Antiinflammatory effects of colforsin daropate hydrochloride, a novel water-soluble forskolin derivative.
Ann Thorac Surg
; 71(6): 1931-8, 2001 Jun.
Article
em En
| MEDLINE
| ID: mdl-11426771
ABSTRACT
BACKGROUND:
To evaluate the effects of colforsin daropate hydrochloride (colforsin), a water-soluble forskolin derivative, on hemodynamics and systemic inflammatory response after cardiopulmonary bypass, we conducted a prospective randomized study.METHODS:
Twenty-nine patients undergoing coronary artery bypass grafting were randomized to receive either colforsin treatment (colforsin; n = 14) or no colforsin treatment (control; n = 15). Administration of colforsin (0.5 microg.kg(-1).min(-1)) was started after induction of anesthesia and was continued for 6 hours. Perioperative cytokine and cyclic adenosine monophosphate levels, hemodynamics, and respiratory function were measured serially.RESULTS:
Marked positive inotropic and vasodilatory effects were observed in patients receiving colforsin. Interleukin 1beta, interleukin 6, and interleukin 8 levels after cardiopulmonary bypass were significantly (p < 0.05) lower in the colforsin group. Plasma levels of cyclic adenosine monophosphate increased significantly (p < 0.05) in the colforsin group, and the levels correlated inversely (r = -0.56, p = 0.002) with the respiratory index after cardiopulmonary bypass.CONCLUSIONS:
Intraoperative administration of colforsin daropate hydrochloride had potent inotropic and vasodilatory activity and attenuated cytokine production and respiratory dysfunction after cardiopulmonary bypass. The results indicate that the technique can be a novel therapeutic strategy for the systemic inflammatory response associated with cardiopulmonary bypass.
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Base de dados:
MEDLINE
Assunto principal:
Complicações Pós-Operatórias
/
Pré-Medicação
/
Colforsina
/
Cardiotônicos
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Ponte de Artéria Coronária
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Síndrome de Resposta Inflamatória Sistêmica
Idioma:
En
Ano de publicação:
2001
Tipo de documento:
Article