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10.2147/DDDT.S149727

http://scihub22266oqcxt.onion/10.2147/DDDT.S149727
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suck abstract from ncbi


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pmid29636602
      Drug+Des+Devel+Ther 2018 ; 12 (ä): 685-694
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  • Organic mononitrites of 1,2-propanediol act as an effective NO-releasing vasodilator in pulmonary hypertension and exhibit no cross-tolerance with nitroglycerin in anesthetized pigs #MMPMID29636602
  • Nilsson KF ; Go?dzik W ; Frostell C ; Zieli?ski S ; Zieli?ska M ; Ratajczak K ; Skrzypczak P ; Rodziewicz S ; Albert J ; Gustafsson LE
  • Drug Des Devel Ther 2018[]; 12 (ä): 685-694 PMID29636602 show ga
  • PURPOSE: Clinically available intravenous (IV) nitric oxide (NO) donor drugs such as nitroglycerin (GTN) cause systemic hypotension and/or tolerance development. In a porcine model, novel NO donor compounds - the organic mononitrites of 1,2-propanediol (PDNO) - were compared to GTN with regard to pulmonary selectivity and tolerance development. The vasodilatory effects of inorganic nitrite were investigated. MATERIALS AND METHODS: In anesthetized piglets, central hemodynamics were monitored. At normal pulmonary vascular resistance (PVR), IV infusions of PDNO (15-60 nmol kg(-1) min(-1)), GTN (13-132 nmol kg(-1) min(-1)), and inorganic nitrite (dosed as PDNO) were administered. At increased PVR (by U46619 IV), IV infusions of PDNO (60-240 nmol kg(-1) min(-1)) and GTN (75-300 nmol kg(-1) min(-1)) before and after a 5 h infusion of GTN (45 nmol kg(-1) min(-1)) were given. RESULTS: At normal PVR, PDNO (n=12) and GTN (n=7) caused significant dose-dependent decreases in mean systemic and pulmonary arterial pressures, whereas inorganic nitrite (n=13) had no significant effect. At increased PVR, PDNO (n=6) and GTN (n=6) significantly decreased mean systemic and pulmonary pressures and resistances, but only PDNO reduced the ratio between pulmonary and systemic vascular resistances significantly. After the 5 h GTN infusion, the hemodynamic response to GTN infusions (n=6) was significantly suppressed, whereas PDNO (n=6) produced similar hemodynamic effects to those observed before the GTN infusion. CONCLUSION: PDNO is a vasodilator with selectivity for pulmonary circulation exhibiting no cross-tolerance to GTN, but GTN causes non selective vasodilatation with substantial tolerance development in the pulmonary and systemic circulations. Inorganic nitrite has no vasodilatory properties at relevant doses.
  • |Animals [MESH]
  • |Dose-Response Relationship, Drug [MESH]
  • |Drug Tolerance [MESH]
  • |Hypertension, Pulmonary/*drug therapy/metabolism [MESH]
  • |Infusions, Intravenous [MESH]
  • |Molecular Structure [MESH]
  • |Nitric Oxide/*metabolism [MESH]
  • |Nitrites/administration & dosage/chemistry/*pharmacology [MESH]
  • |Nitroglycerin/administration & dosage/*pharmacology [MESH]
  • |Propylene Glycol/administration & dosage/chemistry/*pharmacology [MESH]
  • |Structure-Activity Relationship [MESH]
  • |Swine [MESH]
  • |Vascular Resistance/drug effects [MESH]


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