Powanda M C, Abeles F B, Bostian K A, Fowler J P, Hauer E C
Biochem J. 1979 Mar 15;178(3):633-41. doi: 10.1042/bj1780633.
Daily intramuscular injections of clofibrate begun 6h before the initiation of inflammation induced by the subcutaneous injection of turpentine exerted a differential, dose-dependent inhibition of the anticipated acute-phase globulin response. Specifically, clofibrate at 140mg/kg muted the increase in alpha(2)-macrofoetoprotein, but did not affect that of seromucoid or haptoglobin and only transiently inhibited the rise in copper and the rebound in transferrin. A higher dose, 280mg/kg, markedly suppressed alpha(2)-macrofoetoprotein appearance and the rebound in transferrin, somewhat inhibited the increase in seromucoid and haptoglobin and only transiently affected the rise in plasma copper; 420mg of clofibrate/kg very nearly abolished the appearance of alpha(2)-macrofoetoprotein, markedly suppressed the transferrin rebound and the increases in seromucoid and haptoglobin and again only transiently affected the increase in copper. Clofibrate did not diminish the localized inflammatory response, did not cause microscopically detectable liver damage and did not prevent the hypozincaemia, hypoalbuminaemia and enhanced amino acid uptake by liver usually associated with inflammation. Thus it is unlikely that clofibrate exerted its dose-dependent selective inhibition by muting the initial stimulus or by impairing hepatic metabolism. This seemingly selective action of clofibrate on plasma-protein alterations during inflammation may provide a means of elucidating the function of individual acute-phase globulin during disease. Clofibrate of itself, apart from inflammation, produced decreases in plasma zinc, copper, transferrin and seromucoid and an increase in hepatic amino acid uptake that were to some extent dependent on the dose of the drug.
在皮下注射松节油诱导炎症开始前6小时开始每日肌内注射氯贝丁酯,对预期的急性期球蛋白反应产生了不同的剂量依赖性抑制作用。具体而言,140mg/kg的氯贝丁酯可抑制α(2)-巨胎蛋白的增加,但不影响血清类黏蛋白或触珠蛋白的增加,仅短暂抑制铜的升高和转铁蛋白的反弹。更高剂量280mg/kg可显著抑制α(2)-巨胎蛋白的出现和转铁蛋白的反弹,对血清类黏蛋白和触珠蛋白的增加有一定抑制作用,仅短暂影响血浆铜的升高;420mg/kg的氯贝丁酯几乎完全消除了α(2)-巨胎蛋白的出现,显著抑制了转铁蛋白的反弹以及血清类黏蛋白和触珠蛋白的增加,同样仅短暂影响铜的升高。氯贝丁酯并未减轻局部炎症反应,未导致显微镜下可检测到的肝损伤,也未预防通常与炎症相关的低锌血症、低白蛋白血症以及肝脏对氨基酸摄取的增加。因此,氯贝丁酯不太可能通过减弱初始刺激或损害肝脏代谢来发挥其剂量依赖性的选择性抑制作用。氯贝丁酯在炎症期间对血浆蛋白改变的这种看似选择性的作用,可能为阐明疾病期间单个急性期球蛋白的功能提供一种手段。氯贝丁酯本身,除了炎症之外,还会使血浆锌、铜、转铁蛋白和血清类黏蛋白降低,并使肝脏对氨基酸的摄取增加,且在一定程度上依赖于药物剂量。