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2.
Br J Anaesth ; 93(2): 224-7, 2004 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-15169737

RESUMO

BACKGROUND: Postoperative analgesia in children may be improved by using tramadol. The pharmacokinetics of rectal tramadol in young children were therefore investigated. METHODS: The pharmacokinetics of rectal tramadol and its active metabolite were studied in 12 young children (age: 1-6 yr) postoperatively. On the basis of these data, a population model was constructed. Using this model, the pharmacokinetics of different doses of tramadol were calculated. RESULTS: The pharmacokinetics of rectal tramadol could be adequately described by a one-compartment model. The pharmacokinetic parameters derived from the model indicate that a low variability was present. Elimination half-life was 4.3 (0.2) h (sem) and the apparent clearance was 16.4 (1.5) litre h(-1) (sem). CONCLUSIONS: The study showed that after rectal administration, tramadol is absorbed at a reasonable rate and with a low inter-individual variability in small children. The data also suggested that a rectal dose of tramadol 1.5-2.0 mg kg(-1) is therapeutic.


Assuntos
Analgésicos Opioides/farmacocinética , Dor Pós-Operatória/sangue , Tramadol/farmacocinética , Administração Retal , Analgésicos Opioides/administração & dosagem , Analgésicos Opioides/sangue , Criança , Pré-Escolar , Feminino , Meia-Vida , Humanos , Lactente , Masculino , Modelos Biológicos , Dor Pós-Operatória/prevenção & controle , Supositórios , Tramadol/administração & dosagem , Tramadol/sangue
3.
Clin Pharmacol Ther ; 69(6): 431-7, 2001 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-11406740

RESUMO

UNLABELLED: RATIONALE AND AIMS Some bisphosphonates induce gastrointestinal side effects, but the localization in the gastrointestinal tract and the underlying mechanism are unknown. The feasibility of the sugar absorption test was investigated to assess the gastrointestinal effects of oral enteric-coated pamidronate. The sugar absorption test measures the urinary excretion of lactulose, mannitol, and sucrose after oral intake. Increases in the lactulose/mannitol ratio and sucrose excretion indicate increased small intestinal permeability and gastroduodenal disease, respectively. SUBJECTS AND METHODS: Twelve volunteers (5 women and 7 men) participated in a randomized, double-blind, 4-way crossover study. The sugar absorption test was performed 2 hours after the final drug intake following a 3-day course of enteric-coated pamidronate (300 mg daily), placebo, or acetylsalicylic acid (3 g daily). The lactulose/mannitol ratio and sucrose excretion were measured in urine collected for 5 hours after ingestion of the solution. The fourth treatment consisted of intravenous administration of pamidronate. Treatment comparison was with paired t tests after log-transformation. RESULTS: The lactulose/mannitol ratio after pamidronate and acetylsalicylic acid administration was 54% and 118% higher than that after placebo (95% confidence intervals [CI], +8%, +119%, and +69%, +182%). The lactulose/mannitol ratio after pamidronate administration was 29% lower (95% CI, -54%, +3%) than that after acetylsalicylic acid. Compared with placebo the sucrose excretion was 290% higher after acetylsalicylic acid (95% CI, +46%, +518%) but only 8% higher after pamidronate (95% CI, -41%, +97%). The absorption of pamidronate was below 1%, and there was no relationship with the increased lactulose/mannitol ratio. CONCLUSION: Oral enteric-coated pamidronate increases intestinal but not gastroduodenal permeability. There was no relationship between intestinal permeability and absorption of pamidronate. It appears that the sugar absorption test is an appropriate, noninvasive method for evaluation of gastrointestinal effects of bisphosphonates in humans.


Assuntos
Anti-Inflamatórios/efeitos adversos , Metabolismo dos Carboidratos , Difosfonatos/efeitos adversos , Gastroenteropatias/induzido quimicamente , Absorção , Adolescente , Adulto , Anti-Inflamatórios/administração & dosagem , Anti-Inflamatórios não Esteroides/farmacocinética , Área Sob a Curva , Aspirina/farmacocinética , Disponibilidade Biológica , Carboidratos/urina , Estudos Cross-Over , Difosfonatos/administração & dosagem , Método Duplo-Cego , Feminino , Humanos , Injeções Intravenosas , Absorção Intestinal , Mucosa Intestinal/metabolismo , Masculino , Pamidronato , Comprimidos com Revestimento Entérico
4.
J Bacteriol ; 182(10): 2869-78, 2000 May.
Artigo em Inglês | MEDLINE | ID: mdl-10781557

RESUMO

Pseudomonas putida S-313 can utilize a broad range of aromatic sulfonates as sulfur sources for growth in sulfate-free minimal medium. The sulfonates are cleaved monooxygenolytically to yield the corresponding phenols. miniTn5 mutants of strain S-313 which were no longer able to desulfurize arylsulfonates were isolated and were found to carry transposon insertions in the ssuEADCBF operon, which contained genes for an ATP-binding cassette-type transporter (ssuABC), a two-component reduced flavin mononucleotide-dependent monooxygenase (ssuED) closely related to the Escherichia coli alkanesulfonatase, and a protein related to clostridial molybdopterin-binding proteins (ssuF). These mutants were also deficient in growth with a variety of other organosulfur sources, including aromatic and aliphatic sulfate esters, methionine, and aliphatic sulfonates other than the natural sulfonates taurine and cysteate. This pleiotropic phenotype was complemented by the ssu operon, confirming its key role in organosulfur metabolism in this species. Further complementation analysis revealed that the ssuF gene product was required for growth with all of the tested substrates except methionine and that the oxygenase encoded by ssuD was required for growth with sulfonates or methionine. The flavin reductase SsuE was not required for growth with aliphatic sulfonates or methionine but was needed for growth with arylsulfonates, suggesting that an alternative isozyme exists for the former compounds that is not active in transformation of the latter substrates. Aryl sulfate ester utilization was catalyzed by an arylsulfotransferase, and not by an arylsulfatase as in the related species Pseudomonas aeruginosa.


Assuntos
Transportadores de Cassetes de Ligação de ATP/fisiologia , NADH NADPH Oxirredutases/fisiologia , Pseudomonas putida/genética , Compostos de Enxofre/metabolismo , Transportadores de Cassetes de Ligação de ATP/genética , Transportadores de Cassetes de Ligação de ATP/metabolismo , Arilsulfotransferase/metabolismo , Sequência de Bases , Clonagem Molecular , DNA Bacteriano , Regulação Bacteriana da Expressão Gênica , Genes Bacterianos , Hidrólise , Metionina/metabolismo , Dados de Sequência Molecular , Família Multigênica , Mutagênese Insercional , NADH NADPH Oxirredutases/genética , NADH NADPH Oxirredutases/metabolismo , Pseudomonas putida/crescimento & desenvolvimento , Pseudomonas putida/metabolismo , Análise de Sequência de DNA , Sulfatos/metabolismo
5.
J Chromatogr B Biomed Sci Appl ; 738(2): 331-41, 2000 Feb 11.
Artigo em Inglês | MEDLINE | ID: mdl-10718651

RESUMO

The semi-automatic bioanalytical assays for olpadronate [(3-dimethylamino-1-hydroxypropylidene)bisphosphonate] involves a protein precipitation with trichloroacetic acid and a double co-precipitation with calcium phosphate for serum samples and a triple calcium co-precipitation for urine samples. These manual procedures are followed by an automated solid-phase extraction on a cation-exchange phase. The procedure is continued either directly, at high olpadronate levels in urine, or after off-line evaporation under nitrogen and reconstitution in water on the same robotic workstation. The continued automatic procedure comprehends derivatization with (9-fluorenylmethyl)chloroformate, ion-pair liquid-liquid extraction and ion-pair HPLC with fluorescence detection at 274/307 nm. The intra- and inter-day precisions for urine and serum samples are typically in the 5-8% range for different olpadronate concentrations [levels near the lower limit of quantification (LLQ) excluded]. The LLQ is 5 ng/ml olpadronate for a 2.5-ml urine sample and 10 ng/ml for a 1-ml serum sample, respectively.


Assuntos
Cromatografia Líquida de Alta Pressão/métodos , Difosfonatos/análise , Fluorenos/química , Indicadores e Reagentes/química , Automação , Cromatografia por Troca Iônica/métodos , Difosfonatos/sangue , Difosfonatos/urina , Humanos , Reprodutibilidade dos Testes , Espectrometria de Fluorescência
7.
Antonie Van Leeuwenhoek ; 77(3): 281-91, 2000 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-15188894

RESUMO

During growth of Methanobacterium thermoautotrophicum in a fed-batch fermentor, the cells are confronted with a steady decrease in the concentration of the hydrogen energy supply. In order to investigate how the organism responds to these changes, cells collected during different growth phases were examined for their methanogenic properties. Cellular levels of the various methanogenic isoenzymes and functionally equivalent enzymes were also determined. Cells were found to maintain the rates of methanogenesis by lowering their affinity for hydrogen: the apparent Km(H2) decreased in going from the exponential to the stationary phase. Simultaneously, the maximal specific methane production rate changed. Levels of H2-dependent methenyl-tetrahydromethanopterin dehydrogenase (H2-MDH) and methyl coenzyme M reductase isoenzyme II (MCR II) decreased upon entry of the stationary phase. Cells grown under conditions that favored MCR II expression had higher levels of MCR II and H2-MDH, whereas in cells grown under conditions favoring MCR I, levels of MCR II were much lower and the cells had an increased affinity for hydrogen throughout the growth cycle. The use of thiosulfate as a medium reductant was found to have a negative effect on levels of MCR II and H2-MDH. From these results it was concluded that M. thermoautotrophicum responds to variations in hydrogen availability and other environmental conditions (pH, growth temperature, medium reductant) by altering its physiology. The adaptation includes, among others, the differential expression of the MDH and MCR isoenzymes.


Assuntos
Adaptação Fisiológica , Enzimas/metabolismo , Metano/metabolismo , Methanobacterium/metabolismo , Biomassa , Fermentação , Hidrogênio/metabolismo , Concentração de Íons de Hidrogênio , Methanobacterium/enzimologia , Methanobacterium/crescimento & desenvolvimento , Oxirredução , Oxirredutases/metabolismo , Oxirredutases atuantes sobre Doadores de Grupo CH-NH/metabolismo , Temperatura , Tiossulfatos/química
8.
Eur J Nucl Med ; 26(11): 1511-9, 1999 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-10552097

RESUMO

This article reviews the labelling of peptides that are recognised to be of interest for nuclear medicine or are the subject of ongoing nuclear medicine research. Applications and approaches to the labelling of peptide radiopharmaceuticals are discussed, and drawbacks in their development considered.


Assuntos
Peptídeos , Compostos Radiofarmacêuticos , Animais , Humanos , Marcação por Isótopo , Peptídeos/síntese química , Compostos Radiofarmacêuticos/síntese química
9.
J Bacteriol ; 181(18): 5833-7, 1999 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-10482527

RESUMO

Cysteine and methionine biosynthesis was studied in Pseudomonas putida S-313 and Pseudomonas aeruginosa PAO1. Both these organisms used direct sulfhydrylation of O-succinylhomoserine for the synthesis of methionine but also contained substantial levels of O-acetylserine sulfhydrylase (cysteine synthase) activity. The enzymes of the transsulfuration pathway (cystathionine gamma-synthase and cystathionine beta-lyase) were expressed at low levels in both pseudomonads but were strongly upregulated during growth with cysteine as the sole sulfur source. In P. aeruginosa, the reverse transsulfuration pathway between homocysteine and cysteine, with cystathionine as the intermediate, allows P. aeruginosa to grow rapidly with methionine as the sole sulfur source. P. putida S-313 also grew well with methionine as the sulfur source, but no cystathionine gamma-lyase, the key enzyme of the reverse transsulfuration pathway, was found in this species. In the absence of the reverse transsulfuration pathway, P. putida desulfurized methionine by the conversion of methionine to methanethiol, catalyzed by methionine gamma-lyase, which was upregulated under these conditions. A transposon mutant of P. putida that was defective in the alkanesulfonatase locus (ssuD) was unable to grow with either methanesulfonate or methionine as the sulfur source. We therefore propose that in P. putida methionine is converted to methanethiol and then oxidized to methanesulfonate. The sulfonate is then desulfonated by alkanesulfonatase to release sulfite for reassimilation into cysteine.


Assuntos
Cisteína/metabolismo , Metionina/metabolismo , Pseudomonas aeruginosa/metabolismo , Pseudomonas putida/metabolismo , Sulfatos/metabolismo , Carbono-Oxigênio Liases/metabolismo , Cisteína/biossíntese , Cisteína Sintase/metabolismo , Homosserina/análogos & derivados , Homosserina/metabolismo , Liases/metabolismo , Metionina/biossíntese , Modelos Químicos , Pseudomonas aeruginosa/crescimento & desenvolvimento , Pseudomonas putida/crescimento & desenvolvimento , Ácidos Sulfônicos/metabolismo , Taurina/metabolismo
10.
J Chromatogr B Biomed Sci Appl ; 730(1): 95-9, 1999 Jun 25.
Artigo em Inglês | MEDLINE | ID: mdl-10437676

RESUMO

An existing sensitive chromatographic assay for pamidronate in urine has considerably been automated. Using the same sample processor, the solid-phase extraction (SPE) was automated separately from the derivatization with 1-naphthylisothiocyanate, the two-fold ion-pair liquid-liquid-extraction and the treatment with hydrogen peroxide for the 2-20 ng/ml concentration range. The automatic procedure was preceded by a triple calcium precipitation and interrupted by evaporation of the SPE eluate under nitrogen. For the 0.5-5 microg/ml concentration range one automatic sequence was used by avoiding evaporation during the sample treatment. In addition to the labour-saving of the semi-automatic procedure, the daily sample-throughput was improved compared to the existing manual assay. Further, the validation showed marginal improvements in the precision, accuracy and lower limit of quantification.


Assuntos
Cromatografia Líquida/métodos , Difosfonatos/urina , 1-Naftilisotiocianato/química , Automação , Difosfonatos/química , Difosfonatos/farmacocinética , Humanos , Indicadores e Reagentes/química , Pamidronato , Reprodutibilidade dos Testes , Sensibilidade e Especificidade
11.
Mol Microbiol ; 32(5): 913-26, 1999 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-10361295

RESUMO

Pseudomonas putida S-313 is able to desulphonate a broad range of aromatic sulphonates to provide sulphur for growth by monooxygenolytic cleavage to yield the corresponding phenol. After miniTn5 transposon mutagenesis of this strain, 11 mutants were isolated that were no longer able to utilize benzenesulphonate as a sulphur source. Three of these mutants were defective in the utilization of all aromatic sulphonates tested, but they grew normally with other sulphur sources. These strains contained independent insertions in the novel 4.2 kb asfRABC gene cluster, encoding a putative reductase (AsfA), a ferredoxin (AsfB), a putative periplasmic binding protein (AsfC), which was localized to the periplasm using alkaline phosphatase fusions, and a divergently oriented fourth gene, asfR, that encoded a LysR-type regulator protein. A further mutant was interrupted in the ssu locus, which includes the gene for a putative desulphonative monooxygenase. Transformation of Pseudomonas aeruginosa with the asfRAB genes was sufficient to allow arylsulphonate utilization by this species, which does not normally use these compounds, suggesting that the AsfAB proteins may constitute an arylsulphonate-specific electron transport system that interacts with a less specific oxygenase. Expression of the asfABC genes in P. putida was induced by benzenesulphonate or toluenesulphonate, and it was repressed in the presence of sulphate in the growth medium. AsfR was a negative regulator of asfABC expression, and toluenesulphonate induced expression of these genes indirectly by reducing the expression of the asfR gene.


Assuntos
Sulfonatos de Arila/metabolismo , Regulação Bacteriana da Expressão Gênica , Genes Bacterianos , Pseudomonas putida/genética , Pseudomonas putida/metabolismo , Enxofre/metabolismo , Sequência de Aminoácidos , Biodegradação Ambiental , Elementos de DNA Transponíveis , Dados de Sequência Molecular , Família Multigênica , Mutagênese Insercional , Pseudomonas aeruginosa/metabolismo , Pseudomonas putida/crescimento & desenvolvimento , Análise de Sequência de DNA
12.
J Bone Miner Res ; 14(5): 784-91, 1999 May.
Artigo em Inglês | MEDLINE | ID: mdl-10320527

RESUMO

Nitrogen-containing bisphosphonates (N-PCP) are bisphosphonates with an increased antiresorptive potency. Aminobisphosphonates, N-PCPs with an amino group, can cause nonspecific gastrointestinal complaints. It is not known whether these side effects are specific for these bisphosphonates or for the whole class of N-PCPs. In this study, we investigated the effects of two aminobisphosphonates (pamidronate and alendronate) and a structurally similar N-PCP (olpadronate) and their three respective calcium complexes on the viability and the intracellular calcium concentration ([Ca2+]i) of cultured Caco-2 cells a model for intestinal epithelium. These cells were also examined for apoptosis or necrosis. In the presence of calcium, pamidronate and alendronate were toxic to the cells, with pamidronate being more toxic than alendronate. Olpadronate induced toxicity only at concentrations more than ten times higher than the toxic concentrations of pamidronate. In the absence of calcium definite signs of toxicity were observed only with pamidronate at clinically relevant concentrations. The complexes of pamidronate and alendronate with calcium were considerably less soluble than the olpadronate calcium complex. There were no signs of apoptosis. [Ca2+]i was transiently raised after treatment with the N-PCPs. Doses at which responses were seen were, respectively, 0.02 mM (pamidronate), 0.3 mM (alendronate), and 2 mM (olpadronate). The peak of response was slightly greater after pamidronate treatment than after alendronate or olpadronate, respectively. In conclusion pamidronate, either as an ion or as a calcium complex, is the most toxic of the bisphosphonates tested for Caco-2 cells. Alendronate was less toxic while olpadronate was the least toxic in presence of calcium. The solubility of the bisphosphonate complexes with calcium may account for these differences in toxicity.


Assuntos
Difosfonatos/farmacologia , Mucosa Intestinal/efeitos dos fármacos , Modelos Biológicos , Nitrogênio , Alendronato/farmacologia , Apoptose/efeitos dos fármacos , Células CACO-2 , Cálcio/metabolismo , Sobrevivência Celular/efeitos dos fármacos , Células Epiteliais/efeitos dos fármacos , Humanos , Mucosa Intestinal/citologia , Pamidronato , Solubilidade , Relação Estrutura-Atividade
13.
J Hypertens ; 17(2): 229-35, 1999 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-10067792

RESUMO

OBJECTIVE: Sodium depletion stimulates the renin-angiotensin and sympathetic nervous systems, which may affect the role of each of these systems in the regulation of vascular tone. We investigated the influence of sodium depletion on the roles of the angiotensin II type 1 receptor and the alpha1- and alpha2-adrenergic receptors, and on nitric oxide generation, in the regulation of human forearm vascular tone. SUBJECTS AND METHODS: We studied the effects of the angiotensin II type 1 receptor antagonist losartan (0.1-3 microg/kg per min), angiotensin II (0.01-10 ng/kg per min), the alpha1- and alpha2-adrenoceptor antagonists doxazosin (3-100 ng/kg per min) and yohimbine (0.5-4 microg/kg per min) and the nitric oxide synthase inhibitor N(G)-monomethyl-L-arginine (L-NMMA; 7.5-60 microg/kg per min) on forearm blood flow in control subjects (n = 12) and sodium-depleted subjects (n = 11). Sodium depletion was achieved by 3 days of pretreatment with 40 mg furosemide twice a day and a sodium-restricted diet. Forearm blood flow was measured by venous occlusion plethysmography. RESULTS: Sodium depletion resulted in activation of the renin-angiotensin and sympathetic nervous systems, as indicated by increased levels of plasma renin, aldosterone and heart rate (P < 0.05). Blood pressure remained unchanged. Losartan at the highest dose increased forearm blood flow in the sodium-depleted group by 42 +/- 9%, but had no effect in controls (P < 0.05). Both doxazosin and yohimbine caused an increased vasodilatory effect in the sodium-depleted versus the control group (228 +/- 42 versus 83 +/- 13% and 192 +/- 24 versus 95 +/- 8%, respectively; P < 0.05). The constrictor effects by angiotensin II and L-NMMA of -65 +/- 6% and -79 +/- 4%, respectively, in controls were unchanged by sodium depletion. CONCLUSIONS: In sodium-depleted subjects, endogenous angiotensin II appears to play a role in the regulation of forearm vascular tone, in contrast to sodium-replete conditions. Furthermore, in these subjects the role of alpha1- and alpha2-adrenoceptors in the regulation of forearm vascular tone was enhanced compared with control conditions. Neither the forearm vascular effects of exogenously infused angiotensin II nor those of baseline nitric oxide production were influenced by sodium depletion.


Assuntos
Antebraço/irrigação sanguínea , Músculo Liso Vascular/metabolismo , Receptores Adrenérgicos alfa/fisiologia , Receptores de Angiotensina/fisiologia , Sódio/deficiência , Sistema Vasomotor/fisiologia , Antagonistas Adrenérgicos alfa/farmacologia , Adulto , Aldosterona/sangue , Angiotensina II/farmacologia , Anti-Hipertensivos/farmacologia , Furosemida/farmacologia , Humanos , Masculino , Músculo Liso Vascular/inervação , NG-Nitroarginina Metil Éster/farmacologia , Pletismografia , Receptor Tipo 1 de Angiotensina , Receptor Tipo 2 de Angiotensina , Renina/sangue , Sistema Renina-Angiotensina/fisiologia , Sistema Nervoso Simpático/fisiologia , Vasoconstritores/farmacologia
14.
Drug Saf ; 20(2): 133-46, 1999 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-10082071

RESUMO

Modern pharmacological treatment of impotence is determined by the presenting symptoms. Since this involves symptomatology with a heterogenous aetiology, many different drugs are involved in the treatment of impotence. Drugs used for libido and arousal problems include testosterone, yohimbine, trazodone and apomorphine. Since patient self-assessment is the only parameter that can be used to measure the result of treatment and positive results are seldom affirmed, no positive benefit of these agents can be assumed at present. Oral medications for erectile dysfunction include yohimbine, trazodone, apomorphine, phentolamine, arginine and sildenafil. Of these drugs, sildenafil has been the most systematically studied for effectiveness, but long term safety data await the results of post-marketing surveillance. Of the ejaculation disorder therapies, treatments for premature ejaculation are the best studied. Favourable results have been obtained with clomipramine, paroxetine and fluoxetine. The safety of these medications has been assessed through their long term use in psychiatry. Intracavernous self-injections for erectile disorders are performed using a variety of drugs and drug mixtures. Only alprostadil and the combination of papaverine with phentolamine are widely used. Alprostadil is very well tolerated; however, penile pain is a serious problem in a significant proportion of patients. Papaverine in combination with phentolamine is effective, but penile fibrosis and priapism occur more often than with the use of alprostadil. Several new developments in this area are currently under way. Alternative routes for medication for erectile dysfunction include ointments and patches to the penile skin and the glans. Only transurethral alprostadil, 'MUSE' (medicated urethral system for erection) has been shown to be effective in large trials. Long term safety still has to be demonstrated, but the 1-year safety profile is encouraging. In general, the end points of impotence treatment studies are very diverse so efficacy data can only be assessed in comparative studies. However, long term comparison studies have not been performed. Safety demands must be set very high for this type of treatment since the disorders being treated present no threat to the patient's health.


Assuntos
Afrodisíacos/uso terapêutico , Disfunção Erétil/tratamento farmacológico , Inibidores de Fosfodiesterase/uso terapêutico , Vasodilatadores/uso terapêutico , Afrodisíacos/farmacologia , Ejaculação/efeitos dos fármacos , Humanos , Libido/efeitos dos fármacos , Masculino , Ereção Peniana/efeitos dos fármacos , Ereção Peniana/fisiologia , Inibidores de Fosfodiesterase/farmacologia , Vasodilatadores/farmacologia
15.
J Hypertens ; 16(9): 1299-305, 1998 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-9746117

RESUMO

OBJECTIVE: Angiotensin II type 1 receptor-mediated constrictor effects may be modulated by hypertension-related vascular changes, changes in receptor function and in neurohumoral activity. DESIGN: The forearm blood flow (FBF) effects of angiotensin II, methoxamine, and losartan were investigated in essential hypertensive patients. Minimal forearm vascular resistance was measured to determine structural vascular changes. METHODS: Seven hypertensive patients were selected, and seven matched normotensives. Angiotensin II (0.01-10 ng/kg per min) was infused during predilatation by sodium nitroprusside (6.1 +/- 0.6 ng/kg per min) before and during losartan infusion (0.3-3 microg/kg per min). Methoxamine (0.2-2 microg/kg per min) was co-infused with the nitric oxide synthase inhibitor NG-monomethyl-L-arginine. FBF, measured by venous occlusion plethysmography, was expressed as the change in FBF ratio (FBFinfused arm/FBFnon-infused arm). RESULTS: Baseline FBF (infused arm) was increased by sodium nitroprusside from 2.56 +/- 0.80 to 5.46 +/- 0.92 (P<0.05) and from 2.66 +/- 0.25 to 5.42 +/- 0.40 ml/100 ml per min (P<0.05) in the hypertensive and normotensive group, respectively. Baseline forearm vascular resistance (FVR) was higher in the hypertensive than in the normotensive group [51 +/- 8 versus 33 +/- 3 mmHg/ (ml/100 ml per min); P<0.05]. Angiotensin II caused a maximal change in FBF ratio (Emax) by -70 +/- 3 and -72 +/- 6% in the hypertensive and normotensive group, respectively (NS). Tachyphylaxis did not occur. Infusions of losartan at 0.3, 1 and 3 microg/kg per min reduced the Emax values from -70 +/- 3 to -50 +/- 5, -45 +/- 5 and -15 +/- 2%, respectively, in the hypertensive group, and from -72 +/- 6 to -62 +/- 4, -45 +/- 2 and -32 +/- 2%, respectively, in the normotensive group (NS). Infusion of methoxamine significantly reduced the FBF ratio by -58 +/- 6 and -69 +/- 5% in the hypertensive and normotensive groups, respectively (NS). Minimal FVR, after forearm ischemia, was the same in hypertensives and normotensives, namely 3.2 +/- 0.7 and 3.2 +/- 0.4 mmHg/(ml per 100 ml per min), respectively (NS). CONCLUSIONS: Angiotensin II type 1- and alpha1-mediated vascular effects were unchanged by essential hypertension. Baseline FVR was greater in the hypertensives than in the normotensives, while minimal FVR was the same. These results indicate that the forearm vascular bed of the patient group studied does not show important structural and renin-angiotensin system-related functional changes as a result of hypertension.


Assuntos
Angiotensina II/farmacologia , Anti-Hipertensivos/farmacologia , Antebraço/irrigação sanguínea , Hipertensão/fisiopatologia , Losartan/farmacologia , Vasoconstritores/farmacologia , Adulto , Inibidores Enzimáticos/farmacologia , Feminino , Humanos , Masculino , Metoxamina/farmacologia , Pessoa de Meia-Idade , Fluxo Sanguíneo Regional/efeitos dos fármacos , ômega-N-Metilarginina/farmacologia
16.
Pharm Dev Technol ; 3(2): 185-92, 1998 May.
Artigo em Inglês | MEDLINE | ID: mdl-9653755

RESUMO

The stability of thiorphan (1.0 mg/ml) in normal saline containing 1% human serum albumin (HSA) was determined in order to find the most appropriate storage conditions. Direct liquid chromatographic analysis of this solution was feasible through the use of a micellar chromatographic system and proved to be stability indicating. During 8 weeks the percentages of the initial thiorphan concentration remaining after storage at 4, 20, 30, and 50 degrees C were determined. An Arrhenius plot was composed using the rate constants of thiorphan degradation at these temperatures. The thiorphan solution was stable for at least 2 months if stored at -20 degrees C. Taking into account the oxidative degradation of about 7% after thawing, we determined that the solution can be kept in a refrigerator for 4 days. Storage at room temperature should be limited to 1 day. By identification of the degradation products it could be concluded that thiorphan is degraded mainly via oxidation forming disulfides. Therefore, it is recommended that the solvent be purged with nitrogen before thiorphan is dissolved.


Assuntos
Albumina Sérica/química , Tiorfano/química , Cromatografia Líquida de Alta Pressão , Estabilidade de Medicamentos , Humanos , Cinética , Soluções , Temperatura , Tiorfano/análise , Fatores de Tempo
17.
J Chromatogr B Biomed Sci Appl ; 705(2): 331-9, 1998 Feb 13.
Artigo em Inglês | MEDLINE | ID: mdl-9521572

RESUMO

The semi-automatic method for the determination of the bisphosphonate pamidronate in serum and citrate plasma involves a manual protein precipitation with trichloroacetic acid and a manual coprecipitation of the bisphosphonate with calcium phosphate, followed by an automated solid-phase extraction on anion-exchange columns. After off-line evaporation of the extract under nitrogen and reconstitution in water, the automatic procedure is continued by automatic derivatization with 1-naphthylisothiocyanate, ion-pair liquid-liquid extraction and a treatment with hydrogen peroxide, prior to analysis by ion-pair HPLC and fluorescence detection at 285/390 nm. The intra- and inter-day precisions are 1.3 and 7%, respectively, for a standard of 100 ng ml(-1) pamidronate in serum; the average accuracy for this standard is 107%. The lower limit of quantification is 20 ng ml(-1) pamidronate in 1 ml of human serum.


Assuntos
1-Naftilisotiocianato/análise , Cromatografia Líquida/métodos , Ácido Cítrico/sangue , Difosfonatos/sangue , Idoso , Precipitação Química , Cromatografia Líquida de Alta Pressão/instrumentação , Cromatografia Líquida de Alta Pressão/métodos , Feminino , Humanos , Peróxido de Hidrogênio/sangue , Pamidronato , Valores de Referência , Reprodutibilidade dos Testes , Robótica , Sensibilidade e Especificidade , Enxofre/metabolismo
18.
J Cardiovasc Pharmacol ; 31(1): 50-5, 1998 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-9456277

RESUMO

Arterial constriction by angiotensin II (Ang II) in the human forearm is inhibited by the infusion of the AT1-receptor antagonist losartan. We investigated venous constriction by Ang II in the forearm of 19 healthy subjects (23 +/- 1 years) and the inhibitory effects of losartan. Furthermore, we investigated, in both the arterial and venous systems, whether the constrictor effects of Ang II are calcium influx dependent by determining the influence of nicardipine. Arterial forearm blood flow (FBF) and maximal venous outflow (MVO) were measured by venous-occlusion plethysmography. Sodium nitroprusside (5-12.5 ng/kg/min) was infused to predilate the forearm vasculature. Ang II (0.1, 1, and 10 ng/kg/min) was infused before and during losartan (0.3 and 3 microg/kg/min) or nicardipine (0.05 and 0.15 microg/kg/min), respectively. Ang II decreased FBF (Emax-FBF) by 79 +/- 4% and MVO (Emax-MVO) by 28 +/- 3% (p < 0.05). Nicardipine at 0.05 and 0.15 microg/kg/min reduced Emax-FBF from -79 +/- 4% to -48 +/- 4% and -6 +/- 2%, respectively (p < 0.05). Losartan in both doses completely inhibited Emax-MVO (p < 0.05), whereas nicardipine did not influence the venoconstriction by Ang II (p > 0.05). In conclusion, Ang II causes a constriction of both arteries and veins in the human forearm, which may be inhibited by losartan. The arterial constriction appears to be caused by an AT1-receptor-mediated calcium influx via L-type calcium channels. In contrast, the venoconstrictor effect of Ang II proved insensitive to the calcium antagonist nicardipine.


Assuntos
Angiotensina II/antagonistas & inibidores , Anti-Hipertensivos/farmacologia , Antebraço/irrigação sanguínea , Losartan/farmacologia , Nicardipino/farmacologia , Vasoconstrição/efeitos dos fármacos , Adulto , Angiotensina II/fisiologia , Artérias/efeitos dos fármacos , Antebraço/fisiologia , Humanos , Masculino , Fluxo Sanguíneo Regional/efeitos dos fármacos , Veias/efeitos dos fármacos
19.
Blood Press ; 6(5): 279-85, 1997 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-9359998

RESUMO

Stimulated release of vasodilator prostaglandins and nitric oxide by angiotensin II may counteract the vasoconstrictor effects of this octapeptide. We investigated the effects of inhibition of prostaglandin synthesis by indomethacin and of nitric oxide formation by NG-monomethyl-L-arginine (L-NMMA) on baseline forearm blood flow (FBF) and on angiotensin II-induced vasoconstriction in healthy subjects. For comparison, the effects of the AT1-receptor antagonist losartan on these parameters were determined. FBF was measured by venous occlusion plethysmography. Angiotensin II (0.01-10 ng/kg/min) was infused into the brachial artery, in the absence and presence of indomethacin (0.65 micrograms/kg/min; n = 8), L-NMMA (30 micrograms/kg/min; n = 5), and losartan (3 micrograms/kg/min; n = 12), respectively. Sodium nitroprusside was used to submaximally predilate the forearm vascular system. Baseline FBF remained unchanged with indomethacin and losartan, but was significantly decreased by -42 +/- 6% (mean +/- SEM) by L-NMMA. The dose-dependent angiotensin II-induced vasoconstriction was unaffected by indomethacin and L-NMMA, but was inhibited by losartan. Emax was -78 +/- 2% during control conditions, -84 +/- 3% during indomethacin (n.s.), -74 +/- 4% during L-NMMA (n.s.), and -17 +/- 6% during losartan infusion (p < 0.05). None of the interventions significantly changed the EC50 value of angiotensin II of -9.4 +/- 0.14 log M. In conclusion, in the human forearm of healthy subjects, neither endogenous angiotensin II nor cyclooxygenase-dependent prostaglandin synthesis plays a role in the genesis of vascular tone, whereas endogenous nitric oxide production does. The constrictor effects of angiotensin II are counteracted by neither stimulated release of prostaglandins nor by that of nitric oxide.


Assuntos
Angiotensina II/farmacologia , Inibidores de Ciclo-Oxigenase/farmacologia , Inibidores Enzimáticos/farmacologia , Antebraço/irrigação sanguínea , Indometacina/farmacologia , Vasoconstrição/efeitos dos fármacos , Vasoconstritores/farmacologia , Sistema Vasomotor/efeitos dos fármacos , ômega-N-Metilarginina/farmacologia , Adulto , Anti-Hipertensivos/farmacologia , Humanos , Losartan/farmacologia , Masculino , Fluxo Sanguíneo Regional/efeitos dos fármacos
20.
J Bacteriol ; 179(21): 6640-8, 1997 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-9352911

RESUMO

Methanobacterium thermoautotrophicum deltaH was grown in a fed-batch fermentor and in a chemostat under a variety of 80% hydrogen-20% CO2 gassing regimes. During growth or after the establishment of steady-state conditions, the cells were analyzed for the content of adenylylated coenzyme F420 (factor F390-A) and other methanogenic cofactors. In addition, cells collected from the chemostat were measured for methyl coenzyme M reductase isoenzyme (MCR I and MCR II) content as well as for specific activities of coenzyme F420-dependent and H2-dependent methylenetetrahydromethanopterin dehydrogenase (F420-MDH and H2-MDH, respectively), total (viologen-reducing) and coenzyme F420-reducing hydrogenase (FRH), factor F390 synthetase, and factor F390 hydrolase. The experiments were performed to investigate how the intracellular F390 concentrations changed with the growth conditions used and how the variations were related to changes in levels of enzymes that are known to be differentially expressed. The levels of factor F390 varied in a way that is consistently understood from the biochemical mechanisms underlying its synthesis and degradation. Moreover, a remarkable correlation was observed between expression levels of MCR I and II, F420-MDH, and H2-MDH and the cellular contents of the factor. These results suggest that factor F390 is a reporter compound for hydrogen limitation and may act as a response regulator of methanogenic metabolism.


Assuntos
Monofosfato de Adenosina/análogos & derivados , Metano/metabolismo , Methanobacterium/enzimologia , Methanobacterium/crescimento & desenvolvimento , Riboflavina/análogos & derivados , Monofosfato de Adenosina/análise , Técnicas Bacteriológicas , Dióxido de Carbono/metabolismo , Fermentação , Flavinas , Isoenzimas/análise , Nucleotidiltransferases/análise , Oxirredução , Oxirredutases/análise , Oxirredutases atuantes sobre Doadores de Grupo CH-NH/análise , Diester Fosfórico Hidrolases/análise , Riboflavina/análise
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