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1.
Poult Sci ; 85(10): 1795-7, 2006 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-17012171

RESUMO

Based on evidence from rodent models, it was hypothesized that furan fatty acids found in corn would inhibit reproduction in the laying hen. An isomeric mixture of furan fatty acids [9, (12)-oxy-10,13-dihydroxystearic acid and 10, (13)-oxy-9,12-dihydroxystearic acid] was administered for a period of 3 wk via the diet (1 and 3 ppm) at levels greater than those in corn to 20-wk-old pullets. There were no overt indications of acute or chronic toxicity (no effects on mortality, feed intake, or average daily gain). Similarly, there was no dose-dependent effect on reproductive parameters [egg production, egg weight, shell thickness, ovarian weight, number or weight of large yolky preovulatory follicles, and number of small yellow follicles (4-8 mm in diameter)]. The present data do not suggest that furan fatty acids are a cause of concern to the poultry industry.


Assuntos
Galinhas/fisiologia , Ácidos Graxos/química , Ácidos Graxos/toxicidade , Reprodução/efeitos dos fármacos , Ácidos Esteáricos/química , Ácidos Esteáricos/toxicidade , Zea mays/química , Ração Animal , Animais , Peso Corporal , Dieta/veterinária , Relação Dose-Resposta a Droga , Esquema de Medicação , Ácidos Graxos/administração & dosagem , Feminino , Tamanho do Órgão , Ovário/anatomia & histologia , Ovário/efeitos dos fármacos , Oviposição/efeitos dos fármacos , Reprodução/fisiologia , Ácidos Esteáricos/administração & dosagem
2.
J Org Chem ; 66(11): 4019-21, 2001 Jun 01.
Artigo em Inglês | MEDLINE | ID: mdl-11375028

RESUMO

The disulfide functionality is present in a number of organic compounds of interest in the fields of both chemistry and biology. Because the disulfide group is known to be highly susceptible to further oxidation by a wide range of agents, performing a chemoselective oxidation without further oxidizing the disulfide moiety poses a synthetic challenge. Reported herein are the first examples of such a chemoselective oxidation in which a series of novel secondary alcohol disulfides 2a-f have been converted to the corresponding symmetrical diketones 3a-f utilizing a modified Swern oxidation.


Assuntos
Álcoois/química , Cetonas/química , Dissulfetos/química , Indicadores e Reagentes , Espectroscopia de Ressonância Magnética , Oxirredução
3.
J Med Chem ; 43(21): 4005-16, 2000 Oct 19.
Artigo em Inglês | MEDLINE | ID: mdl-11052806

RESUMO

Despite its widespread use, diclofenac has gastrointestinal liabilities common to nonsteroidal antiinflammatory drugs (NSAIDs) that might be reduced by concomitant administration of a gastrointestinal cytoprotectant such as nitric oxide (NO). A series of novel diclofenac esters containing a nitrosothiol (-S-NO) moiety as a NO donor functionality has been synthesized and evaluated in vivo for bioavailability, pharmacological activity, and gastric irritation. All S-NO-diclofenac derivatives acted as orally bioavailable prodrugs, producing significant levels of diclofenac in plasma within 15 min after oral administration to mice. At equimolar oral doses, S-NO-diclofenac derivatives (20a-21b) displayed rat antiinflammatory and analgesic activities comparable to those of diclofenac in the carrageenan-induced paw edema test and the mouse phenylbenzoquinone-induced writhing test, respectively. All tested S-NO-diclofenac derivatives (20a-21b) were gastric-sparing in that they elicited markedly fewer stomach lesions as compared to the stomach lesions caused by a high equimolar dose of diclofenac in the rat. Nitrosothiol esters of diclofenac comprise a novel class of NO-donating compounds having therapeutic potential as nonsteroidal antiinflammatory agents with an enhanced gastric safety profile.


Assuntos
Anti-Inflamatórios não Esteroides/síntese química , Diclofenaco/síntese química , Compostos Nitrosos/síntese química , Pró-Fármacos/síntese química , Animais , Anti-Inflamatórios não Esteroides/química , Anti-Inflamatórios não Esteroides/farmacocinética , Anti-Inflamatórios não Esteroides/farmacologia , Disponibilidade Biológica , Diclofenaco/química , Diclofenaco/farmacocinética , Diclofenaco/farmacologia , Masculino , Camundongos , Compostos Nitrosos/química , Compostos Nitrosos/farmacocinética , Compostos Nitrosos/farmacologia , Pró-Fármacos/química , Pró-Fármacos/farmacocinética , Pró-Fármacos/farmacologia , Ratos , Ratos Sprague-Dawley , Estômago/patologia , Relação Estrutura-Atividade
4.
J Pharmacol Exp Ther ; 290(1): 121-8, 1999 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-10381767

RESUMO

We designed and evaluated a new class of molecules, nitrosylated alpha-adrenergic receptor antagonists, as potential agents for the treatment of impotence. In in vitro studies with human and rabbit corpus cavernosum strips in organ chambers, the alpha-adrenergic receptor antagonists (alpha-ARAs) moxisylyte and yohimbine and their corresponding nitrosylated compounds, SNO-moxisylyte (NMI-221) and SNO-yohimbine (NMI-187), concentration-dependently relaxed endothelin-induced contraction. The nitrosylated compounds were significantly more potent than the parent alpha-ARA. In human tissues, the specific phosphodiesterase type 5 inhibitor zaprinast potentiated the relaxing effects of the nitrosylated compounds. Only nitrosylated compounds induced accumulation of cyclic GMP in rabbit corpus cavernosum strips. Yohimbine and NMI-187 demonstrated a potent alpha2-blocking activity, with no significant differences in pA2 values (8.9 versus 8.2, respectively). Moxisylyte and NMI-221 showed moderate potency in antagonizing phenylephrine contraction, with comparable pA2 values for both molecules (6.5 versus 6.6, respectively). alpha-Adrenergic receptor-binding studies showed similar binding affinities for the alpha-ARA and their corresponding nitrosylated compounds. In vivo, intracavernosal injection of nitrosylated molecules caused greater increases in intracavernosal pressure (NMI-221 versus moxisylyte) that were more long lasting than those of moxisylyte or yohimbine. There were no significant differences between nitrosylated and non-nitrosylated compounds in the magnitude of systemic mean arterial pressure decrease after intracavernosal injection. alpha-ARA and the nitrosylated compounds showed no pain-inducing activity as evaluated with the paw-lick model in mice. In summary, nitrosylated alpha-ARA have the dual functionalities of nitric oxide donors and alpha-ARA. These drugs induced penile erection in animals, suggesting their possible therapeutic value as agents for the local pharmacological treatment of impotence.


Assuntos
Antagonistas Adrenérgicos alfa/síntese química , Disfunção Erétil/tratamento farmacológico , Moxisilita/análogos & derivados , Compostos Nitrosos/síntese química , Compostos Nitrosos/farmacologia , Vasodilatadores/síntese química , Ioimbina/análogos & derivados , Antagonistas Adrenérgicos alfa/metabolismo , Antagonistas Adrenérgicos alfa/farmacologia , Animais , GMP Cíclico/metabolismo , Desenho de Fármacos , Endotelinas/farmacologia , Humanos , Técnicas In Vitro , Masculino , Membranas , Camundongos , Moxisilita/síntese química , Moxisilita/metabolismo , Moxisilita/farmacologia , Contração Muscular/efeitos dos fármacos , Músculo Liso Vascular/efeitos dos fármacos , Pênis/efeitos dos fármacos , Pênis/metabolismo , Pênis/fisiologia , Fenilefrina/farmacologia , Coelhos , Ratos , Ratos Sprague-Dawley , Receptores Adrenérgicos alfa 1/efeitos dos fármacos , Receptores Adrenérgicos alfa 1/metabolismo , Vasodilatadores/metabolismo , Vasodilatadores/farmacologia , Ioimbina/síntese química , Ioimbina/metabolismo , Ioimbina/farmacologia
5.
J Mol Cell Cardiol ; 29(9): 2465-74, 1997 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-9299369

RESUMO

This study was designed to test the hypothesis that activation of myocardial pyruvate dehydrogenase (PDH) would improve recovery of heart function after brief, severe hemorrhagic shock. Pentobarbital-anesthetized rats were instrumented to monitor arterial blood pressure and right ventricular pressures. Rats were hemorrhaged via femoral artery to 25-30 mmHg mean arterial pressure (MAP) for 60 min, followed by retransfusion of shed blood with either 1.0 cc saline with no dichloroacetate (-DCA) or 1.0 cc saline containing 150 mg/kg sodium dichloroacetate (+DCA). Rats were observed for 3 h after retransfusion. Hearts were freeze-clamped in situ for analysis of adenosine triphosphate (ATP), creatine phosphate (CrP), lactate and pyruvate content as well as PDH activity (PDHa) and total PDH activity (PDHt). Three h after retransfusion, the rate pressure product (RPP=HRxPSP) was 23 000+/-2733 with no DCA treatment v 36 2769 mmHg/min with DCA treatment (P<0.05, ANOVA). Treatment with DCA also increased myocardial tissue content of high energy phosphates (ATP=10.1+/-1.1 and CrP=5.8+/-1.0 micromol/g weight-DCA, v 15.1+/-0.9 and 14.7+/-1.0 micromol/g dry weight+DCA, P<0.05, both measurements). DCA administration also significantly reduced myocardial lactate contents (14.6+/-2.7 micromol/g dry weight-DCA v 5.9+/-1.0+DCA). Hemorrhagic shock did not change PDHa or PDHt compared to hearts obtained during the pre-hemorrhage period. Retransfusion with DCA significantly increased PDHa activity (6.8+/-1.1 micromol/g dry weight/min-DCA v 29.7+/-2.0 micromol/g dry weight/min+DCA). PDHt was not different between controls and DCA-treated groups. These data indicate that activation of myocardial PDH by adding DCA to retransfused blood improved heart function and metabolism after severe hemorrhagic shock.


Assuntos
Ácido Dicloroacético/farmacologia , Coração/fisiologia , Complexo Piruvato Desidrogenase/metabolismo , Choque Hemorrágico/metabolismo , Trifosfato de Adenosina/metabolismo , Animais , Artérias , Análise Química do Sangue , Pressão Sanguínea , Metabolismo Energético , Coração/efeitos dos fármacos , Hemodinâmica , Ácido Láctico/metabolismo , Masculino , Miocárdio/metabolismo , Fosfatos , Complexo Piruvato Desidrogenase/efeitos dos fármacos , Ácido Pirúvico/metabolismo , Ratos , Ratos Sprague-Dawley , Ressuscitação , Choque Hemorrágico/tratamento farmacológico , Função Ventricular
6.
Toxicol Appl Pharmacol ; 145(2): 357-62, 1997 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-9266809

RESUMO

Verapamil poisoning is known to produce hyperglycemia and metabolic acidosis in humans. The purpose of this study was to elucidate mechanisms of verapamil-induced hyperglycemia in awake dogs. Mongrel canines were chronically instrumented to permit studies in the conscious state. In six healthy dogs, steady-state glucose infusion requirement after 1 hr of insulin infusion at 1000 mU/min was 19 +/- 1 mg/kg/min. In six separate dogs, verapamil toxicity was induced via verapamil infusion in the portal vein; during verapamil toxicity, the glucose infusion requirement with an insulin infusion rate of 1000 mU/min was significantly decreased (3 +/- 1 mg/kg/min; p < 0.05, unpaired t test). Eleven other verapamil-toxic dogs were also treated with either saline (n = 6, 3.0 ml/kg/hr) or glucagon (n = 5, 10 microg/kg/min). Insulin concentrations were not changed vs basal concentrations in either group. Catecholamine concentrations increased at least 15-fold in all groups (from 458 +/- 169 to 6973 +/- 480 pg/L in the saline-treated group). Glucose concentrations increased in saline-treated animals from 3.7 +/- 0.3 to 11.2 +/- 1.0 micromol/L, and with glucagon treatment, increased from 3.3 +/- 0.3 to 16.1 +/- 1.6 micromol/L (p < 0.05 vs saline, ANOVA). Verapamil poisoning appears to produce hyperglycemia by inducing systemic insulin resistance, blocking insulin release, together with an intact stress hormone response and glucogenic capacity.


Assuntos
Diabetes Mellitus Experimental/induzido quimicamente , Hiperglicemia/induzido quimicamente , Verapamil/toxicidade , Animais , Diabetes Mellitus Experimental/sangue , Diabetes Mellitus Experimental/tratamento farmacológico , Cães , Feminino , Glucagon/uso terapêutico , Glucose/uso terapêutico , Hiperglicemia/sangue , Hiperglicemia/tratamento farmacológico , Infusões Intravenosas , Insulina/uso terapêutico , Antagonistas da Insulina/toxicidade , Masculino , Cloreto de Sódio/uso terapêutico
7.
Arch Biochem Biophys ; 343(1): 131-9, 1997 Jul 01.
Artigo em Inglês | MEDLINE | ID: mdl-9210655

RESUMO

Nitric oxide (NO.) and NO. donors incite NAD- [i.e., mono(ADP-ribosylation)] and NADH-dependent posttranslational protein modifications by an as yet unknown mechanism. A route of pyridine nucleotide-dependent, NO.-stimulated protein modification has recently been hypothesized [S. Dimmeler, and B. Brune, (1992) Eur. J. Biochem. 210, 305-310; J. S. Stamler (1994) Cell 78, 931-936]. An essential feature of this proposed mechanism is NADH nitrosation, for a nitroso-NADH adduct is considered to be a key reactant in the generation of pyridine nucleotide-modified protein. To evaluate at the molecular level the ability of NADH to act as a nitrosation substrate, the potential effects of NO., the nitrosothiols S-nitrosoglutathione and S-nitrosocysteine, the nitrosating agent tert-butyl-nitrite, and the NO. metabolite peroxynitrite on the molecular and functional (i.e., hydride-transfer) properties of NADH have been directly assessed at physiological pH. Exposure of NADH to NO. or nitrosothiol altered neither the hydride-transfer capability of the pyridine nucleotide nor its ultraviolet spectrum in ways suggestive of NADH nitrosation. As determined by NMR spectroscopy, NADH was refractory to the well-recognized nitrosating agent tert-butyl nitrite. Consequently, it appears that NADH is an unfavorable substrate for nitrosation under physiological conditions. These data are inconsistent with the proposal that NO. or a NO.-derived nitrosating agent interacts with NADH to generate the nitroso-NADH hypothesized to be essential to NO.-stimulated, pyridine nucleotide-dependent protein modification. Peroxynitrite, a possible source of nitrosating compounds, readily oxidized NADH to NAD, but demonstrated no potential to form a nitroso-NADH adduct. The facility with which NADH is oxidized to NAD has implications for peroxynitrite-mediated tissue damage.


Assuntos
NAD/química , Óxido Nítrico/química , Espectroscopia de Ressonância Magnética , Óxido Nítrico/metabolismo , Processamento de Proteína Pós-Traducional
8.
J Cardiovasc Pharmacol ; 27(5): 719-26, 1996 May.
Artigo em Inglês | MEDLINE | ID: mdl-8859943

RESUMO

Verapamil produces comparatively greater in vivo left ventricular (LV) depression than other calcium channel antagonists produce, possibly because of myocardial metabolic derangements in addition to L-channel antagonism. Therefore, we studied myocardial lipid and carbohydrate usage and the effect of insulin treatment during progressive verapamil toxicity. Verapamil was infused through the portal vein to simulate oral overdose. Eighteen mongrel dogs were instrumented to measure multiple hemodynamic and metabolic parameters. After 1-week recovery, dogs underwent control euglycemic insulin dose-response studies (n = 6) in the conscious state: at 1,000 mU/mm insulin infusion rate, myocardial glucose and lactate extraction increased seven- and threefold, respectively with no change in coronary artery blood flow or ventricular elasticity and end-systole (Ees). In 12 separate dogs, intraportal graded verapamil toxicity was induced in 3 h by increasing the infusion rate hourly: 0.04 -- 0.08 -- 0.1 mg/kg/mm. At the end of hour 3, myocardial extraction of free fatty acids decreased from 33 +/- 4 to 9 +/- 3% (mean +/- SEM, p < 0.05), without significant change in myocardial blood flow or arterial free fatty acid concentration. Verapamil toxicity increased arterial glucose from 3.5 +/- 0.16 to 6.1 +/- 1.1 mM; simultaneously, myocardial glucose extraction doubled, although endogenous insulin concentrations did not increase. Arterial lactate concentrations and net myocardial lactate uptake both increased (p < 0.05 vs basal blue). Ees decreased from 28 +/- 1 mm Hg/mm (basal) to 20 +/- 2 mm Hg/mm (end of hour 3, p <0.05). Animals were randomized into two treatment groups; either (a) insulin-glucose (1,000 mU/mm, n 6; arterial glucose was clamped +/- 10% with 50% dextrose), or (b) saline controls (n = 6) that received equivalent volume of saline. After 1-h insulin treatment, Ees increased to 34 + 3 mm Hg; in controls, Ees was 15 +/- 3 mm Hg/mm (p < 0.05). With insulin-glucose treatment, neither myocardial glucose nor lactate extraction increased significantly (p = 0.06 for lactate). Verapamil therefore inhibits myocardial fatty acid uptake and impedes insulin-stimulated myocardial glucose uptake; under these conditions, insulin-glucose treatment increases myocardial contractile function independent of increased sugar transport. These findings indicate that verapamil toxicity produces myocardial insulin resistance and, potentially, nutrient deprivation that may contribute to clinically relevant negative inotropy.


Assuntos
Coração/efeitos dos fármacos , Miocárdio/metabolismo , Verapamil/toxicidade , Animais , Metabolismo dos Carboidratos , Cães , Feminino , Insulina/farmacologia , Resistência à Insulina , Ácido Láctico/metabolismo , Masculino
9.
Int J Pept Protein Res ; 47(1-2): 2-8, 1996.
Artigo em Inglês | MEDLINE | ID: mdl-8907493

RESUMO

The binding of lymphocyte function associated antigen (LFA-1) to intercellular adhesion molecule (ICAM-1) is responsible for several types of cellular adhesion. Amino-acid substitution mutants of ICAM-1 have established the importance of several sequences in this protein. We selected the binding region of Glu34 for further study. One published model of domain 1 placed Glu34 near the end of a beta-strand. We designed and synthesized three tripeptide derivatives centered on the Glu34 sequence and attached a platform which, through hydrogen bonds, induces a rigid beta-strand conformation. Variable temperature NMR methods coupled with NOESY 2D NMR data enabled determination of the solution conformation of these compounds.


Assuntos
Aminoquinolinas/química , Desenho de Fármacos , Molécula 1 de Adesão Intercelular/química , Antígeno-1 Associado à Função Linfocitária/química , Oligopeptídeos/química , Fragmentos de Peptídeos/química , Sequência de Aminoácidos , Aminoquinolinas/síntese química , Dimetil Sulfóxido , Espectroscopia de Ressonância Magnética , Dados de Sequência Molecular , Estrutura Molecular , Ligação Proteica , Conformação Proteica , Temperatura
10.
J Med Chem ; 38(17): 3197-206, 1995 Aug 18.
Artigo em Inglês | MEDLINE | ID: mdl-7650672

RESUMO

Inhibition of the HIV-1 nuclear regulatory protein tat could potentially yield particularly useful drugs because it functions as an activator of transcription. It has no known cellular counterpart, and deletions in the tat gene destroy the ability of HIV-1 to replicate. We recently reported that a structurally unique class of tat inhibitors, 3-keto/enol 4,5-alpha-epoxy steroids bearing electron-withdrawing substituents at position 2, specifically inhibit tat-induced gene expression in virus free transfected SW480 cells. In this paper, we report on additional SAR (structure-activity relationships) for the steroid series and the localization of the pharmacophore to the A-ring functionality. There is a weak enantioselective preference for the natural steroid stereochemistry and hints of additional SAR in the electron-withdrawing group. Compound 34a is of particular interest in that it inhibits HIV replication in H9 cells at a concentration equivalent to its inhibitory level in the primary tat assay.


Assuntos
Compostos de Epóxi/farmacologia , Produtos do Gene tat/antagonistas & inibidores , HIV-1/efeitos dos fármacos , Esteroides/farmacologia , Linhagem Celular , Compostos de Epóxi/síntese química , Compostos de Epóxi/química , Genes tat , HIV-1/genética , HIV-1/fisiologia , Humanos , Espectroscopia de Ressonância Magnética , Espectrofotometria Infravermelho , Esteroides/síntese química , Esteroides/química , Relação Estrutura-Atividade , Replicação Viral/efeitos dos fármacos , Replicação Viral/genética , Produtos do Gene tat do Vírus da Imunodeficiência Humana
11.
J Med Chem ; 38(14): 2557-69, 1995 Jul 07.
Artigo em Inglês | MEDLINE | ID: mdl-7629796

RESUMO

The preparation of a series of quinazoline-2,4-diones, 1-3, and pyrrolo[3,4-d]pyrimidine-2,4-diones, 4-8 is described. A small number of quinazolinedione analogs were identified from random screening to possess low micromolar (1.3-4.4 microM) potency in the nuclear factor of activated T cells-1-regulated beta-galactosidase expression assay. An expanded analog search resulted in identifying pyrrolopyrimidinedione 4b which is 5-10-fold (0.26 microM) more potent than the quinazolinediones. Replacement of the benzyl group with naphthyl led to greater potency and conformationally restricted analogs 4u-w. The naphthyl and acenaphthyl analogs are 10-100 times more potent inhibitors of beta-galactosidase expression than 4b. Binding affinity data for displacement of radiolabeled 4s from Jurkat cell membranes reflected an excellent correlation with the IC50 value for inhibition of beta-galactosidase activity. These products, whose structure-activity relationships are discussed, are of interest as potential agents for preventing interleukin-2 gene transcription.


Assuntos
Anti-Inflamatórios não Esteroides/farmacologia , Proteínas de Ligação a DNA/antagonistas & inibidores , Imunossupressores/farmacologia , Proteínas Nucleares , Fatores de Transcrição/antagonistas & inibidores , Transcrição Gênica/efeitos dos fármacos , beta-Galactosidase/genética , Anti-Inflamatórios não Esteroides/química , Linhagem Celular , Humanos , Imunossupressores/química , Espectroscopia de Ressonância Magnética , Fatores de Transcrição NFATC
12.
Ann Emerg Med ; 24(2): 224-32, 1994 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-8037388

RESUMO

STUDY OBJECTIVE: To study the effect of magnesium on cardiac function and hemodynamics during imipramine toxicity. DESIGN: After stabilization, isolated, beating rat hearts were perfused with Krebs-Henseleit bicarbonate buffer (KHB) solution containing 2.0 mg/L imipramine (IMIP) and 2.4 mEq [Mg2+] until toxicity, defined as 25% widening of the ventricular depolarization duration (VDD). Experiments were performed at either constant coronary perfusion pressure or flow. SETTING: Animal research laboratory of a large, urban hospital. MEASUREMENTS: Heart rate, VDD, left ventricular pressure and +/- dP/dt, and coronary flow. INTERVENTIONS: On onset of toxicity, KHB+IMIP was switched to either control (KHB+IMIP), magnesium (KHB+IMIP+4.0 or 6.0 mEq/L [Mg2+]), or hypertonic alkaline treatment (165 mEq/L [Na+], pH 7.55). RESULTS: At a constant coronary perfusion pressure of 100 mm Hg, magnesium at 6.0 mEq produced significant decreases in heart rate, left ventricular pressure, +dP/dt, and increase in VDD versus control. With coronary flow held constant, magnesium reduced left ventricular pressure and +dP/dt but not heart rate or VDD. Incidences of electromechanical dissociation and asystole were higher with magnesium versus control. Hypertonic alkaline treatment tended to improve all parameters in constant pressure and constant flow experiments. CONCLUSION: Magnesium potentiates IMIP-induced negative inotropic effects and cardiac conduction defects in isolated rat hearts.


Assuntos
Coração/efeitos dos fármacos , Imipramina/toxicidade , Magnésio/farmacologia , Animais , Sinergismo Farmacológico , Eletrocardiografia/efeitos dos fármacos , Hemodinâmica/efeitos dos fármacos , Técnicas In Vitro , Masculino , Ratos , Ratos Sprague-Dawley
13.
J Pharmacol Exp Ther ; 267(2): 744-50, 1993 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-8246150

RESUMO

Because of its positive inotropic effects that are independent of cyclic AMP, insulin was compared to epinephrine and glucagon as a novel treatment for cardiac toxicity from verapamil. Twenty-four alpha-chloralose-anesthetized mongrel canines of either sex were instrumented to monitor standard hemodynamic and cardiodynamic parameters and maximum elastance at end systole, via the transit-time technique, as our index of contractility. Toxicity was induced by 0.1 mg/kg/min of verapamil (i.v.), until 50% reduction in mean arterial blood pressure or complete AV dissociation for 30 min. This was followed by continuous infusion of 1.0 mg/kg/hr of verapamil during one of four treatment protocols: 1) control (0.9% NaCl, 2.0 ml/min); 2) epinephrine (1.0 micrograms/kg/min); 3) hyperinsulinemic-euglycemic (HIE) clamp (recombinant insulin at 4.0 U/min with 20% dextrose, arterial glucose clamped); or 4) glucagon (0.2-0.25-mg/kg bolus infusion followed by 150-micrograms/kg/min infusion). Treatments were continued until death or 240 min after which time surviving animals received a 3.0-mg/kg additional bolus of verapamil. Verapamil decreased all hemodynamic parameters during titration. All controls died within 85 min. All treatments tended to improve hemodynamics; however, HIE significantly improved maximum elastance at end systole, left ventricular end diastolic pressure and coronary artery blood flow vs. other treatments (P < .05, repeated measures). Glucagon transiently restored sinus rhythm (four animals), but in all cases reverted to A-V dissociation, coincident with sharp decreases in circumflex artery blood flow and contractility.(ABSTRACT TRUNCATED AT 250 WORDS)


Assuntos
Antídotos/farmacologia , Doenças Cardiovasculares/induzido quimicamente , Doenças Cardiovasculares/tratamento farmacológico , Insulina/farmacologia , Verapamil/toxicidade , Anestesia , Animais , Glicemia/efeitos dos fármacos , Glicemia/metabolismo , Doenças Cardiovasculares/sangue , Modelos Animais de Doenças , Cães , Eletrólitos/sangue , Epinefrina/farmacologia , Feminino , Glucagon/farmacologia , Coração/efeitos dos fármacos , Coração/fisiologia , Hemodinâmica/efeitos dos fármacos , Lactatos/sangue , Ácido Láctico , Masculino , Reprodutibilidade dos Testes
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