Abstract

S392 INTRODUCTION: LF-14, a derivative of 3,4-diaminopyridine (3,4-DAP), antagonizes the neuromuscular (NM) blocking effect of nondepolarizing muscle relaxants. It also has beneficial effects on disorders of cholinergic function, such as old age or Alzheimer's disease in rat model [1,2]. LF-14, however, has a very short shelf-life (1 week). We, therefore synthesized 3-maleimino-4-aminopyridine (LI-2), which is a very stable dervative of 3,4-DAP. LI-2 was investigated for its effects on NM transmission and convulsive effects on the central nervous system (CNS) in rats. METHODS: The experiments were carried out in accordance with NIH and Institutional Animal Care guidelines. In vitro studies were performed on the rat phrenic nerve-hemidiaphragm preparations, suspended in modified Krebs' solution [3] at 37[degree sign]C, aerated with 95% O2 -5% CO2. In in vivo experiments, Sprague-Dawley rats were anesthetized with i.p. pentobarbital and urethane, tracheostomized and ventilated with O2. Then the sciatic nerve-tibialis anterior muscle preparations were made. The phrenic and sciatic nerves were stimulated with supramaximal square wave impulses (0.2 ms, 0.1 Hz). A 90% steady state NM block was produced with d-tubocurarine (d-Tc), pancuronium, vecuronium and also Mg2+ (in vitro only). The ED50 and ED90 of LI-2 were determined from the cumulative log dose-response regression lines. In separate experiments, 2.0x ED90 dose of LI-2 were administered to evaluate antagonist and CNS effects. RESULTS: The potencies of LI-2 in vitro and in vivo NM studies are shown in Table 1. The duration of the antagonist effect of 2.0x ED90 of LI-2 was about 217 +/- 21 minutes (mean +/- SEM). 2.0x ED90 did not produce any convulsive effect during in vivo study. LI-2 also antagonized Mg2+ induced NM block.Table 1: Antagonism of d-Tc, pancuronium and vecuronium induced NM block by LI-2CONCLUSION: Since Mg2+ induced NM block is not reversed by cholinesterase inhibitors such as neostigmine, the mechanism of antagonist effect of LI-2 is similar to 3,4-DAP. LI-2 may, therefore, have clinical utility in reversing NM block at the end of surgery, and in treating diseases associated with cholinergic dysfunctions.

Full Text
Published version (Free)

Talk to us

Join us for a 30 min session where you can share your feedback and ask us any queries you have

Schedule a call