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雷洛昔芬对去卵巢大鼠的止血作用。

Hemostatic Effects of Raloxifene in Ovariectomized Rats.

作者信息

Alva-Chavarría Denys, Soto-Núñez Maribel, Flores-Soto Edgar, Jaimez Ruth

机构信息

Departamento de Farmacología, Facultad de Medicina, Universidad Nacional Autónoma de México, Mexico City 04510, Mexico.

出版信息

Life (Basel). 2023 Jul 23;13(7):1612. doi: 10.3390/life13071612.

DOI:10.3390/life13071612
PMID:37511987
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10381455/
Abstract

This study aimed to explore the effects of raloxifene (Rx) and estradiol (E) on prothrombin time (PT), partial thromboplastin time (APTT), coagulation factors (VII, X, XI), and fibrinogen concentrations in rats. Female rats were ovariectomized 11 days prior to starting the treatment. Afterward, they received Rx or E (1, 10, 100, and 1000 µg/kg) or propylene glycol (0.3 mL; vehicle, V) subcutaneously for 3 consecutive days. Plasma was collected to measure the hemostatic parameters. Rx significantly increased PT (8%, at 1000 µg/kg; < 0.05) and APTT at all doses evaluated (32, 70, 67, 30%; < 0.05, respectively). Rx (1, 10, 100, and 1000 µg/kg) decreased the activity of factor VII by -20, -40, -37, and -17% ( < 0.05), respectively, and E increased it by 9, 34, 52, and 29%. Rx reduced factor X activity at 10 and 100 µg/kg doses (-30, and -30% < 0.05), and E showed an increment of 24% with 1000 µg/kg dose only. Additionally, Rx (1, 10, 100 µg/kg) diminished FXI activity (-71, -62, -66; < 0.05), E (1 and 10 µg/kg) in -60 and -38, respectively ( < 0.05), and Rx (1000 µg/kg) produced an increment of 29% ( < 0.05) in fibrinogen concentration, but not E. Our findings suggest that raloxifene has a protective effect on hemostasis in rats.

摘要

本研究旨在探讨雷洛昔芬(Rx)和雌二醇(E)对大鼠凝血酶原时间(PT)、部分凝血活酶时间(APTT)、凝血因子(VII、X、XI)及纤维蛋白原浓度的影响。在开始治疗前11天,对雌性大鼠进行卵巢切除术。之后,它们连续3天皮下注射Rx或E(1、10、100和1000μg/kg)或丙二醇(0.3mL;赋形剂,V)。收集血浆以测量止血参数。Rx在所有评估剂量下均显著增加PT(1000μg/kg时增加8%;P<0.05)和APTT(分别为32%、70%、67%、30%;P<0.05)。Rx(1、10、100和1000μg/kg)分别使因子VII的活性降低-20%、-40%、-37%和-17%(P<0.05),而E使其增加9%、34%、52%和29%。Rx在10和100μg/kg剂量下降低因子X的活性(-30%和-30%,P<0.05),而E仅在1000μg/kg剂量下使因子X活性增加24%。此外,Rx(1、10、100μg/kg)降低FXI活性(-71%、-62%、-66%;P<0.05),E(1和10μg/kg)分别降低-60%和-38%(P<0.05),Rx(1000μg/kg)使纤维蛋白原浓度增加29%(P<0.05),而E则无此作用。我们的研究结果表明,雷洛昔芬对大鼠止血具有保护作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f148/10381455/828ea55915cc/life-13-01612-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f148/10381455/3ed6b5c4993d/life-13-01612-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f148/10381455/ff6c6bb006f4/life-13-01612-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f148/10381455/5d659b942da8/life-13-01612-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f148/10381455/828ea55915cc/life-13-01612-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f148/10381455/3ed6b5c4993d/life-13-01612-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f148/10381455/ff6c6bb006f4/life-13-01612-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f148/10381455/5d659b942da8/life-13-01612-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f148/10381455/828ea55915cc/life-13-01612-g004.jpg

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本文引用的文献

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Pharmacologic Treatment of Primary Osteoporosis or Low Bone Mass to Prevent Fractures in Adults: A Living Clinical Guideline From the American College of Physicians.《成人原发性骨质疏松症或低骨量的药物治疗:美国医师学院临床实践指南》。
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Adolescent raloxifene treatment in females prevents cognitive deficits in a neurodevelopmental rodent model of schizophrenia.青春期雌性大鼠接受雷洛昔芬治疗可预防精神分裂症神经发育啮齿动物模型中的认知缺陷。
Behav Brain Res. 2023 Mar 12;441:114276. doi: 10.1016/j.bbr.2022.114276. Epub 2022 Dec 24.
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Estrogen and thrombosis: A bench to bedside review.
雌激素与血栓形成:从 bench 到床边的综述
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Use of Endocrine Therapy for Breast Cancer Risk Reduction: ASCO Clinical Practice Guideline Update.用于乳腺癌风险降低的内分泌治疗:ASCO 临床实践指南更新。
J Clin Oncol. 2019 Nov 20;37(33):3152-3165. doi: 10.1200/JCO.19.01472. Epub 2019 Sep 3.
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Relationship between sex hormone binding globulin and blood coagulation in women on postmenopausal hormone treatment.绝经后激素治疗女性中,性激素结合球蛋白与血液凝固之间的关系。
Blood Coagul Fibrinolysis. 2019 Jan;30(1):17-23. doi: 10.1097/MBC.0000000000000784.
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Raloxifene Lowers Plasma Lipoprotein(a) Concentrations: a Systematic Review and Meta-analysis of Randomized Placebo-Controlled Trials.雷洛昔芬降低血浆脂蛋白(a)浓度:随机安慰剂对照试验的系统评价和荟萃分析
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Estrogens and Coronary Artery Disease: New Clinical Perspectives.雌激素与冠状动脉疾病:新的临床视角
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