Fregnan G B, Ferni G, Prada M
Arch Int Pharmacodyn Ther. 1977 Apr;226(2):286-301.
Seven 1,3-benzodioxole derivatives have been found to be effective against certain types of experimentally induced arrhythmias. Among them, 2-[2-(5-chloro-2-methyl-1, 3-benzodioxol-2-yl)ethoxy]-N, N-diethyl-ethanamine (LR 529) showed to be the most active. LR 529 prevented arrhythmias induced by CaCl2 intoxication in anaesthetized and conscious rats, by benzene-epinephrine in anaesthetized guinea-pigs, and by direct electrical stimulation either at increasing intensity of the ventricles of anaesthetized cats or at increasing frequency of the rabbit isolated atria. The new compound reversed to sinus rhythm the arrhythmias provoked by intoxication with aconitine and ouabain respectively in anaesthetized rats and dogs. LR 529 (and the other 1,3-benzodioxoles as well) showed scant local anaesthetic activity, short-lasting hypotensive effects, not accompanied by any change in heart rate, and discrete anti-aggregating activity on rabbit platelets "in vitro". In general, the new compounds showed weak or no effect on autonomic and central nervous systems, neither influenced other pharmacological parameters (at least within the range of doses active on experimental arrhythmias). Acute toxicity studies have indicated that even if some of the 1,3-benzodioxoles were more toxic than quinidine and procainamide, their anti-arrhythmic indexes (especially those of LR 529) were greater than those of the two reference drugs.
已发现七种1,3 - 苯并二恶唑衍生物对某些类型的实验性诱导心律失常有效。其中,2 - [2 - (5 - 氯 - 2 - 甲基 - 1,3 - 苯并二恶唑 - 2 - 基)乙氧基]-N,N - 二乙胺(LR 529)表现出最强的活性。LR 529可预防麻醉和清醒大鼠中氯化钙中毒诱导的心律失常、麻醉豚鼠中苯肾上腺素诱导的心律失常,以及麻醉猫心室强度增加或兔离体心房频率增加时的直接电刺激诱导的心律失常。该新化合物可使麻醉大鼠和狗分别因乌头碱和哇巴因中毒引发的心律失常恢复为窦性心律。LR 529(以及其他1,3 - 苯并二恶唑)表现出微弱的局部麻醉活性、短暂的降压作用,且心率无任何变化,并且对兔血小板“体外”具有离散的抗聚集活性。总体而言,新化合物对自主神经系统和中枢神经系统作用微弱或无作用,也不影响其他药理学参数(至少在对实验性心律失常有活性的剂量范围内)。急性毒性研究表明,即使某些1,3 - 苯并二恶唑比奎尼丁和普鲁卡因酰胺毒性更大,但其抗心律失常指数(尤其是LR 529的)大于这两种参比药物。