Eaker E Y, Bixler G B, Mathias J R
Department of Medicine, College of Medicine, University of Florida, Gainesville.
J Pharmacol Exp Ther. 1988 Aug;246(2):786-9.
Lidamidine HCl has been suggested to be effective in treating certain motor disorders of the gastrointestinal tract. Lidamidine has alpha-2 agonist as well as local anesthetic properties. We studied the antimotility and antidiarrheal activity of WHR 1049, a hepatic metabolite of lidamidine known to have some activity and to persist longer in the serum than does lidamidine. We recorded the intestinal myoelectric activity of fasted unanesthetized rats with bipolar electrodes implanted on their proximal jejunum. We found that lidamidine HCl, given by gavage, inhibited fasting myoelectric activity in a dose-dependent manner (using 0.5-4.0 mg/kg). Neither saline nor tetracaine inhibited myoelectric activity. WHR 1049 given by gavage also inhibited myoelectric activity and was 30 times as potent as lidamidine (milligram per milligram, using 0.0625- to 0.25-mg/kg doses). Pretreatment with yohimbine (5 mg/kg s.c.), before administration of WHR 1049, decreased the myoelectric activity inhibition by two-thirds (but did not completely block it). Castor oil (1 ml/200 g b.wt.) was given to induce diarrhea and did so when given alone or with saline (vehicle) pretreatment. When these animals were pretreated with 0.25 mg/kg of WHR 1049, the same dose of castrol oil did not induce diarrhea for a 6-hr observation period. We conclude that WHR 1049 is a potent metabolite of lidamidine that inhibits myoelectric activity, has significant alpha-2 agonist activity and blocks induced diarrhea. Because tetracaine does not inhibit myoelectric activity we suggest that the local anesthetic properties of lidamidine do not account for any of the myoelectric activity inhibition. WHR 1049 may account for much of the antimotility and antidiarrheal activity of lidamidine.
盐酸利达脒已被证明对治疗某些胃肠道运动障碍有效。利达脒具有α-2激动剂以及局部麻醉特性。我们研究了WHR 1049的抗蠕动和止泻活性,WHR 1049是利达脒的一种肝代谢产物,已知具有一定活性且在血清中的持续时间比利达脒更长。我们用植入禁食未麻醉大鼠空肠近端的双极电极记录其肠肌电活动。我们发现,经口灌胃给予盐酸利达脒以剂量依赖性方式抑制禁食时的肌电活动(使用0.5 - 4.0毫克/千克)。生理盐水和丁卡因均未抑制肌电活动。经口灌胃给予WHR 1049也抑制肌电活动,其效力是利达脒的30倍(每毫克,使用0.0625至0.25毫克/千克剂量)。在给予WHR 1049之前,用育亨宾(5毫克/千克皮下注射)预处理,可使肌电活动抑制降低三分之二(但未完全阻断)。给予蓖麻油(1毫升/200克体重)以诱导腹泻,单独给予或用生理盐水(赋形剂)预处理时均可诱导腹泻。当这些动物用0.25毫克/千克的WHR 1049预处理时,在6小时的观察期内,相同剂量的蓖麻油未诱导腹泻。我们得出结论,WHR 1049是利达脒的一种强效代谢产物,可抑制肌电活动,具有显著的α-2激动剂活性并阻断诱导性腹泻。由于丁卡因不抑制肌电活动,我们认为利达脒的局部麻醉特性不能解释任何肌电活动抑制作用。WHR 1049可能是利达脒大部分抗蠕动和止泻活性的原因。