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    新型香豆素哌啶类抗精神分裂症化合物17m对豚鼠及Beagle犬QTc间期的影响

    Effects of a novel coumarin piperidine antipsychotic (17m) on QTc interval in guinea pigs and Beagle dogs

    • 摘要: 目的 研究新型香豆素哌啶类抗精神分裂症化合物17m对豚鼠及Beagle犬QTc间期的影响,对其心脏安全性进行初步评价。方法 豚鼠随机分为溶媒对照组、阳性对照索他洛尔(sotalol) 3 mg/kg组以及化合物17m(0.6、2、6 mg/kg)组。豚鼠经腹腔注射1.5 g/kg乌拉坦麻醉后行颈静脉置管,用于给药,给药前先测定豚鼠的基础心电。各实验组分别静脉输注相应剂量的药物,溶媒组输注等体积的溶媒,10 min内均匀输注完。测定给药前及给药后180 min内豚鼠的心电图,计算各时间点QTc间期值。Beagle犬按体重及性别均衡分为溶媒对照组、利培酮对照组(5 mg/kg)及17m(10、300 mg/kg)组。Beagle犬给予相应的药物或溶媒灌胃,1次/d,连续给药7 d。分别遥测第1天及第7天给药前、给药后8 h内犬的心电图,计算不同时间点QTc间期值,以评估药物对QTc间期的影响。结果 与给药前基础值(0 min)及溶媒对照组相应时间点相比,静脉输注3 mg/kg的阳性对照药索他洛尔能明显延长麻醉豚鼠的QTc间期(P<0.05,P<0.01)。而17m 低(0.6 mg/kg)、中(2 mg/kg)及高(6 mg/kg)剂量组给药后0~180 min内对麻醉豚鼠的QTc值均没有明显的影响(P>0.05)。与给药前基础值(0 h)及溶媒对照组相应时间点相比,阳性对照组利培酮单次给药及多次给药后0~8 h内不同时间点Beagle犬的QTc间期均有不同程度的升高(P<0.05)。而17m低(10 mg/kg)、高(300 mg/kg)剂量组单次给药及多次给药后对Beagle犬的QTc间期均没有明显的影响(P>0.05)。结论 17m对豚鼠及Beagle犬的QTc间期均没有明显的延长作用,提示该化合物在临床上导致QTc间期延长的可能性较小,具有较高的心脏安全性。

       

      Abstract: Objective To investigate the effects of a novel coumarin piperidine antipsychotic (17m) on QTc interval in guinea pigs and Beagle dogs, and to evaluate its cardiac safety. Methods Guinea pigs were randomly divided into three groups: a vehicle group,a sotalol positive control (3 mg/kg) group, and 17m (0.6, 2, and 6 mg/kg) groups.After intraperitoneal injection of 1.5 g/kg urethane, guinea pigs were subjected to jugular vein catheterization for drug administration.The basal electrocardiogram (ECG) of guinea pigs was measured before administration. Then each group was intravenously infused with the corresponding dose of the drugs, and the vehicle group was infused with the volume of vehicle. The infusion was completed within 10 min.The ECG of guinea pigs was measured before and 180 min after administration, and peak of the QTc interval was calculated at each time point.According to weight and sex balance method, Beagle dogs were divided into three groups: a vehicle group, a risperidone (5 mg/kg) control group and 17m (10, 300 mg/kg) groups.Beagle dogs were given the corresponding drugs or vehicles once per day for seven consecutive days.The ECG of dogs were measured days 1 and 7 before dosing and 8 h after dosing, and the QTc interval values at different time points were calculated, so as to evaluate the effects of the drug on QTc interval. Results Compared with the baseline before administration (0 min) and the corresponding time points of the vehicle group, the positive control sotalol (3 mg/kg, i.v.) significantly prolonged the QTc interval of anesthetized guinea pigs (P<0.05 or P<0.01).Furthermore, 17m (0.6, 2, and 6 mg/kg)produced no significant effects on the QTc value of anesthetized guinea pigs (P>0.05). Compared with the baseline before administration (0 h) and the corresponding time point of the vehicle group, the QTc interval of Beagle dogs in the positive control group increased at different time points within 0 h-8 h after single and multiple administration of risperidone (P<0.05). However, there was no significant effect on QTc interval of Beagle dogs after single and multiple administrations of 17m (10 and 300 mg/kg) (P>0.05). Conclusions 17m cannot significantly prolong QTc interval in guinea pigs and Beagle dogs, which indicates that 17m may has low potential for prolonging the QTc interval in clinical practice, with good cardiac safety.

       

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