Fanta C H, Watson J W, Lacouture P G, Drazen J M
Am Rev Respir Dis. 1987 Jul;136(1):76-9. doi: 10.1164/ajrccm/136.1.76.
We administered histamine subcutaneously to anesthetized guinea pigs to induce prolonged bronchoconstriction and then tested the effect of intravenously administered nifedipine on pulmonary resistance (RL) and dynamic compliance (Cdyn). One mg of subcutaneously administered histamine caused RL to increase by an average of more than 250% and Cdyn to fall on average to 26% of baseline; mean RL remained more than twice baseline, and mean Cdyn remained less than half baseline for 80 min. Intravenously administered nifedipine 3 micrograms/kg and ethanol (diluent) administered 25 min after histamine had no effect on RL but caused a slightly greater fall in Cdyn than in the control animals treated with histamine alone. Nifedipine 30 micrograms/kg, however, exhibited significant bronchodilator activity: 35 min after nifedipine 30 micrograms/kg, RL decreased on average to 41 +/- 17% above baseline (p less than 0.02), and Cdyn increased to 49 +/- 5% below baseline (p less than 0.0001). By comparison, isoproterenol (0.3 to 3.0 micrograms/kg) caused bronchodilation of more rapid onset (within 1 min) and shorter duration of action (approximately 10 min). Thus, we were able to demonstrate bronchodilator activity of nifedipine in vivo, as had been predicted by in vitro studies of guinea pig and human tracheal strips. These results would appear to justify continued exploration of the potential role for calcium channel blockers in the treatment of obstructive lung disease.
我们对麻醉的豚鼠皮下注射组胺以诱导长时间的支气管收缩,然后测试静脉注射硝苯地平对肺阻力(RL)和动态顺应性(Cdyn)的影响。皮下注射1mg组胺可使RL平均增加超过250%,Cdyn平均降至基线的26%;在80分钟内,平均RL保持在基线的两倍以上,平均Cdyn保持在基线的一半以下。组胺注射25分钟后静脉注射3μg/kg硝苯地平和乙醇(稀释剂)对RL无影响,但与仅用组胺治疗的对照动物相比,Cdyn下降幅度略大。然而,30μg/kg硝苯地平表现出显著的支气管扩张活性:在注射30μg/kg硝苯地平35分钟后,RL平均降至比基线高41±17%(p<0.02),Cdyn升至比基线低49±5%(p<0.0001)。相比之下,异丙肾上腺素(0.3至3.0μg/kg)引起的支气管扩张起效更快(1分钟内),作用持续时间更短(约10分钟)。因此,正如对豚鼠和人气管条的体外研究所预测的那样,我们能够在体内证明硝苯地平的支气管扩张活性。这些结果似乎证明有必要继续探索钙通道阻滞剂在阻塞性肺病治疗中的潜在作用。