小檗碱的心血管作用。

C. Lau, X. Yao, Z. Chen, W. Ko, Yu Huang
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引用次数: 259

摘要

小檗碱是一种生物碱,从加拿大水螅、中药黄莲和许多其他植物中提取。在中药中广泛用作治疗痢疾和感染性腹泻的抗菌药物。本文描述了小檗碱及其衍生物四氢小檗碱和8-氧小檗碱的心血管作用。小檗碱具有正性肌力、负性变时、抗心律失常和血管舒张的特性。小檗碱的两种衍生物都有抗心律失常的活性。小檗碱及其衍生物的一些心血管效应归因于K+通道(延迟整流和K(ATP))的阻断和Na+ -Ca(2+)交换的刺激。小檗碱已被证明可以延长心室动作电位的持续时间。它的血管扩张活性归因于多种细胞机制。小檗碱的心血管作用提示其在治疗心律失常和/或心力衰竭方面可能的临床用途。
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Cardiovascular actions of berberine.
Berberine, is an alkaloid from Hydrastis canadensis L., Chinese herb Huanglian, and many other plants. It is widely used in traditional Chinese medicine as an antimicrobial in the treatment of dysentery and infectious diarrhea. This manuscript describes cardiovascular effects of berberine and its derivatives, tetrahydroberberine and 8-oxoberberine. Berberine has positive inotropic, negative chronotropic, antiarrhythmic, and vasodilator properties. Both derivatives of berberine have antiarrhythmic activity. Some cardiovascular effects of berberine and its derivatives are attributed to the blockade of K+ channels (delayed rectifier and K(ATP)) and stimulation of Na+ -Ca(2+) exchanger. Berberine has been shown to prolong the duration of ventricular action potential. Its vasodilator activity has been attributed to multiple cellular mechanisms. The cardiovascular effects of berberine suggest its possible clinical usefulness in the treatment of arrhythmias and/or heart failure.
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