Parikh R K, Moore M R
Br J Anaesth. 1978 Nov;50(11):1099-103. doi: 10.1093/bja/50.11.1099.
The activity of delta-aminolaevulinic acid synthase (E.C.2.3.1.37) (the rate-limiting enzyme for haem and porphyrin biosynthesis) has been measured in the rat liver after the repeated administration of anaesthetic agents in vivo. The activity of the enzyme was increased by Althesin, chlordiazepoxide, enflurane, etomidate, lignocaine, methohexitone, methoxyflurane, pentazocine and thiopentone and decreased by procaine. No significant changes in activity occurred after the administration of amethocaine, atropine, bupivacaine, diazepam, droperidol, halothane, ketamine, morphine, nitrous oxide, pethidine, phenoperidine, prilocaine and propanidid. It is suggested that those anaesthetic agents which induced activity of the enzyme should not be administered to patients with an acute porphyria.
在大鼠体内反复给予麻醉剂后,测定了δ-氨基乙酰丙酸合酶(E.C.2.3.1.37)(血红素和卟啉生物合成的限速酶)的活性。该酶的活性在阿法沙龙、氯氮卓、恩氟烷、依托咪酯、利多卡因、甲己炔巴比妥、甲氧氟烷、喷他佐辛和硫喷妥钠作用下升高,而在普鲁卡因作用下降低。给予丁卡因、阿托品、布比卡因、地西泮、氟哌利多、氟烷、氯胺酮、吗啡、氧化亚氮、哌替啶、苯哌替啶、丙胺卡因和丙泮尼地后,活性未发生显著变化。建议不应将那些诱导该酶活性的麻醉剂用于急性卟啉症患者。