一种有效的止吐药,分别使八只雪貂中的四只和两只不再呕吐。这些数据表明,扎考必利的止吐作用并不完全依赖完整的迷走神经支配,还可通过其他途径发挥作用。