Effects of F-180, a new selective vasoconstrictor peptide, compared with terlipressin and vasopressin on systemic and splanchnic hemodynamics in a rat model of portal hypertension

被引:53
作者
Bernadich, C
Bandi, JC
Melin, P
Bosch, J
机构
[1] Univ Barcelona, Hosp Clin & Prov, Liver Unit, Hepat Hemodynam Lab, Catalunya, Spain
[2] Ferring Res Inst AB, Malmo, Sweden
关键词
D O I
10.1002/hep.510270206
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
The present study is aimed at characterizing the portal, splanchnic, and systemic circulatory effects F-180, a new long-acting analog of vasopressin (VP) with selective effect on the vascular (V-1) receptor, both in normal rats and in portal-hypertensive animals, In preliminary vasopressor tests, F-180 was 18 times more potent than terlipressin (TP) (164 +/- 10 IU x mmol(-1) vs. 9.2 +/- 1.2 IU x mmol(-1)) and four times less potent than arginine VP (614 +/- 25 IU x mmol(-1)). F-180 had negligible antidiuretic potency, resulting in vascular selectivity (V-1/V-2) of 858 compared with 1.0 for VP and 2.2 for TP. In portal-hypertensive rats with partial portal vein ligation (PPVL), the vasopressor effect of F-180 was 19 times that of TP on a molar basis (ED50 F-180: 0.54 vs. TP: 10.02 nmol x kg(-1)). At low doses (0.405 nmol x kg(-1)), F-180 significantly reduced portal pressure (PP) (-13.8% +/- 6.7%) and superior mesenteric artery blood flow (SMABF) (-25.6% +/- 4.5%), whereas TP at 8.10 nmol x kg(-1) was required to achieve comparable splanchnic effects; however, this dose caused a significantly greater increase in mean arterial pressure (MAP) than F-180 at 0.405 nmol x kg(-1) (28.2% +/- 2.7% vs, 8.9% +/- 2.7% at 20 minutes; P < .05). F-180 at 0.405 nmol x kg(-1) had effects on PP and SMABF similar to a 30-minute intravenous infusion of VP at 10 mU x kg(-1) in PPVL rats, but VP caused a significantly greater elevation in systemic vascular resistance (SVR) and MAP, and more pronounced reduction in cardiac index (P < .05).
引用
收藏
页码:351 / 356
页数:6
相关论文
共 40 条
[1]  
AURELL CJ, 1991, PEPTIDES 1990
[2]   PHARMACOKINETIC-HEMODYNAMIC INTERACTIONS BETWEEN VASOPRESSIN AND NITROGLYCERIN - COMPARISON BETWEEN INTRAVENOUS AND CUTANEOUS ROUTES OF NITRATE DELIVERY [J].
BLEI, AT ;
FRIEDMAN, S ;
GOTTSTEIN, J ;
ROBERTSON, G ;
FUNG, HL .
HEPATOLOGY, 1985, 5 (02) :264-270
[3]   PORTAL-HYPERTENSION [J].
BOSCH, J ;
NAVASA, M ;
GARCIAPAGAN, JC ;
DELACY, AM ;
RODES, J .
MEDICAL CLINICS OF NORTH AMERICA, 1989, 73 (04) :931-953
[4]  
BOSCH J, 1985, CLIN GASTROENTEROL, V14, P169
[5]   ASSOCIATION OF TRANSDERMAL NITROGLYCERIN TO VASOPRESSIN INFUSION IN THE TREATMENT OF VARICEAL HEMORRHAGE - A PLACEBO-CONTROLLED CLINICAL-TRIAL [J].
BOSCH, J ;
GROSZMANN, RJ ;
GARCIAPAGAN, JC ;
TERES, J ;
GARCIATSAO, G ;
NAVASA, M ;
MAS, A ;
RODES, J .
HEPATOLOGY, 1989, 10 (06) :962-968
[6]  
BOSCH J, 1994, PORTAL HYPERTENSION, P108
[7]   HYPERSENSITIVITY OF MESENTERIC VEINS TO 5-HYDROXYTRYPTAMINE-INDUCED AND KETANSERIN-INDUCED REDUCTION OF PORTAL PRESSURE IN PORTAL HYPERTENSIVE RATS [J].
CUMMINGS, SA ;
GROSZMANN, RJ ;
KAUMANN, AJ .
BRITISH JOURNAL OF PHARMACOLOGY, 1986, 89 (03) :501-513
[8]  
D'Amico G, 1986, FRONTIERS GASTROINTE, V9, P247
[9]   TERLIPRESSIN OR VASOPRESSIN PLUS TRANSDERMAL NITROGLYCERIN IN A TREATMENT STRATEGY FOR DIGESTIVE BLEEDING IN CIRRHOSIS - A RANDOMIZED CLINICAL-TRIAL [J].
DAMICO, G ;
TRAINA, M ;
VIZZINI, G ;
TINE, F ;
POLITI, F ;
MONTALBANO, L ;
LUCA, A ;
PASTA, L ;
PAGLIARO, L ;
MORABITO, A ;
MALIZIA, G ;
OLIVA, L ;
PALAZZO, U ;
PINZELLO, GB ;
LEMOLI, S ;
RINALDI, F ;
CALTAGIRONE, M ;
GIANNUOLI, G ;
MAGRIN, S ;
SIMONETTI, RG ;
MARINGHINI, A ;
COTTONE, M ;
SCIARRINO, E ;
CRAXI, A ;
ALMASIO, P ;
DIPIAZZA, S ;
ORLANDO, A ;
AMUSO, M ;
GATTO, G ;
MADONIA, S ;
FURNARI, M .
JOURNAL OF HEPATOLOGY, 1994, 20 (02) :206-212
[10]  
DAMICO G, 1995, HEPATOLOGY, V22, P332, DOI 10.1002/hep.1840220145