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作 者:张如洪[1] 张林枝[2] 揭金阶[1] 王芳[1]
机构地区:[1]武汉大学人民医院药学部,430060 [2]武汉大学药学院,430070
出 处:《医药导报》2010年第1期21-24,共4页Herald of Medicine
摘 要:目的研究川芎嗪(TMP)对非索非那定在大鼠体外肝灌流(IPL)处置中的影响。方法10只SD雄性大鼠随机分为给药组和对照组各5只。给药组灌服30mg·kg-1·d-1的TMP,对照组灌服0.9%氯化钠溶液,均连续14d,于第15天实施循环肝灌流手术,收集灌流液和胆汁。反相高效液相色谱(RP-HPLC)法测定灌流液和胆汁中非索非那定的浓度,3p97计算其主要药动学参数,并用SPSS11.5进行统计学分析。结果给药组和对照组肝灌流液中AUC(0-60)分别为(95016.35±1457.15),(29441.44±675.16)ng·mL-1·min-1,总清除率(CL)分别为(5.93±0.19),(19.52±0.51)mL·min-1,排入胆汁的非索非那定总量Ae(0-60)分别为(77559.93±9758.37),(135145.16±16211.82)ng,以及胆汁清除率(CLb)分别为(0.82±0.24),(4.59±1.17)mL·min-1,两组差异均有极显著性(均P<0.01),但两组间的分布容积差异无显著性(P>0.05)。结论连续14d服用高剂量的TMP能显著改变P-糖蛋白(P-gp)底物非索非那定在大鼠肝脏的药动学参数,这可能与TMP下调P-gp的表达有关。Objective To investigate the effect of tetramethylpyrazine(TMP) on disposition of fexofenadine in isolated perfusate of rat liver. Methods SD male rats were divided into two groups randomly: treatment group and control group (5 rats respectively). Rats were i.g. 30 mg ·kg^-1·d^-1 tetramethylpyrazine suspension and the same volume of distilled water for consecutive 14 days. At the 15th day, rat livers were isolated and perfused in a recirculating system, and the both perfusate and bile was collected. The concentrations of fexofenadine in perfusate and bile were determined by RP-HPLC. The main pharmacokinetic(PK) parameters were calculated by 3p97 and statistic analysis was conducted by spss 11.5. Results The AUC(0-60)were 95 016.35±1457. 15 and 29 441.44±675. 16 (ng·mL^-1·min^-1), total clearance were 5.93 ±0.19 and 19.52 ±0.51(mL·min^-1 ) , the total amount excreted into bile Ae(0-60) were 77 559.93 ±9 758.37 and 135 145.16 ± 16 211.82 ( rig), the biliary clearance CLb were 0.82 ± 0.24 and 4.59 ± 1.17 ( mL·min^-1 ) for treatment group and control group, respectively. There was a significant difference between them (P 〈 0.01 ), but not the volume of distribution V(mL). Conclusion Administration of tetramethylpyrazine at a high dose for 14 consecutive days can significantly change the PK parameters of P-gp substrate fexofenadine in rat livers, which is likely related to down regulation of P-gp.
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