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选择性环氧化酶-2抑制剂与吲哚美辛对清醒容量耗竭犬肾血流量的不同影响。

Differential effect of a selective cyclooxygenase-2 inhibitor versus indomethacin on renal blood flow in conscious volume-depleted dogs.

作者信息

Black S C, Brideau C, Cirino M, Belley M, Bosquet J, Chan C C, Rodger I W

机构信息

Department of Pharmacology, Merck Frosst Centre for Therapeutic Research, Pointe-Claire-Dorval, Quebec, Canada.

出版信息

J Cardiovasc Pharmacol. 1998 Nov;32(5):686-94. doi: 10.1097/00005344-199811000-00002.

Abstract

Renal effects of a selective cyclooxygenase-2 (COX-2) inhibitor [MF-Tricyclic; 3-(3,4-difluorophenyl)-4-(4-(methylsulfonyl)phenyl)-2-(5H)-furanone] were studied in control and volume-depleted conscious dogs. MF-Tricyclic was compared with the nonselective COX-1/COX-2 inhibitor indomethacin. Six instrumented male dogs were randomly selected to receive MF-Tricyclic or indomethacin at 10 mg/kg. Volume depletion was effected by a sodium-restricted diet (14 days) with administration of furosemide (7.5 mg/kg, i.v.) the day before the experiment. Indomethacin ablated systemic COX-1 activity (p < 0.05), whereas MF-Tricyclic did not affect this activity. Each compound achieved plasma concentrations in excess of their respective median inhibitory concentrations (IC50 values) against canine COX-2. In controls, neither compound affected mean arterial pressure (MAP), heart rate (HR), renal blood flow (RBF), fractional excretion (FE) Na+, or FE K+. In volume-depleted dogs, indomethacin reduced RBF (p < 0.05), whereas MF-Tricyclic did not affect this parameter. Indices of renal function in volume-depleted dogs were not affected. These data are consistent with the view that the effects of indomethacin on RBF are a consequence of inhibition of COX-1 activity. Furthermore, in these studies, short-term administration of a selective COX-2 inhibitor was without deleterious effects on renal function.

摘要

在清醒的对照犬和容量耗竭犬中研究了一种选择性环氧化酶-2(COX-2)抑制剂[MF-三环类;3-(3,4-二氟苯基)-4-(4-(甲基磺酰基)苯基)-2-(5H)-呋喃酮]对肾脏的影响。将MF-三环类与非选择性COX-1/COX-2抑制剂吲哚美辛进行比较。随机选择6只插管的雄性犬,给予10mg/kg的MF-三环类或吲哚美辛。在实验前一天,通过限制钠饮食(14天)并静脉注射呋塞米(7.5mg/kg)造成容量耗竭。吲哚美辛消除了全身COX-1活性(p<0.05),而MF-三环类不影响该活性。每种化合物的血浆浓度均超过其对犬COX-2的各自半数抑制浓度(IC50值)。在对照犬中,两种化合物均不影响平均动脉压(MAP)、心率(HR)、肾血流量(RBF)、钠排泄分数(FE)Na+或钾排泄分数(FE)K+。在容量耗竭犬中,吲哚美辛降低了RBF(p<0.05),而MF-三环类不影响该参数。容量耗竭犬的肾功能指标未受影响。这些数据与以下观点一致,即吲哚美辛对RBF的影响是抑制COX-1活性的结果。此外,在这些研究中,短期给予选择性COX-2抑制剂对肾功能没有有害影响。

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