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普萘洛尔在二硝基苯酚中毒中的作用。

Effect of propranolol in dinitrophenol poisoning.

作者信息

Issekutz B

出版信息

Arch Int Pharmacodyn Ther. 1984 Dec;272(2):310-9.

PMID:6525009
Abstract

The effect of the beta-blocker propranolol (PR) in sublethal poisoning with 2, 4,-dinitrophenol (DNP) was studied on carbohydrate kinetics in dogs. Parameters of glucose and lactate turnovers were measured by using a mixture of 3-3H-glucose and 14C-lactate according to the primed constant rate infusion technics. Participation of plasma glucose in lactate production (% L----G) and the rate of peripheral glycogenolysis (GLY) was estimated in experiments using a mixture of 3-3H-glucose and 14C-glucose (U). PR did not interfere with the DNP-induced rise of body temperature (+ 4 degrees C), but completely blocked the rise of lactate production, the lactacidemia and the rise of GLY seen in DNP treated controls. PR significantly increased %L----G, prolonged the DNP induced hyperphosphataemia and it caused a decline of plasma glucose. The effects of the beta-blocker could be overcome by increasing the rate of DNP infusion. It is concluded that in DNP poisoning the beta-adrenergic system plays a major role in the elevated peripheral glycogenolysis and it helps to compensate for the loss of mitochondrial synthesis of ATP by greatly accelerating its cytoplasmic synthesis.

摘要

研究了β受体阻滞剂普萘洛尔(PR)对狗2,4-二硝基苯酚(DNP)亚致死性中毒时碳水化合物动力学的影响。根据预充恒速输注技术,使用3-³H-葡萄糖和¹⁴C-乳酸的混合物测量葡萄糖和乳酸周转参数。在使用3-³H-葡萄糖和¹⁴C-葡萄糖(U)的实验中,估计血浆葡萄糖在乳酸生成中的参与度(%L→G)和外周糖原分解速率(GLY)。PR不干扰DNP引起的体温升高(+4℃),但完全阻断了乳酸生成增加、乳酸性血症以及DNP处理对照组中观察到的GLY升高。PR显著增加%L→G,延长DNP诱导的高磷血症,并导致血浆葡萄糖下降。增加DNP输注速率可克服β受体阻滞剂的作用。得出结论,在DNP中毒中,β肾上腺素能系统在外周糖原分解增加中起主要作用,并通过极大地加速其细胞质合成来帮助补偿线粒体ATP合成的损失。

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