Enzymatic Hydrolysis of AtracuriumIn Vivo
作者:
Vladimir Nigrovic,
Melissa Auen,
Aron Wajskol,
期刊:
Anesthesiology
(OVID Available online 1985)
卷期:
Volume 62,
issue 5
页码: 606-609
ISSN:0003-3022
年代: 1985
出版商: OVID
关键词: Biotransformation (drug): Hofmann elimination.;Enzymes: carboxylesterase.;Neuromuscular relaxants: atracurium.;Toxicity: metabolites, acrylate.
数据来源: OVID
摘要:
Inactivation of atracuriumin vivohas been postulated to proceed along two pathways: Hofmann elimination and ester hydrolysis. Since an end product of Hofmann elimination (acrylate) may be potentially toxic, the authors conducted a study to determine the extent of degradation via enzyme catalyzed hydrolysis relative to that via Hofmann elimination. The enzyme carboxylesterase was inhibited by the pretreatment of rats with an organophosphorous compound, triorchotolyl phosphate (TOTP). Skeletal muscle relaxation produced either byd-tubocurarine or succinylcholine was not influenced by the pretreatment. This indicates that TOTP does not alter directly the paralyzing properties of either depolarizing or nondepolarizing muscle relaxants. Relaxation produced by atracurium, however, was prolonged markedly and the rate of recovery from relaxation was decreased. The authors conclude: 1) enzyme-catalyzed hydrolysis is probably responsible for the short duration of action of atracurium; 2) Hofmann elimination, at least in rats, probably is not the principal degradation pathway; and 3) the opportunity forin vivogeneration of large amounts of po tentially toxic end products is less than previously implied.
点击下载:
PDF
(375KB)
返 回