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在清醒的自发性高血压大鼠中比较反式双氯芬酯与不同类型钙拮抗剂的心血管效应。

Comparison of the cardiovascular effects of trans-diclofurime with different types of calcium antagonists in conscious spontaneously hypertensive rats.

作者信息

Petty M A, Mir A K

机构信息

Merrell-Dow Research Institute, Strasbourg Research Centre, France.

出版信息

Br J Pharmacol. 1988 Aug;94(4):1218-24. doi: 10.1111/j.1476-5381.1988.tb11641.x.

Abstract
  1. Trans-diclofurime has been shown to be a potent group II calcium antagonist in in vitro and in vivo test systems. In contrast to the dihydropyridines, group II calcium antagonists have a reduced propensity to cause reflex tachycardia due to well-balanced inhibitory effects in smooth muscle and heart. Since effects on autonomic reflexes are more reliably assessed in conscious animals, the cardiovascular effects of trans-diclofurime have been examined and compared to those of nifedipine, verapamil and diltiazem in the conscious spontaneously hypertensive rat (SHR). 2. Each SHR had an indwelling catheter in the femoral artery to record mean arterial pressure (MAP) and heart rate (HR) and a cannula in the femoral vein for drug infusion over 1 min. 3. Nifedipine (0.1-3.0 mumol kg-1 i.v.) caused dose-related falls in MAP accompanied by dose-related increases in HR. Trans-diclofurime and verapamil (0.3-3.0 mumol kg-1 i.v.) also caused dose-related decreases in MAP, but significant tachycardia was only seen at 1.0 and 3.0 mumol kg-1. Trans-diclofurime (0.3 mumol kg-1) induced a significant fall in HR. Diltiazem (1.0-10.0 mumol kg-1 i.v.) induced dose-related falls in MAP, significant bradycardia was evident with 1.0 mumol kg-1 and tachycardia with 10 mumol kg-1. Trans-diclofurime and diltiazem induced less tachycardia than nifedipine and verapamil for equivalent falls in MAP. 4. These results suggest that trans-diclofurime is a potent antihypertensive agent in conscious SHR and, like diltiazem, the hypotensive effects are associated with less tachycardia than is usually apparent with calcium antagonists such as nifedipine or verapamil. S. The cardiovascular effects of trans-diclofurime in conscious SHR are those expected of a class II calcium antagonist and are consistent with its proposed mode of interaction with the diltiazem site in the calcium channel.
摘要
  1. 在体外和体内测试系统中,反式双氯呋利已被证明是一种强效的II类钙拮抗剂。与二氢吡啶类药物不同,II类钙拮抗剂由于对平滑肌和心脏具有平衡的抑制作用,引起反射性心动过速的倾向较低。由于在清醒动物中能更可靠地评估对自主反射的影响,因此在清醒的自发性高血压大鼠(SHR)中研究了反式双氯呋利的心血管效应,并与硝苯地平、维拉帕米和地尔硫䓬进行了比较。2. 每只SHR的股动脉中都留置有一根导管,用于记录平均动脉压(MAP)和心率(HR),股静脉中有一根插管,用于在1分钟内输注药物。3. 硝苯地平(0.1 - 3.0 μmol·kg⁻¹静脉注射)导致MAP呈剂量相关下降,同时HR呈剂量相关增加。反式双氯呋利和维拉帕米(0.3 - 3.0 μmol·kg⁻¹静脉注射)也导致MAP呈剂量相关下降,但仅在1.0和3.0 μmol·kg⁻¹时出现明显的心动过速。反式双氯呋利(0.3 μmol·kg⁻¹)使HR显著下降。地尔硫䓬(1.0 - 10.0 μmol·kg⁻¹静脉注射)导致MAP呈剂量相关下降,1.0 μmol·kg⁻¹时明显出现心动过缓,10 μmol·kg⁻¹时出现心动过速。在MAP同等下降的情况下,反式双氯呋利和地尔硫䓬引起的心动过速比硝苯地平和维拉帕米少。4. 这些结果表明,反式双氯呋利在清醒的SHR中是一种强效的抗高血压药物,并且与地尔硫䓬一样,其降压作用与通常在硝苯地平或维拉帕米等钙拮抗剂中明显的心动过速较少有关。5. 反式双氯呋利在清醒的SHR中的心血管效应是II类钙拮抗剂所预期的,并且与其与钙通道中地尔硫䓬位点的拟相互作用模式一致。

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