Tomikawa M, Nakayasu T, Tawara K, Abiko Y
Atherosclerosis. 1981 Oct;40(2):101-13. doi: 10.1016/0021-9150(81)90029-0.
The effect of probucol was studied on serum lipoprotein levels in normal and cholesterol-fed, hypercholesterolemic mice. In normal mice, probucol caused a significant reduction in LDL + VLDL cholesterol at daily doses above 25-50 mg/kg and also in HDL cholesterol at higher doses. In cholesterol-fed mice, probucol treatment decreased LDL + VLDL cholesterol at daily doses exceeding 200 mg/kg and also HDL cholesterol at a daily dose of 800 mg/kg. The ratio of LDL + VLDL cholesterol to HDL cholesterol was significantly reduced by treatment at 25-100 mg/kg in normal mice and at 200 mg/kg in hypercholesterolemic mice. The ratio was not reduced at doses above these ranges. These dose-effect relationships were not modified by duration of probucol treatment. These findings suggest that there is an optimum dosage of probucol to lower LDL + VLDL cholesterol and the atherogenic index, and that the actual optimum dosage for the beneficial effect depends on blood lipid levels or types of hyperlipidemia. This may be important in the clinical application of this drug, because a negative correlation has been demonstrated between HDL cholesterol levels and ischemic heart disease. Clofibrate treatment did not affect serum lipid levels significantly in either normal or cholesterol-fed mice. Probucol was again effective in lowering LDL cholesterol values in cholesterol-fed mice which had previously been treated with clofibrate for 2 weeks without any beneficial effect. In an additional experiment, it was found that the probucol-induced reduction in cholesterol returned to the pre-treatment levels gradually over several days, depending on the dose and without rebound elevation after withdrawal of the drug.
研究了普罗布考对正常小鼠以及喂食胆固醇的高胆固醇血症小鼠血清脂蛋白水平的影响。在正常小鼠中,每日剂量高于25 - 50毫克/千克时,普罗布考可使低密度脂蛋白 + 极低密度脂蛋白胆固醇显著降低,更高剂量时高密度脂蛋白胆固醇也会降低。在喂食胆固醇的小鼠中,每日剂量超过200毫克/千克时,普罗布考治疗可降低低密度脂蛋白 + 极低密度脂蛋白胆固醇,每日剂量为800毫克/千克时高密度脂蛋白胆固醇也会降低。正常小鼠每日剂量为25 - 100毫克/千克、高胆固醇血症小鼠每日剂量为200毫克/千克时,治疗可使低密度脂蛋白 + 极低密度脂蛋白胆固醇与高密度脂蛋白胆固醇的比值显著降低。高于这些剂量范围时,该比值不会降低。这些剂量 - 效应关系不会因普罗布考治疗的持续时间而改变。这些发现表明,存在一个普罗布考的最佳剂量来降低低密度脂蛋白 + 极低密度脂蛋白胆固醇和致动脉粥样硬化指数,并且有益效果的实际最佳剂量取决于血脂水平或高脂血症类型。这在该药物的临床应用中可能很重要,因为高密度脂蛋白胆固醇水平与缺血性心脏病之间已证明存在负相关。氯贝丁酯治疗对正常小鼠或喂食胆固醇的小鼠的血清脂质水平均无显著影响。普罗布考再次有效地降低了先前用氯贝丁酯治疗2周但无任何有益效果的喂食胆固醇小鼠的低密度脂蛋白胆固醇值。在另一项实验中发现,普罗布考诱导的胆固醇降低会在几天内逐渐恢复到治疗前水平,这取决于剂量,停药后不会出现反弹性升高。