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猴子体内丙戊酸血浆水平的昼夜变化及昼夜颠倒

Diurnal variation of valproic acid plasma levels and day-night reversal in monkey.

作者信息

Lockard J S, Levy R H, DuCharme L L, Congdon W C, Patel I H

出版信息

Epilepsia. 1977 Jun;18(2):183-9. doi: 10.1111/j.1528-1157.1977.tb04466.x.

DOI:10.1111/j.1528-1157.1977.tb04466.x
PMID:406137
Abstract

Four normal monkeys each equipped with an EEG plug and two indwelling catheters for drug infusion and sampling, respectively, were administered valproic acid (VPA) before and after a 12-hr light, 12-hr dark phase shift. Before day-night reversal, diurnal oscillations of VPA plasma levels under steady-state intravenous constant-rate infusions were 30-50%, with maximum concentrations during the dark phase of the cycle. After reversal, maximum VPA plasma concentrations tended to follow the dark phase shift. The correlation was not perfect, nor was the sleep cycle completely reversed since the animals slept less after the phase shift. Possible mechanisms of the diurnal plasma level fluctuations and the importance of oscillations of this magnitude to clinical drug regimens are discussed.

摘要

四只正常猴子,每只分别配备一个脑电图插头和两根分别用于药物输注和取样的留置导管,在12小时光照、12小时黑暗的昼夜相移前后给予丙戊酸(VPA)。在昼夜颠倒之前,在稳态静脉恒速输注下VPA血浆水平的昼夜振荡为30%-50%,在周期的黑暗阶段浓度最高。颠倒之后,VPA血浆最大浓度倾向于跟随昼夜相移。这种相关性并不完美,且睡眠周期也没有完全颠倒,因为动物在相移后睡眠减少。本文讨论了昼夜血浆水平波动的可能机制以及这种幅度振荡对临床药物治疗方案的重要性。

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引用本文的文献

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Diurnal variations in steady-state plasma concentrations of valproic acid in epileptic patients.癫痫患者丙戊酸稳态血浆浓度的昼夜变化。
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Influence of pharmacokinetic diurnal variation on bioavailability estimates.
Clin Pharmacokinet. 1984 Mar-Apr;9(2):184-7. doi: 10.2165/00003088-198409020-00006.
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Time-dependence in benzodiazepine pharmacokinetics. Mechanisms and clinical significance.苯二氮䓬类药物药代动力学的时间依赖性。机制及临床意义。
Clin Pharmacokinet. 1984 May-Jun;9(3):203-10. doi: 10.2165/00003088-198409030-00002.
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Diurnal variation in cyclosporine kinetics.环孢素动力学的昼夜变化。
Ther Drug Monit. 1986;8(3):380-1. doi: 10.1097/00007691-198609000-00027.