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药物诱导的豚鼠血小板聚集抑制作用与其β-肾上腺素能阻断作用无关。

Drug-induced inhibition of guinea pig platelet aggregation unrelated to their beta-adrenolytic actions.

作者信息

Iwamura M, Ishimori T, Makino M, Yasuda K, Izumi A, Himori N

出版信息

Jpn J Pharmacol. 1983 Feb;33(1):219-26. doi: 10.1254/jjp.33.219.

Abstract

Inhibitory actions on adenosine diphosphate (ADP)-induced platelet aggregation of atenolol, dl- and d-D-32, IPS-339, pindolol and propranolol were investigated in guinea pigs for the purpose of obtaining a clue about a possible mechanism for the disaggregatory phenomenon of beta-adrenoceptor blocking agents. The effects of verapamil and procaine on guinea pig platelet aggregation were also examined. All of these agents including verapamil and procaine showed a dose-dependent inhibitory effect on platelet aggregation, and their relative potencies determined on the basis of the molar concentrations producing a 50% inhibition of ADP-induced aggregation were in descending order: IPS-339 greater than propranolol greater than verapamil greater than dl-D-32 not equal to d-D-32 greater than pindolol greater than procaine greater than atenolol. This order of relative potencies of the inhibitory actions of these test compounds on platelet aggregation was well correlated to those of local anaesthetic action in guinea pigs (r = 0.932, P less than 0.01) and lipophilicity (r = -0.899, P less than 0.01), while it did not agree with the orders of potency of beta-adrenoceptor blocking action, intrinsic sympathomimetic action and vasodilator action. From these results, it may be reasonable to propose that inhibitory actions of beta-adrenoceptor blocking agents and local anaesthetics on platelet aggregation are caused through the same mechanism or through a very similar one.

摘要

为了探寻β-肾上腺素受体阻断剂解聚现象的可能机制,研究了阿替洛尔、消旋体及右旋体D-32、IPS-339、吲哚洛尔和普萘洛尔对豚鼠二磷酸腺苷(ADP)诱导的血小板聚集的抑制作用。还检测了维拉帕米和普鲁卡因对豚鼠血小板聚集的影响。包括维拉帕米和普鲁卡因在内的所有这些药物均对血小板聚集呈现剂量依赖性抑制作用,基于产生50% ADP诱导聚集抑制作用的摩尔浓度所确定的它们的相对效价由高到低依次为:IPS-339>普萘洛尔>维拉帕米>消旋体D-32 = 右旋体D-32>吲哚洛尔>普鲁卡因>阿替洛尔。这些受试化合物对血小板聚集抑制作用的相对效价顺序与豚鼠局部麻醉作用(r = 0.932,P<0.01)和亲脂性(r = -0.899,P<0.01)的顺序密切相关,而与β-肾上腺素受体阻断作用、内在拟交感神经活性和血管舒张作用的效价顺序不一致。根据这些结果,提出β-肾上腺素受体阻断剂和局部麻醉剂对血小板聚集的抑制作用是通过相同机制或非常相似的机制引起的,这可能是合理的。

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