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大鼠吸入氟烷和安氟醚后体内的药物代谢酶。肝脏、肾脏和肺的不同反应模式及其对毒性的潜在影响。

Drug metabolizing enzymes in the rat after inhalation of halothane and enflurane. Different pattern of response in liver, kidney and lung and possible implications for toxicity.

作者信息

Dale O, Nielsen K, Westgaard G, Nilsen O G

出版信息

Br J Anaesth. 1983 Dec;55(12):1217-24. doi: 10.1093/bja/55.12.1217.

Abstract

Male Sprague-Dawley rats were exposed in inhalation chambers to halothane and enflurane in concentrations from 50 to 1000 p.p.m. (0.0025 MAC-0.05 MAC) 6 h a day for 3-11 days. No signs of general toxicity were found. There was a normal increase in weight, and normal food consumption, organ to body weight ratios and normal histological findings in liver, kidney and lung. Exposure to 500 p.p.m. (0.05 MAC) of halothane induced the activity of NADPH-cytochrome-c-reductase in the liver, decreased the concentration of cytochrome P-450 in the kidney and decreased all the enzyme concentrations measured in lung microsomes. Exposure to halothane 50 p.p.m. (0.005 MAC) and enflurane produced only minor changes. It is concluded that the inhalation of halothane, in contrast to enflurane, may affect drug metabolism and thereby drug kinetics and toxicity. Halothane may increase its own toxicity by increasing the activity of NADPH-cytochrome-c-reductase in liver. An organ differentiation in enzymatic response was observed.

摘要

将雄性斯普拉格-道利大鼠置于吸入舱中,每天6小时暴露于浓度为50至1000 ppm(0.0025 MAC - 0.05 MAC)的氟烷和恩氟烷环境中,持续3 - 11天。未发现一般毒性迹象。体重正常增加,食物消耗正常,肝脏、肾脏和肺的器官与体重比正常,组织学检查结果正常。暴露于500 ppm(0.05 MAC)的氟烷会诱导肝脏中NADPH - 细胞色素c - 还原酶的活性,降低肾脏中细胞色素P - 450的浓度,并降低肺微粒体中所测的所有酶浓度。暴露于50 ppm(0.005 MAC)的氟烷和恩氟烷仅产生微小变化。得出的结论是,与恩氟烷相比,吸入氟烷可能影响药物代谢,进而影响药物动力学和毒性。氟烷可能通过增加肝脏中NADPH - 细胞色素c - 还原酶的活性来增加自身毒性。观察到酶反应存在器官差异。

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