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匹莫苯丹的代谢产物UD-CG 212 CL对麻醉猪的心血管作用。

Cardiovascular effects of UD-CG 212 CL, a metabolite of pimobendan, in anaesthetized pigs.

作者信息

Verdouw P D, Levinsky L, Duncker D J, Rutteman A M, Saxena P R

出版信息

Eur J Pharmacol. 1987 Jun 4;137(2-3):219-26. doi: 10.1016/0014-2999(87)90225-1.

Abstract

Systemic and regional haemodynamic effects of UD-CG 212 CL (0.5-16 micrograms X kg-1 X min-1), the major metabolite of the vasodilator and cardiotonic drug pimobendan, were studied in anaesthetized pigs. The drug caused a dose-dependent decrease in left ventricular (LV) end-diastolic and arterial blood pressures while it increased systemic vascular conductance, heart rate and maxLVdP/dt. The decrease in LV end-diastolic pressure was observed at lower plasma concentrations than the increase in systemic vascular conductance. Cardiac output tended to decrease but statistical significance was achieved only with the highest concentration. These effects of UD-CG 212 CL were not altered by the blockade of beta-adrenoceptors with propranolol. The vasodilator action of UD-CG 212 CL was noticed in several organs but the effects were relatively more marked (in decreasing order of magnitude) in the adrenals, kidneys, gastrointestinal tract, brain and LV epicardium. Since both arterial pressure and cardiac output decreased, the blood flow increased significantly only in the adrenals and decreased moderately in the spleen, LV endocardium and skeletal muscles. The effects of UD-CG 212 CL on the renal and skeletal muscle haemodynamics were different from those of pimobendan, which causes vasodilatation in the skeletal muscles but not in the kidneys. The results of this study show that, like the parent compound pimobendan, UD-CG 212 CL has independent cardiotonic and vasodilator actions; the latter being more pronounced on the venous side. However, the contribution of this metabolite to the overall pharmacological activity of pimobendan appears to be limited.

摘要

在麻醉猪身上研究了血管扩张剂和强心药物匹莫苯丹的主要代谢产物UD-CG 212 CL(0.5 - 16微克·千克⁻¹·分钟⁻¹)的全身和局部血流动力学效应。该药物导致左心室舒张末期和动脉血压呈剂量依赖性下降,同时增加全身血管传导率、心率和最大左心室dp/dt。观察到左心室舒张末期压力下降时的血浆浓度低于全身血管传导率增加时的血浆浓度。心输出量有下降趋势,但仅在最高浓度时具有统计学意义。普萘洛尔阻断β-肾上腺素能受体并未改变UD-CG 212 CL的这些效应。UD-CG 212 CL在多个器官中均有血管舒张作用,但在肾上腺、肾脏、胃肠道、脑和左心室心外膜中的效应相对更为显著(按幅度递减顺序排列)。由于动脉血压和心输出量均下降,血流量仅在肾上腺中显著增加,而在脾脏、左心室心内膜和骨骼肌中适度减少。UD-CG 212 CL对肾脏和骨骼肌血流动力学的影响与匹莫苯丹不同,匹莫苯丹可使骨骼肌血管舒张,但对肾脏无此作用。本研究结果表明,与母体化合物匹莫苯丹一样,UD-CG 212 CL具有独立的强心和血管舒张作用;后者在静脉侧更为明显。然而,这种代谢产物对匹莫苯丹整体药理活性的贡献似乎有限。

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