Kimura M, White R P, Wolf E W, Robertson J T
Department of Neurosurgery, The University of Tennessee, Memphis 38163, USA.
J Cardiovasc Pharmacol. 1998 Nov;32(5):695-701. doi: 10.1097/00005344-199811000-00003.
The adducts of nitric oxide (NO), diethylamine/NO (DEA/NO) and diethylenetriamine/NO (DETA/NO), are new NO donors that spontaneously release NO in aqueous solutions. These donors may have therapeutic advantages over sodium nitroprusside (SNP), which depends on metabolism to yield NO. This study was performed to define and compare the pharmacodynamic properties of these NO donors on isolated rings of human, canine, and porcine basilar arteries and further to compare canine and porcine common carotid arteries precontracted with KCl. The median effective concentration (EC50) and the basic effect of 100 microM were determined for each NO donor. On basilar arteries, DEA/NO was the most potent but the maximal dilatation produced by 100 microM did not persist for 60 min, whereas that of DETA/NO and SNP did. DETA/NO was more potent than SNP on all three species of basilar arteries but was the least potent on peripheral (carotid) arteries. Methylene blue in equimolar concentrations significantly inhibited the vasorelaxant effects of DEA/NO and DETA/NO, suggesting a common mechanism of action. Of the NO donors studied, the pharmacodynamic properties of DETA/NO seemed most relevant clinically as a cerebrovascular dilator in being more potent than SNP while producing sustained vasorelaxation.
一氧化氮(NO)、二乙胺/NO(DEA/NO)和二亚乙基三胺/NO(DETA/NO)的加合物是新型的NO供体,它们在水溶液中能自发释放NO。与依赖代谢产生NO的硝普钠(SNP)相比,这些供体可能具有治疗优势。本研究旨在确定并比较这些NO供体对人、犬和猪基底动脉离体血管环的药效学特性,并进一步比较用氯化钾预收缩后的犬和猪颈总动脉。测定了每种NO供体的半数有效浓度(EC50)和100微摩尔浓度时的基本效应。在基底动脉上,DEA/NO效力最强,但100微摩尔浓度产生的最大舒张作用持续时间不足60分钟,而DETA/NO和SNP产生的最大舒张作用持续时间则更长。在所有三种基底动脉上,DETA/NO比SNP效力更强,但在周围(颈)动脉上效力最弱。等摩尔浓度的亚甲蓝显著抑制DEA/NO和DETA/NO的血管舒张作用,提示其作用机制相同。在所研究的NO供体中,DETA/NO作为脑血管扩张剂的药效学特性在临床上似乎最为相关,因为它比SNP效力更强,同时能产生持续的血管舒张作用。