Kagoshima M, Tomomatsu N, Iwahisa Y, Yamaguchi S, Kawakami Y, Terasawa M
Research Laboratories, Yoshitomi Pharmacentical Industries, Ltd., Fukuoka, Japan.
Pharmacology. 1997 Jan;54(1):1-7. doi: 10.1159/000139463.
The effect of Y-24180, a potent antagonist to-platelet-activating factor (PAF), was evaluated on the antigen-induced immediate asthmatic response (IAR) in actively sensitized guinea pigs that were pretreated with an antihistaminic agent, pyrilamine. Then, the effect was compared with that of other antiasthmatic agents. In a dose-dependent manner, Y-24180 (0.01-1 mg/kg, p.o.) suppressed the IAR, and WEB 2086 (0.1-10 mg/kg, p.o.), another PAF antagonist, also suppressed IAR in the same fashion as Y-24180. In contrast, AA-2414 (1-100 mg/kg,p.o.), a thromboxane A2 (TXA2) antagonist, was effective only at the beginning of the IAR and ONO-1078 (1-100 mg/kg, p.o.), a peptide leukotriene (pLT) antagonist, was effective only in the latter period, OKY-046, a TXA2 synthetase inhibitor, showed no significant suppression of the IAR at doses up to 100 mg/kg. Thus, PAF antagonists were more effective than the other agents tested in the present model for IAR. In a subsequent test, Y-24180 (1 mg/kg, p.o.) was confirmed to enhance the suppressive effects of theophylline (10 and 30 mg/kg, p.o.), procaterol (0.1 and 1 microgram/kg, i.v.), OKY-046 (100 mg/kg, p.o.) and ONO-1078 (100 mg/kg, p.o.) on the IAR. A combination of three agents, namely Y-24180 with OKY-046 and ONO-1078, completely suppressed the IAR. The results demonstrate that Y-24180 not only suppresses the IAR, but also enhances the suppressive effect of other antiasthmatic agents. Therefore, Y-24180 would be a clinically promising drug for the treatment of bronchial asthma.
在预先用抗组胺药吡苄明进行预处理的主动致敏豚鼠中,评估了血小板活化因子(PAF)的强效拮抗剂Y - 24180对抗原诱导的速发型哮喘反应(IAR)的影响。然后,将其效果与其他平喘药的效果进行比较。Y - 24180(0.01 - 1毫克/千克,口服)以剂量依赖性方式抑制IAR,另一种PAF拮抗剂WEB 2086(0.1 - 10毫克/千克,口服)也以与Y - 24180相同的方式抑制IAR。相比之下,血栓素A2(TXA2)拮抗剂AA - 2414(1 - 100毫克/千克,口服)仅在IAR开始时有效,肽白三烯(pLT)拮抗剂ONO - 1078(1 - 100毫克/千克,口服)仅在后期有效,TXA2合成酶抑制剂OKY - 046在高达100毫克/千克的剂量下对IAR无明显抑制作用。因此,在本模型中,PAF拮抗剂对IAR的效果比其他受试药物更有效。在随后的试验中,证实Y - 24180(1毫克/千克,口服)可增强茶碱(10和30毫克/千克,口服)、丙卡特罗(0.1和1微克/千克,静脉注射)、OKY - 046(100毫克/千克,口服)和ONO - 1078(100毫克/千克,口服)对IAR的抑制作用。三种药物的组合,即Y - 24180与OKY - 046和ONO - 1078,可完全抑制IAR。结果表明,Y - 24180不仅能抑制IAR,还能增强其他平喘药的抑制作用。因此,Y - 24180在临床上有望成为治疗支气管哮喘的药物。