Lee J Y, Warner R B, Brune M E, Adler A L, Winn M, De B, Zydowsky T M, Opgenorth T J, Kerkman D J, DeBernardis J F
Pharmaceutical Products Division, Abbott Laboratories, Abbott Park, Illinois 60064.
Am J Hypertens. 1994 Nov;7(11):975-83. doi: 10.1093/ajh/7.11.975.
ABBOTT-81988 (A-81988), 2-(N-propyl-N[(2'-[1H-tetrazol-5-yl]biphenyl- 4yl)methyl] amino) pyridine-3-carboxylic acid, a nonpeptide angiotensin II (AII) antagonist was studied in the conscious spontaneously hypertensive rate (SHR) (male, 18 to 21 weeks) for cardiovascular effects of oral administration. Oral A-81988 at 0.3 to 3 mg/kg produced a dose-related 10 to 29% decrease in mean arterial pressure (MAP) in SHR (control, 161 to 177 mm Hg; n = 19) for 12 to 24 h without changing heart rate. Oral A-81988 at 3 mg/kg daily maintained MAP in SHR at normotensive levels (97 to 120 mm Hg) during a 5-day protocol with no rebound hypertension at termination of treatment. There was an increase in plasma renin activity in nanograms AI/milliliter/hour in SHR treated with A-81988 (32 +/- 3, n = 6 v 5 +/- 2, n = 6 for vehicle) during its antihypertensive action. The oral potency of A-81988 was enhanced about 10-fold in furosemide-treated SHR. The pressor response to AII was inhibited selectively in SHR even after an 8-day treatment with A-81988 (approximately 3 mg/kg/day orally). Total peripheral resistance was lowered and cardiac output unchanged in SHR administered A-81988 (3 mg/kg/day orally for 2 days). A-81988 (3 mg/kg orally) did not cause orthostatic hypotension in SHR.(ABSTRACT TRUNCATED AT 250 WORDS)
雅培 - 81988(A - 81988),即2 -(N - 丙基 - N - [(2'-[1H - 四氮唑 - 5 - 基]联苯 - 4 - 基)甲基]氨基)吡啶 - 3 - 羧酸,一种非肽类血管紧张素II(AII)拮抗剂,在清醒的自发性高血压大鼠(SHR,雄性,18至21周龄)中进行了口服给药的心血管效应研究。口服剂量为0.3至3mg/kg的A - 81988可使SHR(对照组平均动脉压161至177mmHg;n = 19)的平均动脉压(MAP)出现与剂量相关的10%至29%的下降,持续12至24小时,且心率不变。在为期5天的实验方案中,每日口服3mg/kg的A - 81988可使SHR的MAP维持在正常血压水平(97至120mmHg),治疗结束时无血压反跳升高现象。在用A - 81988治疗的SHR(32±3,n = 6;而溶媒对照组为5±2,n = 6)的降压作用期间,其血浆肾素活性以每毫升每小时纳克AI计有所升高。在呋塞米治疗的SHR中,A - 81988的口服效力增强了约10倍。即使在口服A - 81988(约3mg/kg/天)8天治疗后,SHR对AII的升压反应仍被选择性抑制。口服给予A - 81988(3mg/kg/天,持续2天)的SHR总外周阻力降低,心输出量不变。A - 81988(口服3mg/kg)未在SHR中引起体位性低血压。(摘要截选至250字)