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引用次数: 0
摘要
按照药典要求,对34批肝素制剂进行了麻醉猫血管降压活性测试。含有氯丁醇作为防腐剂的批次具有降压作用,与0.1微克组胺/kg相似,但不含防腐剂的平均肝素配方也具有显著的降压作用。组胺- h1受体拮抗剂可降低这种作用。肝素制剂与组胺一样,可引起离体豚鼠回肠收缩,这可能表明每5000国际单位肝素中含有约0.1微克组胺。通过对P物质(SP)和血管活性肠多肽(VIP)的放射性配体测定,发现猪肠源肝素制剂不抑制125i - bhsp结合,但某些批次的125I-VIP结合轻度降低,与每5000 IU 50-100 ng VIP的最大污染一致。该结果可能对胸外科高剂量肝素治疗有临床意义。该结果也可能为在肝素药典专著中保留血管降压药试验提供论据。
Vasodepressor activity of pharmaceutical formulations of heparin.
Thirty-four batches of heparin formulations were tested for vasodepressor activity in the anaesthetized cat in accordance with pharmacopoeial requirements. Batches containing chlorobutanol as preservative exerted hypotensive effects, similar to that of 0.1 microgram of histamine/kg, but the average heparin formulation without preservative also caused significant lowering of blood pressure. This effect was reduced by a histamine-H1-receptor antagonist. Heparin formulations, like histamine, caused contraction of the isolated guinea pig ileum which may indicate contamination with up to about 0.1 microgram histamine per 5000 IU of heparin. Using radioligand assays for substance P (SP) and vasoactive intestinal polypeptide (VIP), formulations of heparins of porcine intestinal origin were found not to inhibit 125I-BH-SP binding but some batches moderately reduced binding of 125I-VIP consistent with a maximal contamination with 50-100 ng of VIP per 5,000 IU. The results may have clinical implications for high-dose heparin therapy in connection with thoracic surgery. The results may also provide an argument for retaining the vasodepressor test in pharmacopoeial monographs for heparins.