Giudice A, Croci T, Bianchetti A, Manara L
Groupe SANOFI, Research Center MIDY S.p.A. Via Piranesi 38, Milan, Italy.
Life Sci. 1989;44(19):1411-7. doi: 10.1016/0024-3205(89)90399-8.
We have investigated the ability of the new putative beta-adrenergic agonists phenylethanolaminotetralines (PEAT) to inhibit intestinal motility in relation to their cardiovascular effects, in ethylurethane-anesthetized rats. The representative PEAT SR 58375A, SR 58572A and SR 58539B and the reference beta-adrenergic agonists isoproterenol, salbutamol and ritodrine caused dose-related inhibition of proximal colon spontaneous motility: ED50 (microgram/kg, i.v.) 210, 92 and 19; 5.6, 176 and 201, as listed. This inhibition was prevented by the beta-adrenergic antagonist alprenolol, but not by desipramine (which prevented the inhibition of colonic motility by tyramine and enhanced that by norepinephrine). The minimal effective doses (MED) of isoproterenol, salbutamol and ritodrine raising heart rate and/or lowering blood pressure (by 10 to 20%), was substantially lower (about 1/10 to 1/150) than their ED50 for inhibition of colonic motility. The MED raising heart rate of the three PEAT, on the other hand, was about twice (SR 58375A and SR 58572A) to five (SR 58539B) times their ED50 for inhibition of colonic motility. None of the PEAT lowered blood pressure up to the top tested dose. Therefore the PEAT may prove preferable to the currently best tolerated beta-adrenoceptor agonists, because they appear less liable to induce cardiovascular side effects. This supports the prospective therapeutic interest of PEAT for intestinal hypermotility disorders.
我们研究了新型假定的β-肾上腺素能激动剂苯乙醇胺四氢萘类(PEAT)在乙氨基甲酸乙酯麻醉的大鼠中抑制肠道蠕动的能力及其心血管效应。代表性的PEAT SR 58375A、SR 58572A和SR 58539B以及参考β-肾上腺素能激动剂异丙肾上腺素、沙丁胺醇和利托君引起近端结肠自发蠕动的剂量相关性抑制:静脉注射的ED50(微克/千克)分别为210、92和19;5.6、176和201,如下所列。这种抑制被β-肾上腺素能拮抗剂阿普洛尔阻断,但未被地昔帕明阻断(地昔帕明可阻断酪胺对结肠蠕动的抑制并增强去甲肾上腺素对结肠蠕动的抑制)。异丙肾上腺素、沙丁胺醇和利托君提高心率和/或降低血压(10%至20%)的最小有效剂量(MED)远低于它们抑制结肠蠕动的ED50(约为1/10至1/150)。另一方面,三种PEAT提高心率的MED约为其抑制结肠蠕动的ED50的两倍(SR 58375A和SR 58572A)至五倍(SR 58539B)。在测试的最高剂量下,没有一种PEAT能降低血压。因此,PEAT可能比目前耐受性最好的β-肾上腺素能受体激动剂更具优势,因为它们似乎不太容易诱发心血管副作用。这支持了PEAT对肠道运动亢进性疾病的潜在治疗价值。