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1.
J Pharm Biomed Anal ; 174: 235-241, 2019 Sep 10.
Artigo em Inglês | MEDLINE | ID: mdl-31181485

RESUMO

2-(dichloromethyl)-5[4-(methylsulfonyl)-phenyl]-4-(fluoromethyl)-oxazoline (DFC-M, 1) is a key oxazoline-containing intermediate in commercial process for the synthesis of Florfenicol (3), a marketed broad spectrum veterinary antibiotic. DFC-M was not stable in solution due to the presence of oxazoline moiety, which provided further hindrance for analytical sample preparation and HPLC analysis. Hence, the mechanistic study on the in-solution degradation of DFC-M was carried out via online and offline UPLC-HR-ESI-MS as well as in-situ NMR, and the degradation pathways were proposed. This mechanistic information, together with the follow-up solution stability study, provided crucial information regarding the solution handling and mobile phase selection for DFC-M analysis during commercial processing.


Assuntos
Oxazóis/análise , Tianfenicol/análogos & derivados , Cromatografia Líquida de Alta Pressão , Cromatografia Líquida , Resíduos de Drogas/análise , Estabilidade de Medicamentos , Hidrólise , Indicadores e Reagentes , Cinética , Espectroscopia de Ressonância Magnética , Solventes , Espectrometria de Massas por Ionização por Electrospray , Espectrometria de Massas em Tandem , Tianfenicol/análise , Tianfenicol/metabolismo
4.
Bioorg Med Chem Lett ; 17(18): 5150-4, 2007 Sep 15.
Artigo em Inglês | MEDLINE | ID: mdl-17683932

RESUMO

Substituted quinolyl oxazoles were discovered as a novel and highly potent series of phosphodiesterase 4 (PDE4) inhibitors. Structure-activity relationship studies revealed that the oxazole core, with 4-carboxamide and 5-aminomethyl groups, is a novel PDE4 inhibitory pharmacophore. Selectivity profiles and in vivo biological activity are also reported.


Assuntos
Oxazóis/farmacologia , Inibidores de Fosfodiesterase/farmacologia , Animais , Nucleotídeo Cíclico Fosfodiesterase do Tipo 4/efeitos dos fármacos , Modelos Moleculares , Oxazóis/química , Inibidores de Fosfodiesterase/química , Ratos
5.
Eur J Pharmacol ; 571(2-3): 215-21, 2007 Oct 01.
Artigo em Inglês | MEDLINE | ID: mdl-17610865

RESUMO

Orally active phosphodiesterase 4 (PDE4) inhibitors have been developed for the treatment of asthma and chronic obstructive pulmonary disorders (COPD) although their full development has been limited by adverse side effects. Administration of PDE4 inhibitors by inhalation may improve their therapeutic index, but limited information exists on the efficacy of inhaled PDE4 inhibitors to improve lung function. In this study in ovalbumin-sensitized Brown Norway rats, roflumilast was given either intratracheally or by nose-only inhalation and changes in lung function (forced vital capacity, FVC; peak expiratory flow, PEF) and inflammatory cell influx (total cells, eosinophils and neutrophils) into the bronchoalveolar lavage (BAL) fluid were evaluated 24 h after allergen challenge. Intratracheal roflumilast, given 5 h before antigen challenge, inhibited the antigen-induced reductions in FVC (ED50 = 140 microg/kg, i.t.) and total cells appearing in the bronchoalveolar lavage fluid (ED50 = 50 microg/kg, i.t.). By the nose-only inhalation route, roflumilast reduced the bronchoalveolar lavage fluid total cells (ED50 = 10 microg/kg, estimated pulmonary deposition). Intratracheal roflumilast (600 microg/kg, i.t.) was also given to rats 24 h after the antigen challenge and reversed the antigen-induced reductions of FVC by 38% at 1 h, 54% at 5 h and 71% by 16 h. Intratracheal roflumilast also reduced the number of inflammatory cells in the bronchoalveolar lavage fluid and reduced the interstitial airway edema caused by the antigen challenge. These results support the development of inhaled PDE4 inhibitors for the treatment of asthma and COPD, particularly for the improvement of lung function.


Assuntos
3',5'-AMP Cíclico Fosfodiesterases/antagonistas & inibidores , Aminopiridinas/farmacologia , Antialérgicos/farmacologia , Benzamidas/farmacologia , Pulmão/efeitos dos fármacos , Inibidores de Fosfodiesterase/farmacologia , Edema Pulmonar/prevenção & controle , Hipersensibilidade Respiratória/prevenção & controle , 3',5'-AMP Cíclico Fosfodiesterases/metabolismo , Administração por Inalação , Aminopiridinas/administração & dosagem , Aminopiridinas/uso terapêutico , Animais , Antialérgicos/administração & dosagem , Antialérgicos/uso terapêutico , Benzamidas/administração & dosagem , Benzamidas/uso terapêutico , Líquido da Lavagem Broncoalveolar/citologia , Nucleotídeo Cíclico Fosfodiesterase do Tipo 4 , Ciclopropanos/administração & dosagem , Ciclopropanos/farmacologia , Ciclopropanos/uso terapêutico , Modelos Animais de Doenças , Relação Dose-Resposta a Droga , Esquema de Medicação , Pulmão/enzimologia , Pulmão/patologia , Pulmão/fisiopatologia , Ovalbumina , Pico do Fluxo Expiratório/efeitos dos fármacos , Inibidores de Fosfodiesterase/administração & dosagem , Inibidores de Fosfodiesterase/uso terapêutico , Edema Pulmonar/induzido quimicamente , Edema Pulmonar/patologia , Edema Pulmonar/fisiopatologia , Ratos , Ratos Endogâmicos BN , Hipersensibilidade Respiratória/induzido quimicamente , Hipersensibilidade Respiratória/patologia , Hipersensibilidade Respiratória/fisiopatologia , Fatores de Tempo , Capacidade Vital/efeitos dos fármacos
6.
J Pharmacol Exp Ther ; 322(2): 486-93, 2007 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-17496165

RESUMO

Sch527123 [2-hydroxy-N,N-dimethyl-3-[[2-[[1(R)-(5-methyl-2-furanyl)propyl]amino]-3,4-dioxo-1-cyclobuten-1-yl]amino]ben-zamide] is a potent, selective antagonist of the human CXCR1 and CXCR2 receptors (Gonsiorek et al., 2007). Here we describe its pharmacologic properties at rodent CXCR2 and at the CXCR1 and CXCR2 receptors in the cynomolgus monkey, as well as its in vivo activity in models demonstrating prominent pulmonary neutrophilia, goblet cell hyperplasia, and mucus production. Sch527123 bound with high affinity to the CXCR2 receptors of mouse (K(d) = 0.20 nM), rat (K(d) = 0.20 nM), and cynomolgus monkey (K(d) = 0.08 nM) and was a potent antagonist of CXCR2-mediated chemotaxis (IC(50) approximately 3-6 nM). In contrast, Sch527123 bound to cynomolgus CXCR1 with lesser affinity (K(d) = 41 nM) and weakly inhibited cynomolgus CXCR1-mediated chemotaxis (IC(50) approximately 1000 nM). Oral treatment with Sch527123 blocked pulmonary neutrophilia (ED(50) = 1.2 mg/kg) and goblet cell hyperplasia (32-38% inhibition at 1-3 mg/kg) in mice following the intranasal lipopolysaccharide (LPS) administration. In rats, Sch527123 suppressed the pulmonary neutrophilia (ED(50) = 1.8 mg/kg) and increase in bronchoalveolar lavage (BAL) mucin content (ED(50) =<0.1 mg/kg) induced by intratracheal (i.t.) LPS. Sch527123 also suppressed the pulmonary neutrophilia (ED(50) = 1.3 mg/kg), goblet cell hyperplasia (ED(50) = 0.7 mg/kg), and increase in BAL mucin content (ED(50) = <1 mg/kg) in rats after i.t. administration of vanadium pentoxide. In cynomolgus monkeys, Sch527123 reduced the pulmonary neutrophilia induced by repeat bronchoscopy and lavage (ED(50) = 0.3 mg/kg). Therefore, Sch527123 may offer benefit for the treatment of inflammatory lung disorders in which pulmonary neutrophilia and mucus hypersecretion are important components of the underlying disease pathology.


Assuntos
Benzamidas/uso terapêutico , Bronquite/tratamento farmacológico , Quimiotaxia de Leucócito/efeitos dos fármacos , Ciclobutanos/uso terapêutico , Células Caliciformes/patologia , Hiperplasia/tratamento farmacológico , Muco/metabolismo , Animais , Anti-Inflamatórios/metabolismo , Anti-Inflamatórios/farmacocinética , Anti-Inflamatórios/uso terapêutico , Benzamidas/metabolismo , Benzamidas/farmacologia , Disponibilidade Biológica , Bronquite/induzido quimicamente , Bronquite/metabolismo , Lavagem Broncoalveolar , Líquido da Lavagem Broncoalveolar/química , Líquido da Lavagem Broncoalveolar/citologia , Broncoscopia , Linhagem Celular , Membrana Celular/metabolismo , Quimiocinas CXC/análise , Quimiocinas CXC/metabolismo , Quimiotaxia/efeitos dos fármacos , Ciclobutanos/metabolismo , Ciclobutanos/farmacologia , Modelos Animais de Doenças , Hiperplasia/patologia , Lipopolissacarídeos/farmacologia , Pulmão/metabolismo , Pulmão/patologia , Macaca fascicularis , Masculino , Camundongos , Camundongos Endogâmicos BALB C , Mucinas/análise , Mucinas/metabolismo , Neutrófilos/patologia , Ratos , Ratos Sprague-Dawley , Receptores de Interleucina-8A/antagonistas & inibidores , Receptores de Interleucina-8A/genética , Receptores de Interleucina-8A/metabolismo , Receptores de Interleucina-8B/antagonistas & inibidores , Receptores de Interleucina-8B/genética , Receptores de Interleucina-8B/metabolismo , Compostos de Vanádio/farmacologia
7.
Eur J Pharmacol ; 540(1-3): 147-54, 2006 Jul 01.
Artigo em Inglês | MEDLINE | ID: mdl-16756974

RESUMO

The Brown-Norway rat is often used to study the allergic pulmonary response. However, relatively little is known about the delayed phase reactions after allergen challenge in this species. To evaluate the temporal changes in lung function and elucidate the mechanisms involved in the delayed phase response, Brown-Norway rats were sensitized and challenged to aerosolized ovalbumin and lung functions were measured by forced expiratory maneuvers and forced oscillation for up to 10 days after a single antigen challenge. Statistically significant (P < 0.05) reductions in inspiratory capacity, forced vital capacity, functional residual capacity, peak expiratory flow and maximum mid-expiratory flow and increases in respiratory system resistance and elastance were seen by 1 to 3 days after ovalbumin challenge that returned to baseline by 10 days. The reductions in lung function after ovalbumin challenge were blocked by the corticosteroid, betamethasone (1 mg/kg, p.o.). Histological evaluation of lung tissue of sensitized rats demonstrated evidence of interstitial pulmonary edema, an increase in tissue eosinophils and an increase in Periodic Acid Schiff-positive cells in the airway epithelium. Bronchoalveolar lavage fluid samples showed large numbers of eosinophils and increased mucin content up to 6 days after antigen challenge. There was also an increase in wet-to-dry lung weight ratio in the lungs of sensitized rats after antigen. These results demonstrate that prolonged reductions in lung function occur after a single antigen challenge in Brown-Norway rats that is probably due to inflammatory processes producing interstitial pulmonary edema, mucus secretion and cellular influx into the lungs.


Assuntos
Pulmão/fisiopatologia , Hipersensibilidade Respiratória/fisiopatologia , Capacidade Vital/fisiologia , Alérgenos/imunologia , Animais , Antiasmáticos/farmacologia , Betametasona/farmacologia , Testes de Provocação Brônquica , Líquido da Lavagem Broncoalveolar/química , Líquido da Lavagem Broncoalveolar/citologia , Contagem de Células , Pulmão/efeitos dos fármacos , Pulmão/imunologia , Masculino , Mucinas/metabolismo , Tamanho do Órgão/efeitos dos fármacos , Ovalbumina/imunologia , Ratos , Ratos Endogâmicos BN , Testes de Função Respiratória , Hipersensibilidade Respiratória/imunologia , Hipersensibilidade Respiratória/patologia , Fatores de Tempo , Capacidade Vital/efeitos dos fármacos
8.
J Pharmacol Toxicol Methods ; 53(2): 160-7, 2006.
Artigo em Inglês | MEDLINE | ID: mdl-16507438

RESUMO

INTRODUCTION: A method to measure the mucin concentration in bronchoalveolar lavage (BAL) fluid was developed to aid efforts to identify pharmacologically the mechanisms that modulate pathophysiological mucin secretion. Mucins are the major macromolecular components of mucus. In the airways, mucus is the first line of defense against inhaled microorganisms (infection) and particulates (irritation). METHODS: An enzyme-linked immunosorbent assay (ELISA) was developed, comparing two monoclonal anti-mucin antibodies (A10G5 and 45M1) raised to human mucin, to quantify the mucin in BAL fluid from animal models of pulmonary inflammation. To validate the ELISA method, rats were exposed to ovalbumin (OVA, in sensitized rats), lipopolysaccharide (LPS), vanadium pentoxide (V(2)O(5)), or saline. One hundred microliters of BAL fluid was analyzed for mucin concentration. Pooled BAL fluid from untreated rats was used as an internal "plate standard", as a standard mucin that cross-reacts with A10G5 was unavailable. RESULTS: We found both antibodies reacted with rat, human, and guinea-pig mucin; where the 45M1 antibody also reacted with the mucin in porcine BAL, while A10G5 did not. We determined the mucin concentration in each BAL fluid sample relative to the standard, defined as a mucin concentration of 100 plate units. BAL fluid from LPS (218+/-25 plate units, n=5), OVA (386+/-31, n=3), V(2)O(5) (1208+/-450, n=6) challenged rats displayed significantly elevated mucin concentration over their saline controls (126+/-22, n=12). Subsequently, the 45M1 antibody displayed immunoreactivity with a commercially available crude preparation of porcine stomach mucin, allowing us to calculate the concentration of mucin directly compared to the known concentration of the porcine stomach mucin standard. Both the 45M1 and A10G5 based ELISA assays detected higher mucin content in the saline challenged rat than the saline challenged guinea pig BAL. DISCUSSION: The recent availability of the 45M1 antibody and the use of the crude purification of porcine stomach mucin as a reference standard should allow for direct comparison of mucin concentration in BAL (and other fluids).


Assuntos
Líquido da Lavagem Broncoalveolar/química , Ensaio de Imunoadsorção Enzimática/métodos , Mucinas/análise , Pneumonia/metabolismo , Animais , Líquido da Lavagem Broncoalveolar/imunologia , Modelos Animais de Doenças , Lipopolissacarídeos/imunologia , Lipopolissacarídeos/toxicidade , Ovalbumina/imunologia , Ovalbumina/farmacologia , Pneumonia/etiologia , Pneumonia/patologia , Ratos , Ratos Sprague-Dawley , Compostos de Vanádio/imunologia , Compostos de Vanádio/toxicidade
9.
Int Arch Allergy Immunol ; 137(1): 37-44, 2005 May.
Artigo em Inglês | MEDLINE | ID: mdl-15785080

RESUMO

BACKGROUND: Airway closure is frequently observed in human asthma. However, limited information exists on the factors that cause this condition. In this study, an allergic cynomolgus monkey model was used to characterize the condition of airway closure and assess the contribution of histamine H1 receptors to this response. METHODS: Oscillatory lung mechanics, arterial blood gases during ventilation on 100% O2 and functional residual capacity (FRC) assessed by helium dilution were measured before and then 10 min and 24 h after Ascaris aerosol challenge in 12 male Ascaris-sensitive cynomolgus monkeys. The monkeys were pretreated with intravenous saline or chlorpheniramine maleate (0.3 mg/kg) in a randomized crossover design. RESULTS: Ascaris challenge produced a large increase in airway resistance, an increase in lung tissue damping (G) that measures ventilation inhomogeneity in the lung, a reduction in arterial oxygen tension (PaO2) during ventilation on 100% O2 and a reduction in FRC. These effects were seen 10 min after the Ascaris challenge, but by 24 h, these parameters had returned close to the baseline values. Chlorpheniramine maleate (0.3 mg/kg, i.v.) produced a 12-fold shift in the histamine bronchoconstrictor dose-response curve. Pretreatment of monkeys with chlorpheniramine maleate (0.3 mg/kg, i.v.) attenuated the increase in airway resistance induced by Ascaris challenge, but had only a small effect on the increase in G and the reductions in PaO2 and FRC after antigen. CONCLUSIONS: These results demonstrate that airway closure occurs immediately after the antigen challenge in allergic cynomolgus monkeys and that histamine H1 receptors contribute very minimally to this response.


Assuntos
Obstrução das Vias Respiratórias/tratamento farmacológico , Obstrução das Vias Respiratórias/imunologia , Ascaris suum/imunologia , Clorfeniramina/farmacologia , Antagonistas dos Receptores Histamínicos H1/farmacologia , Hipersensibilidade Imediata/imunologia , Macaca fascicularis/imunologia , Animais , Gasometria , Estudos Cross-Over , Modelos Animais de Doenças , Histamina/imunologia , Hipersensibilidade Imediata/tratamento farmacológico , Macaca fascicularis/parasitologia , Masculino , Distribuição Aleatória , Receptores Histamínicos H1/imunologia , Testes de Função Respiratória , Estatísticas não Paramétricas
10.
Pulm Pharmacol Ther ; 18(4): 243-9, 2005.
Artigo em Inglês | MEDLINE | ID: mdl-15777607

RESUMO

Forced oscillation is a technique that has been used to measure airway and lung tissue impedance. To evaluate airway and lung tissue impedance in a colony of cynomolgus monkeys housed at Schering-Plough Research Institute, a forced oscillation technique was used to measure Newtonian resistance (R(N)), tissue damping (G), tissue elastance (H) and lung hysteresivity (eta). Functional residual capacity (FRC) was also measured to correlate the lung impedance data with FRC. There was no difference in R(N), G, H and eta between Ascaris sensitive allergic monkeys (n=25) and a small cohort (n=5) of non-allergic monkeys under baseline conditions. However, a highly significant (p<0.0001) negative correlation (r=0.71) was found between FRC and H. Significant correlations were also found between FRC and G (r=0.53) and FRC and R(N) (r=0.50). Bronchoprovocation with aerosolized histamine increased R(N), G, H and eta and reduced FRC by 29+/-3% (n=30) from baseline. In monkeys that were hyperreactive to the histamine challenge, an exaggerated increase in lung tissue damping was seen whereas monkeys that were less reactive to the histamine showed greater increases in R(N). Aerosolized albuterol (0.003-3mg/ml) produced a concentration-dependent reversal of the increases in R(N), G, H and eta induced by histamine with the greatest reversal seen on R(N). Deep inspiration, performed after the aerosolized albuterol exposure, also reversed the histamine-induced changes in R(N), G, and H with the complete reversal seen on the increase in H. These results demonstrate that significant correlations exist between airway and lung tissue impedance and FRC and that airway and lung tissue mechanics contribute significantly to inherent bronchoconstrictor reactivity and to the bronchodilator response to a beta-adrenergic agonist and deep inspiration in cynomolgus monkeys.


Assuntos
Resistência das Vias Respiratórias/efeitos dos fármacos , Albuterol/administração & dosagem , Histamina/administração & dosagem , Inalação/fisiologia , Pulmão/efeitos dos fármacos , Administração por Inalação , Resistência das Vias Respiratórias/fisiologia , Animais , Testes de Provocação Brônquica/métodos , Broncodilatadores/administração & dosagem , Relação Dose-Resposta a Droga , Capacidade Residual Funcional/efeitos dos fármacos , Capacidade Residual Funcional/fisiologia , Pulmão/citologia , Pulmão/fisiologia , Macaca fascicularis , Masculino
11.
Eur J Pharmacol ; 492(2-3): 251-8, 2004 May 25.
Artigo em Inglês | MEDLINE | ID: mdl-15178372

RESUMO

This study investigated the effects of antigen challenge on the cough reflex in dogs that were neonatally sensitized to ragweed. Tidal volume (V(T)), respiratory rate (f), pulmonary resistance (R(L)), dynamic lung compliance (C(Dyn)) and the number and amplitude (increase in mean peak expiratory pressure) of coughs induced by mechanical stimulation of the intrathoracic trachea were measured in propofol-anesthetized dogs. Aerosolized ragweed challenge had no effect to induce spontaneous cough but increased f and R(L) and reduced V(T) and C(Dyn). Mechanical stimulation of the intrathoracic trachea at this time produced 19+/-5 coughs with an average increase in cough amplitude of 11+/-1 cm H(2)O which differed significantly from the number (9+/-2 coughs) and amplitude (30+/-5.5 cm H(2)O) of mechanically induced coughs after treatment with aerosolized saline. Both the number and amplitude of mechanically induced coughs returned to baseline values by 24-48 h after the ragweed challenge. Similar results were obtained after challenge with aerosolized histamine (0.3-1% histamine) that did not induce spontaneous coughs but increased f, reduced V(T) and decreased C(Dyn) and increased the number but reduced the amplitude of the mechanically induced coughs. In conclusion, both antigen and histamine bronchoprovocation changed the characteristics of the mechanically induced cough in dogs to a response of increased cough number but reduced mean expiratory cough amplitude.


Assuntos
Tosse/fisiopatologia , Hipersensibilidade/fisiopatologia , Reflexo , Aerossóis , Animais , Testes de Provocação Brônquica , Tosse/imunologia , Modelos Animais de Doenças , Cães , Histamina/imunologia , Hipersensibilidade/imunologia , Masculino , Estimulação Física
12.
Eur J Pharmacol ; 485(1-3): 329-32, 2004 Feb 06.
Artigo em Inglês | MEDLINE | ID: mdl-14757157

RESUMO

CP-99994 [(+)-(2S,3S)-3-(2-methoxybenzylamino)-2-phenylpiperidine] is a selective tachykinin NK(1) receptor antagonist that inhibits cough in guinea pigs and cats. This study examined the antitussive effects of CP-99994 in dogs produced by mechanical stimulation of the intrathoracic trachea. CP-99994 (10 mg/kg, p.o.) inhibited cough frequency by 52% at 2 h, 31% at 6 h and by 21% at 24 h. Cough amplitude was inhibited by 45% at 6 h but unchanged at 2 and 24 h after CP-99994. Plasma levels of CP-99994 were highest at 2 h (75+/-26 ng/ml) and fell to 22+/-6 ng/ml at 6 h. These results demonstrate antitussive activity of CP-99994 in dogs at a dose proven to antagonize tachykinin NK(1) receptors in this species.


Assuntos
Antitussígenos/uso terapêutico , Tosse/tratamento farmacológico , Antagonistas dos Receptores de Neurocinina-1 , Piperidinas/uso terapêutico , Animais , Antitussígenos/farmacologia , Tosse/fisiopatologia , Cães , Masculino , Piperidinas/farmacologia , Receptores da Neurocinina-1/fisiologia
13.
Pulm Pharmacol Ther ; 15(2): 169-73, 2002.
Artigo em Inglês | MEDLINE | ID: mdl-12090791

RESUMO

Neurokinin A (NKA) potentiates airway cholinergic neurotransmission in several species. In this study, the role of cholinergic reflexes on the bronchoconstrictor response to NKA was evaluated in non-sensitized dogs and in allergic dogs neonatally sensitized to ragweed in which heightened bronchoconstrictor reactivity to NKA has previously been observed. Cardiopulmonary functions, including pulmonary resistance (R(L)) were measured in anesthetized, spontaneously breathing dogs before and after increasing concentrations of aerosolized NKA. The provocative concentrations of NKA increasing R(L) by 25% above the baseline (PC(25)) was measured before and after ( approximately 10 min) aerosolized saline or ipratropium bromide (0.01%). This concentration of ipratropium produced a 250-fold shift in the methacholine dose-response curve. In sensitized dogs, NKA bronchoconstrictor reactivity (PC(25)=0.050+/-0.011%) was 2.5 times more potent than that of non-sensitized controls (PC(25)=0.177+/-0.031%). Ipratropium bromide inhibited the bronchoconstrictor response to NKA in both sensitized and non-sensitized dogs and after ipratropium, NKA reactivity was 5.2-fold less in allergic dogs (PC(25)=0.246+/-0.048%) as compared to 3.5 fold less in non-sensitized controls (PC(25)=0.622+/-0.106%). In conclusion, cholinergic reflexes are important components of the bronchoconstrictor response to NKA in dogs particularly in those sensitized neonatally to ragweed. It is speculated that heightened activity of cholinergic reflexes contributes to the bronchial hyperresponsiveness seen in allergic dogs.


Assuntos
Alérgenos/efeitos adversos , Antagonistas Colinérgicos/farmacologia , Imunização , Ipratrópio/farmacologia , Neurocinina A/farmacologia , Reflexo/efeitos dos fármacos , Aerossóis , Alérgenos/efeitos dos fármacos , Animais , Testes de Provocação Brônquica , Cães
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