Hirshman C A, Lawyer C, Downes H, Farbood A, Rodgers R, Gerber N
Chest. 1981 Apr;79(4):454-8. doi: 10.1378/chest.79.4.454.
This study compared the bronchodilator effect in experimental canine asthma of dyphylline administered by aerosol and intravenous routes in doses producing equivalent concentrations of the drug in the plasma. Pulmonary resistance (RL) was calculated from simultaneous measurements of pressure and flow during fixed-volume controlled ventilation at the same peak flow and corrected for elastic recoil pressure. Dynamic compliance (Cdyn) was calculated by dividing tidal volume by the change in pressure measured between points of zero flow. Concentrations of dyphylline in the plasma were measured using high-performance liquid chromatographic techniques. Rates of infusion of dyphylline were determined from values for clearance observed in preliminary experiments with intravenous injection. Prior to exposure to antigen, RL and Cdyn were not significantly different in control and dyphylline-treated dogs. Following challenge, with antigen RL increased by 8.3 +/- 2.6 times (mean +/- SE) in untreated dogs but only by 2.4 +/- 0.4 times in dyphylline treated dogs. Levels of dyphylline in the plasma averaged 4.2 micrograms/ml +/- 0.6 micrograms/ml at the end of the ten-minute period of aerosol administration and remained at that level for 60 minutes. At equivalent plasma levels (4.3 micrograms/ml +/- 0.3 micrograms/ml), infusion of dyphylline did not significantly after the response to Ascaris antigen, whereas dyphylline administered by the aerosol route markedly attenuated the response.
本研究比较了二羟丙茶碱经气雾剂和静脉途径给药,在血浆中产生等效药物浓度的剂量下,对实验性犬哮喘的支气管扩张作用。肺阻力(RL)通过在相同峰值流量下的定容控制通气期间同时测量压力和流量来计算,并针对弹性回缩压力进行校正。动态顺应性(Cdyn)通过潮气量除以零流量点之间测量的压力变化来计算。使用高效液相色谱技术测量血浆中二羟丙茶碱的浓度。二羟丙茶碱的输注速率根据静脉注射初步实验中观察到的清除率值确定。在接触抗原之前,对照犬和二羟丙茶碱治疗犬的RL和Cdyn无显著差异。激发后,未治疗犬的抗原RL增加了8.3±2.6倍(平均值±标准误),而二羟丙茶碱治疗犬仅增加了2.4±0.4倍。在气雾剂给药十分钟结束时,血浆中二羟丙茶碱水平平均为4.2微克/毫升±0.6微克/毫升,并在60分钟内保持该水平。在等效血浆水平(4.3微克/毫升±0.3微克/毫升)下,静脉输注二羟丙茶碱对蛔虫抗原反应无显著影响,而经气雾剂途径给药的二羟丙茶碱则显著减弱了反应。