Screening of certain anaesthetic agents for their ability to elicit acute porphyric phases in susceptible patients.

Autor: Blekkenhorst GH, Harrison GG, Cook ES, Eales L
Jazyk: angličtina
Zdroj: British journal of anaesthesia [Br J Anaesth] 1980 Aug; Vol. 52 (8), pp. 759-62.
DOI: 10.1093/bja/52.8.759
Abstrakt: The activity of delta-aminolaevulinic acid synthetase (E.C. 2.3.1.37) (ALA-S) was measured in rat liver after the simultaneous administration of various anesthetic agents and 3,5-diethoxycarbonyl-1,4-dihydrocollidine (DDC) in vivo. Flunitrazepam, Althesin and phenobarbitone caused a significant increase in the activity of the enzyme which was not observed with propanidid, etomidate and minaxolone. It is suggested that DDC-treated rat, which resembles latent human variegate porphyria, may be a more valid method of testing drugs for their ability to elicit acute porphyric phases in susceptible individuals. The anaesthetic agents which induced the activity of hepatic ALA-S in this model are not recommended in patients with genetic hepatic porphyria.
Databáze: MEDLINE