基础医学与临床 ›› 2008, Vol. 28 ›› Issue (7): 752-755.

• 研究论文 • 上一篇    下一篇

安妥沙星延长离体豚鼠动作电位的效应

尚曙玉   

  1. 郑州大学医学院生理教研室
  • 收稿日期:2007-06-06 修回日期:2007-09-24 出版日期:2008-07-25 发布日期:2008-07-25
  • 通讯作者: 尚曙玉

Three Fluoroquinolone Prolonged Cardiac Action Potential Duration

Shu-yu SHANG,   

  1. Department of physiology, Basic Medical College, Zhengzhou University, Zhengzhou 450052
  • Received:2007-06-06 Revised:2007-09-24 Online:2008-07-25 Published:2008-07-25
  • Contact: Shu-yu SHANG,

摘要: 摘要  目的:观察氟喹诺酮类抗菌素安妥沙星(Antofloxacin, ATFX)对心肌动作电位的影响,并以左氧氟沙星(Levofloxacin,LVFX)和司帕沙星(Sparloxacin, SPX)为阳性对照物比较三者心肌毒性作用。方法:微电极技术记录豚鼠右心室乳头动作电位。结果:1.当刺激周长为1000ms时,各浓度的SPX均显著性延长APD50和APD90,而LVFX和ATFX在浓度超过10μmol/L时明显延长APD50和APD90。但ATFX延长APD90的效应明显弱于LVFX和SPX。2.在浓度为10μmol/L,用E-4031阻断IKr电流后,ATFX延长APD90的效应明显减弱,用Chromanol 293B阻断IKs电流后,ATFX仍明显延长APD90,而用E-4031和Chromanol 293B共同阻断IK电流后,ATFX延长APD90的效应无明显变化。3.在药物浓度为10μmol/L时,随着刺激周长的延长,三种药物均呈有不同程度的延长APD90,但无明显的频率依赖性。结论:ATFX可能通过抑制IKr电流而延长APD,但其延长APD的效应明显弱于LVFX和SPX,仅在大剂量有导致QT间期延长的潜在毒性。

Abstract: Abstract Objective To compare cardiaotoxic effect with sparfloxacin and levofloxacin, the effects of antofloxacin on cardiac action potentials were examined. Methods Action potentials were recorded from isolated papillary muscles of guinea pig right ventricles by using conventional microelectrode techniques. Results 1.With stimulation basic cycle length of 1000ms, both APD50 and APD90 were prolonged at any used concentrations by sparfloxacin, While, at the concentrations over 10μmol/L, levofloxacin and antofloxacin prolonged the APD50 and APD90. 2. A the concentrations used by 10μmol/L, antofloxacin prolonged the APD90 were decreased by E-4031, and were increased by Chromanol 293B, no obviously changed by E-4031 and Chromanol 293B.3.With the stimulation basic cycle length increased, the prolongation of APD90 caused by those three drugs were increased,but no frequency dependency. Conclusion: Antofloxacin has less potency to prolong APD as compare to LVFX and SPX, and it maybe prolong APD by inhabit IKr.