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四乙铵衍生物的局部麻醉作用机制。

The mechanism of action of local anesthesia by tetraethylammonium derivatives.

作者信息

Curtis B M, Scurlock J E

出版信息

Anesthesiology. 1981 Apr;54(4):270-7. doi: 10.1097/00000542-198104000-00003.

DOI:10.1097/00000542-198104000-00003
PMID:6259968
Abstract

Tetraethylammonium (TEA+) derivatives in which one of the ethyl groups is replaced by a longer chain alkane (C4-C16) were tested for their ability to block the compound action potential (CAP) of frog sciatic nerve. A parabolic relation between chain length and 100 per cent blocking dose was found, suggesting an optimal size of C12 for the inhibitory receptor. Two types of inhibition were observed. Type 1 was an inhibition of the CAP at all frequencies when the nerve was perfused with the TEA+ derivative. Interaction with tetrodotoxin suggests this is a Na+ channel effect. Type 2 was an irreversible (still present after nerve wash) frequency-dependent inhibition that is distinct from and synergistic with Na+ channel blocking local anesthetics. From the kinetics of inhibition onset and transport studies, it is suggested that the ultralong action of the TEA+ derivatives is mediated by binding to a receptor at the internal part of K+ channels.

摘要

测试了其中一个乙基被更长链烷烃(C4 - C16)取代的四乙铵(TEA +)衍生物阻断青蛙坐骨神经复合动作电位(CAP)的能力。发现链长与100%阻断剂量之间呈抛物线关系,表明抑制性受体的最佳大小为C12。观察到两种类型的抑制。类型1是当神经用TEA +衍生物灌注时,在所有频率下对CAP的抑制。与河豚毒素的相互作用表明这是一种Na +通道效应。类型2是一种不可逆的(神经冲洗后仍存在)频率依赖性抑制,与Na +通道阻断局部麻醉药不同且具有协同作用。从抑制起始动力学和转运研究来看,表明TEA +衍生物的超长作用是通过与K +通道内部的受体结合介导的。

相似文献

1
The mechanism of action of local anesthesia by tetraethylammonium derivatives.四乙铵衍生物的局部麻醉作用机制。
Anesthesiology. 1981 Apr;54(4):270-7. doi: 10.1097/00000542-198104000-00003.
2
Tetraethylammonium derivatives: ultralong-acting local anesthetics?四乙铵衍生物:超长效局部麻醉剂?
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