抗病毒药物阿糖腺苷具有抑制心脏5型腺苷酸环化酶的特性,对氟烷麻醉犬的心脏动力学和电生理指标没有影响。

Takeshi Wada, Yuji Nakamura, Xin Cao, H. Ohara, Hiroko Izumi‐Nakaseko, Kentaro Ando, Y. Nakazato, A. Sugiyama
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引用次数: 7

摘要

阿糖腺苷已被用于治疗局部和全身疱疹病毒感染的患者;此外,最近有报道称它能抑制心脏5型腺苷酸环化酶。此外,在异丙肾上腺素输注引起的小鼠实验模型中,阿糖腺苷已被证明可以抑制心房颤动和改善充血性心力衰竭。由于可以解释其实验证明的对充血性心力衰竭和心房颤动的有效性的信息仍然有限,在本研究中,我们使用氟烷麻醉犬模型精确评估了心脏电药理学效应。阿糖腺苷以1、10、100 mg/kg的三种逐渐增加的剂量静脉给药,持续10分钟,每次给药之间暂停(n = 4)。同时,以与阿糖腺苷相同的方式静脉给药0.033、0.033和0.33 mL/kg的载药二甲亚砜(n = 4)。在载药组和阿糖腺苷处理组之间,没有检测到任何心血管动力学或电生理变量的显著差异。这表明充分抑制5型腺苷酸环化酶的有效剂量对体内心血管变量完全没有影响,显示了其在生理条件下的心脏安全性。因此,阿糖腺苷的临床应用可能仅限于病理情况,包括充血性心力衰竭伴肾上腺素能张力增高和/或交感神经依赖性心房颤动。
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Antiviral drug vidarabine possessing cardiac type 5 adenylyl cyclase inhibitory property did not affect cardiohemodynamic or electrophysiological variables in the halothane-anesthetized dogs.
Vidarabine has been used for the treatment of patients with local and systemic herpes virus infection; moreover, it was recently reported that it inhibits cardiac type 5 adenylyl cyclase. Furthermore, vidarabine has been shown to suppress atrial fibrillation and improve congestive heart failure in experimental models of mice induced by the isoproterenol infusion. Since information that can explain its experimentally demonstrated efficacy against congestive heart failure and atrial fibrillation remains limited, in this study we precisely assessed cardio-electropharmacological effect using the halothane-anesthetized canine model. Vidarabine was intravenously administrated in three escalating doses of 1, 10, 100 mg/kg over 10 min with a pause between the doses (n = 4). Meanwhile, the vehicle dimethyl sulfoxide in volumes of 0.033, 0.033 and 0.33 mL/kg was intravenously administrated in the same manner as was vidarabine (n = 4). No significant difference was detected in any cardiohemodynamic or electrophysiological variables between the vehicle- and vidarabine-treated groups, which indicates that effective doses of vidarabine adequately inhibiting type 5 adenylyl cyclase did not affect the cardiovascular variables in vivo at all, showing its cardiac safety profile under physiological condition. Thus, the clinical utility of vidarabine might be limited to the pathological situation including congestive heart failure with increased adrenergic tone and/or sympathetic nerve-dependent atrial fibrillation.
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