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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 Drug+Des+Devel+Ther
2018 ; 12
(ä): 685-694
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gab.com Text
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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.