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新型抗凝剂重组水蛭素的药理学

The pharmacology of recombinant hirudin, a new anticoagulant.

作者信息

Meyer B H, Luus H G, Müller F O, Badenhorst P N, Röthig H J

机构信息

Department of Pharmacology, University of the Orange Free State, Bloemfontein.

出版信息

S Afr Med J. 1990 Sep 1;78(5):268-70.

PMID:2392724
Abstract

A new anticoagulant, recombinant hirudin, was given to healthy volunteers (5 per test dose) in single intravenous doses of 0.01, 0.02, 0.04, 0.07 and 0.1 mg/kg to study its anticoagulant effects, how it was tolerated and its pharmacokinetics. Hirudin proved to be a potent anticoagulant with important effects on thrombin (increase in thrombin time and partial thromboplastin time). The maximum pharmacodynamic effect was achieved with the 0.07 mg/kg dose, and upwards. All doses of the compound were tolerated without side-effects. The mean elimination half-life is about 1 hour. Mean total clearance and volume of distribution are approximately 190 ml/min and 14 l, respectively. Hirudin obeys first-order pharmacokinetics.

摘要

一种新型抗凝剂重组水蛭素,以0.01、0.02、0.04、0.07和0.1毫克/千克的单次静脉注射剂量给予健康志愿者(每个测试剂量5人),以研究其抗凝作用、耐受性及药代动力学。水蛭素被证明是一种强效抗凝剂,对凝血酶有重要影响(凝血酶时间和部分凝血活酶时间增加)。0.07毫克/千克及以上剂量可达到最大药效学效应。该化合物的所有剂量耐受性良好,无副作用。平均消除半衰期约为1小时。平均总清除率和分布容积分别约为190毫升/分钟和14升。水蛭素符合一级药代动力学。

相似文献

1
The pharmacology of recombinant hirudin, a new anticoagulant.新型抗凝剂重组水蛭素的药理学
S Afr Med J. 1990 Sep 1;78(5):268-70.
2
Biologic effects of recombinant hirudin (CGP 39393) in human volunteers. European Hirudin in Thrombosis Group.重组水蛭素(CGP 39393)对人类志愿者的生物学效应。欧洲血栓形成研究组水蛭素研究项目
J Am Coll Cardiol. 1993 Oct;22(4):1080-8. doi: 10.1016/0735-1097(93)90419-2.
3
Clinical pharmacology of recombinant hirudin.重组水蛭素的临床药理学
Haemostasis. 1991;21 Suppl 1:133-6. doi: 10.1159/000216274.
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Pharmacodynamic and safety results of PEG-Hirudin in healthy volunteers.聚乙二醇化水蛭素在健康志愿者中的药效学和安全性结果。
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Pharmacokinetics and anticoagulant effect of hirudin in man.水蛭素在人体中的药代动力学及抗凝作用
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Pharmacokinetics, effect on clotting tests and assessment of the immunogenic potential of hirudin after a single subcutaneous or intravenous bolus administration in man.人单次皮下或静脉推注给药后水蛭素的药代动力学、对凝血试验的影响及免疫原性评估
Haemostasis. 1991;21 Suppl 1:137-41. doi: 10.1159/000216275.
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Clinico-pharmacological studies with recombinant hirudin.重组水蛭素的临床药理学研究
Thromb Res. 1988 Dec 1;52(5):393-400. doi: 10.1016/0049-3848(88)90023-0.
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Pharmacokinetics and pharmacodynamics of hirudin in man after single subcutaneous and intravenous bolus administration.人单次皮下和静脉推注给药后水蛭素的药代动力学和药效学
Arzneimittelforschung. 1988 May;38(5):704-10.
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Influence of recombinant hirudin on tissue-factor-induced activation of coagulation in rabbits.重组水蛭素对兔组织因子诱导的凝血激活的影响。
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10
Anticoagulant activity of Hirulog, a direct thrombin inhibitor, in humans.
Thromb Haemost. 1993 Feb 1;69(2):157-63.

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Pharmacological properties of hirudin and its derivatives. Potential clinical advantages over heparin.水蛭素及其衍生物的药理特性。相对于肝素的潜在临床优势。
Drugs Aging. 1996 Mar;8(3):171-82. doi: 10.2165/00002512-199608030-00003.
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Catabolism of hirudin and thrombin-hirudin complexes in the rat.水蛭素及凝血酶 - 水蛭素复合物在大鼠体内的分解代谢
Biochem J. 1993 Dec 15;296 ( Pt 3)(Pt 3):771-6. doi: 10.1042/bj2960771.
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Hirudin, a new therapeutic tool?水蛭素,一种新的治疗工具?
Ann Hematol. 1991 Aug;63(2):67-76. doi: 10.1007/BF01707275.
7
Recombinant hirudin, a new anticoagulant, has no effect on faecal blood loss.重组水蛭素是一种新型抗凝剂,对粪便失血没有影响。
Br J Clin Pharmacol. 1992 May;33(5):524-6. doi: 10.1111/j.1365-2125.1992.tb04083.x.