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弗莱明的溶菌酶是一种止痛剂吗?临床数据的实验性重新评估。

Is Fleming's lysozyme an analgesic agent? An experimental reappraisal of clinical data.

作者信息

Bianchi C

出版信息

Eur J Pharmacol. 1981 May 8;71(2-3):211-21. doi: 10.1016/0014-2999(81)90024-8.

Abstract

Hen egg white lysozyme (Fleming's lysozyme) was tested for antinociceptive activity in rats against foot hyperalgesia provoked by a subplantar injection of a number of irritants: arachidonic acid, brewer's yeast, carrageenan, kaolin, mepartricin and rabbit anti-rat serum (Randall-Selitto method). The compound was active when given p.o., i.m. or i.v. (100-200-400 mg/kg) as well as when injected locally in the foot pad concurrently with the irritant (1-2-4 mg/rat). Lysozyme decreased the sensitivity of the inflamed paw to the nociceptive stimulation, left unmodified the sensitivity of the normal paw and did not reduce the oedema of the inflamed paw. It differed in its activity from steroidal and non-steroidal anti-inflammatory drugs and from central analgesics that were used as standard reference drugs. Its activity was not shared by hen egg white and ovalbumin. Contrary to dextran, lysozyme i.p. did not induce anaphylactoid reactions. Lysozyme did not provoke tolerance and did not interfere with the antinociceptive activity of morphine. The results are in agreement with clinical data published years ago. Lysozyme was claimed to be an active agent against herpes zoster and cancer pain.

摘要

对鸡蛋清溶菌酶(弗莱明溶菌酶)进行了测试,观察其对大鼠足跖注射多种刺激物(花生四烯酸、啤酒酵母、角叉菜胶、高岭土、美帕曲星和兔抗大鼠血清)所诱发的足部痛觉过敏的抗伤害感受活性(兰德尔-塞利托法)。该化合物经口服、肌内注射或静脉注射(100 - 200 - 400毫克/千克)时均有活性,与刺激物同时局部注射到脚垫中(1 - 2 - 4毫克/只大鼠)时也有活性。溶菌酶降低了炎症爪子对伤害性刺激的敏感性,对正常爪子的敏感性无影响,且未减轻炎症爪子的水肿。其活性与用作标准对照药物的甾体和非甾体抗炎药以及中枢镇痛药不同。鸡蛋清和卵清蛋白不具有其活性。与右旋糖酐不同,腹腔注射溶菌酶不会诱发类过敏反应。溶菌酶不会引起耐受性,也不干扰吗啡的抗伤害感受活性。这些结果与多年前发表的临床数据一致。溶菌酶据称是一种抗带状疱疹和癌症疼痛的活性剂。

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