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[鬼笔环肽拮抗剂的第四次通讯:硫辛酸、含巯基化合物、利福平、利胆剂、地塞米松、雌二醇、非特异性抑制剂及无效化合物(作者译)]

[Phalloidin antagonists 4th communication: Thioctic acid, SH-compounds, rifampicin, choleretics, dexamethasone, estradiol, unspecific inhibitors, and ineffective compounds (author's transl)].

作者信息

Frimmer M, Petzinger E, Homann J

出版信息

Arzneimittelforschung. 1975;25(12):1881-4.

PMID:766764
Abstract
  1. Thioctic acid used clinically in poisoning by A. phalloides, protected perfused livers and also isolated hepatocytes against phalloidin, when given in high concentrations. 2. Some SH-compounds like coenzyme A, dimercaprol, cysteine and cysteamine were found to be protective in different concentrations. 3. Rifampicin protects mice against lethal doses of phalloidin, and inhibits poisoning of isolated hepatocytes at low concentrations. 4. Some choleretic drugs like dehydrocholate, temoebilin (extr. cucumae xanth.), ethacrynic acid influenced phalloidin poisoning by inhibition of binding. 5. Doses of 0.2 to 4.0 mg dexamethasone added to 100 ml of perfusion medium did not protect perfused rat livers against 0.5 mg phalloidin. 6. Pretreatment of female rats with estrogens effected protection against phalloidin in vivo. The same procedure resulted in moderate decrease of phalloidin effects when the livers of pretreated animals were poisoned in vitro. In male rats estrogen pretreatment was less effective. Castration did not augment the protective effect. 7. Secophalloidin, a biologically inactive derivative, did not influence phalloidin poisoning in perfused livers, even when applied in excessive concentrations. 8. Concanavalin A, probably bound in the neighborhood of binding sites for phalloidin, did not protect perfused livers against phalloidin. 9 Diethyldithiocarbamate, a compound protecting livers against carbon tetrachloride and halothane, was ineffective in phalloidin poisoning. 10. Further protective actions of Evans blue, of some phenanthrolines and of EDTA are discussed. 11. Pretreatment of animals with hepatotoxic compounds (CCl4, CHCl3, cinchophen) decreased the toxicity of phalloidin in vivo. Possible mechanisms are discussed.
摘要
  1. 硫辛酸临床上用于治疗毒伞肽中毒,高浓度给药时可保护灌注肝脏及分离的肝细胞免受鬼笔环肽的损害。2. 发现一些含巯基化合物如辅酶A、二巯丙醇、半胱氨酸和半胱胺在不同浓度下具有保护作用。3. 利福平可保护小鼠免受致死剂量鬼笔环肽的侵害,并在低浓度时抑制分离肝细胞的中毒。4. 一些利胆药物如去氢胆酸盐、苦木素(黄瓜提取物)、依他尼酸通过抑制结合影响鬼笔环肽中毒。5. 向100ml灌注培养基中添加0.2至4.0mg地塞米松并不能保护灌注的大鼠肝脏免受0.5mg鬼笔环肽的侵害。6. 用雌激素对雌性大鼠进行预处理可在体内对鬼笔环肽起到保护作用。当对预处理动物的肝脏进行体外中毒时,相同操作导致鬼笔环肽作用适度降低。在雄性大鼠中,雌激素预处理效果较差。去势并未增强保护作用。7. 脱羧鬼笔环肽是一种无生物活性的衍生物,即使以过高浓度应用,也不会影响灌注肝脏中的鬼笔环肽中毒。8. 伴刀豆球蛋白A可能结合在鬼笔环肽结合位点附近,但不能保护灌注肝脏免受鬼笔环肽侵害。9. 二乙基二硫代氨基甲酸盐可保护肝脏免受四氯化碳和氟烷的损害,但对鬼笔环肽中毒无效。10. 讨论了伊文思蓝、一些菲咯啉和乙二胺四乙酸的进一步保护作用。11. 用肝毒性化合物(四氯化碳、三氯甲烷、辛可芬)对动物进行预处理可降低体内鬼笔环肽的毒性。讨论了可能的机制。

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