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健康志愿者中贝前列素钠的药代动力学和血管舒张作用研究。

Pharmacokinetics and vasodilating effect study of beraprost sodium in healthy volunteers.

机构信息

Institute of Clinical Pharmacology, Qilu Hospital of Shandong University, Jinan, China.

出版信息

Pak J Pharm Sci. 2020 Jul;33(4):1659-1664.

Abstract

Currently beraprost sodium (BPS) is widely proposed to ameliorate the symptoms caused by chronic arterial occlusive disease. The objective of this study is to investigate the BPS pharmacokinetic characteristics, its vasodilating effect and the relationship between plasma concentration vs response effect. 12 healthy Chinese volunteers (6 male, 6 female) were chosen to participate in a single center, random, and open design study. After overnight fasting, BPS (dose = 40μg) was administrated orally to each volunteer. The blood samples were collected at different time points (from 0 to 5 h after administration) and BPS concentration was analyzed by LC-MS/MS method. The vasodilating effect was evaluated by detecting the skin microcirculation blood flow of volunteers' fingers with laser Doppler fluxmetry. The C of BPS was (601.14 ± 214.81) pg/mL, the T was (0.58 ± 0.48) h, and AUC0-t was (1020.41±214.63) pg/mL•h. BPS exhibited significant vasodilating effect since the skin microcirculation blood flow increased definitely at 0.25, 0.5, and 0.75 h (all p<0.05) after drug administration, and a positive correlation was presented between the pharmacokinetics and the vasodilating effect, which would be beneficial for guiding BPS dosage in clinical.

摘要

目前,贝前列素钠(BPS)被广泛用于改善慢性动脉闭塞性疾病引起的症状。本研究旨在探讨 BPS 的药代动力学特征、其血管扩张作用以及血浆浓度与反应效应之间的关系。选择 12 名健康中国志愿者(6 名男性,6 名女性)参与单中心、随机、开放设计研究。志愿者禁食过夜后,口服给予 BPS(剂量=40μg)。在给药后不同时间点(0 至 5 小时后)采集血样,并采用 LC-MS/MS 法分析 BPS 浓度。通过激光多普勒流量仪检测志愿者手指的皮肤微循环血流量来评估血管扩张作用。BPS 的 C 为(601.14±214.81)pg/mL,T 为(0.58±0.48)h,AUC0-t 为(1020.41±214.63)pg/mL•h。BPS 表现出明显的血管扩张作用,因为给药后 0.25、0.5 和 0.75 小时皮肤微循环血流量明显增加(均 p<0.05),并且药代动力学与血管扩张作用之间存在正相关关系,这有助于指导临床 BPS 的剂量。

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