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新型血管活性抗高血压药物Ro 12 - 4713的心血管效应

Cardiovascular effects of a novel vasoactive antihypertensive agent, Ro 12-4713.

作者信息

Gerold M, Eigenmann R, Hefti F, Daum A, Haeusler G

出版信息

J Pharmacol Exp Ther. 1981 Mar;216(3):624-33.

PMID:7009831
Abstract

Ro 12-4713, an oxadiazolopyrimidine derivative, lowered blood pressure of conscious spontaneously hypertensive rats and renal hypertensive dogs in a dose-dependent manner from 10 to 100 mg/kg p.o. The antihypertensive effect was slow in onset, had a long duration of action and was not subject to the development of tachyphylaxis. Ro 12-4713 did not influence blood pressure in conscious normotensive rats, cats and dogs. Several observations suggest that metabolites formed from the inactive parent compound are responsible for the cardiovascular effects. A hemodynamic analysis in anesthetized dogs showed that Ro 12-4713 lowered blood pressure and peripheral vascular resistance. These effects were associated with an increase in cardiac output and flow in various vascular beds as well as with an increase in myocardial contractility. This pattern of hemodynamic activity together with the absence of effects on the autonomic neuroeffector system allow the classification of Ro 12-4713 as a vasoactive antihypertensive agent like e.g. hydralazine or minoxidil. However, in contrast to other vasoactive antihypertensives, Ro 12-4713 virtually did not produce tachycardia or water and sodium retention. Ro 12-4713 may represent a considerable improvement in current vasodilator antihypertensive therapy.

摘要

Ro 12 - 4713,一种恶二唑并嘧啶衍生物,以10至100毫克/千克口服剂量呈剂量依赖性降低清醒自发性高血压大鼠和肾性高血压犬的血压。其降压作用起效缓慢,作用持续时间长,且不会出现快速耐受性。Ro 12 - 4713对清醒正常血压大鼠、猫和犬的血压无影响。多项观察表明,由无活性母体化合物形成的代谢产物是心血管效应的原因。对麻醉犬的血流动力学分析表明,Ro 12 - 4713降低血压和外周血管阻力。这些效应与心输出量和各血管床血流量增加以及心肌收缩力增强有关。这种血流动力学活动模式以及对自主神经效应系统无影响,使得Ro 12 - 4713可归类为如肼屈嗪或米诺地尔那样的血管活性降压药。然而,与其他血管活性降压药不同的是,Ro 12 - 4713几乎不会引起心动过速或水钠潴留。Ro 12 - 4713可能代表了当前血管扩张剂降压治疗的显著进步。

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