Becagli P, Lippi A, Criscuoli M, Breschi M C, Subissi A
Istituto Policattedra di Discipline Biologiche, Università di Pisa, Italy.
J Cardiovasc Pharmacol. 1995 Jul;26(1):27-32.
Tissue angiotensin-converting enzyme (ACE) inhibition was measured in rats after single intravenous (i.v.) and oral (p.o.) doses of idrapril calcium, and the correlation between peak inhibition and tissue concentration of the drug was investigated. Five minutes after idrapril calcium (3 mg/kg i.v. as free acid), ACE in the examined tissues (serum, lungs, kidneys, heart, aorta, adrenals, testes, and brain) showed > 50% inhibition, always associated with measurable amounts of idrapril. After 90 min, ACE activity was still inhibited only in serum, lungs, kidneys, and aorta, recovering to basal values by 8 h in all samples but serum. Oral idrapril calcium (30 mg/kg) produced > 50% peak ACE inhibition in serum, lungs, and kidneys, in which measurable levels of the drug were detected, and in the aorta, where idrapril was not detected. Other tissues showed neither marked inhibition nor measurable drug levels. Kinetics of ACE inhibition in affected tissue mirrored those observed after intravenous administration. Idrapril, despite its hydrophilic nature, is able to reach extravascular tissues and to inhibit local ACE. However, in no tissue did the effect on ACE last longer than in serum and the hypothesis of a peculiar role of tissue RAS in determining the hypotensive activity of idrapril calcium is not supported in rats.
在大鼠单次静脉注射(i.v.)和口服(p.o.)依那普利钙后,测定组织血管紧张素转换酶(ACE)抑制情况,并研究峰值抑制与药物组织浓度之间的相关性。静脉注射依那普利钙(3 mg/kg,以游离酸形式)5分钟后,所检测组织(血清、肺、肾、心脏、主动脉、肾上腺、睾丸和脑)中的ACE显示出>50%的抑制,且始终与可测量量的依那普利相关。90分钟后,仅血清、肺、肾和主动脉中的ACE活性仍被抑制,除血清外,所有样本中的ACE活性在8小时恢复至基础值。口服依那普利钙(30 mg/kg)在血清、肺和肾中产生>50%的ACE峰值抑制,在这些组织中检测到了可测量水平的药物,在主动脉中虽未检测到依那普利,但也产生了ACE峰值抑制。其他组织既未显示出明显抑制,也未检测到可测量的药物水平。受影响组织中ACE抑制的动力学与静脉给药后观察到的情况相似。依那普利尽管具有亲水性,但仍能够到达血管外组织并抑制局部ACE。然而,在任何组织中,对ACE的作用持续时间都不会比血清中更长,且在大鼠中,组织肾素-血管紧张素系统(RAS)在决定依那普利钙降压活性方面具有特殊作用这一假设未得到支持。