Apixaban
Imvelaphi
I-Apixaban yi-inhibitor ekhethiweyo kunye ne-reversible inhibitor ye-Factor Xa enexabiso le-Ki ye-0.08 nM kunye ne-0.17 nM kumntu kunye nomvundla, ngokulandelanayo[1].
I-Factor X, ekwabizwa ngegama elithi Stuart-Prower factor, yi-enzyme ye-coagulation cascade.I-Factor X iyasebenza, nge-hydrolysis, ibe yi-factor Xa zombini i-IX.I-Factor Xa yindlela esetyenzisiweyo ye-coagulation factorthrombokinase.I-Inhibiting Factor Xa inokunika enye indlela ye-anticoagulation.Direct Xa inhibitors zithandwa anticoagulants [2].
I-In vitro: I-Apixabanhas ibonise izinga eliphezulu lamandla, ukukhetha, kunye nokusebenza kakuhle kwi-Factor Xa kunye ne-Ki ye-0.08 nM kunye ne-0.17 nM ye-Human Factor Xa kunye ne-Rabbit Factor Xa, ngokulandelanayo [1].I-Apixaban yandisa amaxesha okuvala i-plasma yomntu eqhelekileyo kunye nokugxininiswa (EC2x) ye-3.6, 0.37, 7.4 kunye ne-0.4 μM, efunekayo ngokulandelanayo ukuphindaphinda ixesha le-prothrombin (PT), ixesha leprothrombin elilungisiweyo (mPT), ixesha elisebenzayo le-thromboplastin ( APTT) kunye neHepTest.Ngaphandle koko, i-Apixaban ibonise amandla aphezulu kwi-plasma yomntu kunye nomvundla, kodwa amandla amancinci kwi-rat kunye ne-dog plasma kuzo zombini ii-PT kunye ne-APTT assays [3].
Kwi-vivo: I-Apixaban ibonise i-pharmacokinetics egqwesileyo enemvume ephantsi kakhulu (Cl: 0.02 L kg-1h-1), kunye nomthamo ophantsi wokusabalalisa (Vdss: 0.2 L / kg) kwinja.Ngaphandle koko, i-Apixaban iphinde yabonisa i-half-life half-life kunye ne-T1 / 2 yeeyure ze-5.8 kunye ne-bioavailability yomlomo omhle (F: 58%) [1].Kwi-arteriovenous-shunt thrombosis (AVST), i-venous thrombosis (VT) kunye ne-carotid arterial thrombosis (ECAT) imodeli yomvundla, i-Apixaban ivelise iziphumo ze-antithrombotic kunye ne-EC50 ye-270 nM, i-110 nM kunye ne-70 nM ngendlela exhomekeke kwi-dose [3]. ].I-Apixaban inhibited kakhulu xa umsebenzi nge-IC50 ye-0.22 μM kumvundla ex vivo[4].Kwi-chimpanzee, i-Apixaban nayo yabonisa umthamo omncinci wokusabalalisa (Vdss: 0.17 L kg-1), imvume ephantsi yenkqubo (Cl: 0.018 L kg-1h-1), kunye ne-bioavailability yomlomo omhle (F: 59%) [5].
IiReferensi:
Pinto DJP, Orwat MJ, Koch S, et al.Ukufunyanwa kwe-1-(4-methoxyphenyl)-7-oxo-6-(4-(2-oxopiperidin-1-yl) phenyl)-4, 5, 6, 7-tetrahydro-1 H-pyrazolo [3, 4- c] i-pyridine-3-carboxamide (i-Apixaban, i-BMS-562247), i-inhibitor enamandla kakhulu, ekhethiweyo, esebenzayo, kunye ne-oral bioavailable inhibitor ye-blood coagulation factor Xa[J].Ijenali yekhemistri yonyango, i-2007, i-50 (22): 5339-5356.
Sidhu P S. I-Factor Direct Xa Inhibitors njenge-Anticoagulants[J].
Wong PC, Crain EJ, Xin B, et al.I-Apixaban, i-oral, ngokuthe ngqo kunye ne-high selective factor Xa inhibitor: in vitro, antithrombotic kunye ne-antihemostaticstudies[J].Ijenali ye-Thrombosis kunye ne-Haemostasis, i-2008, i-6 (5): 820-829.
Zhang D, He K, Raghavan N, et al.I-Metabolism, i-pharmacokinetics kunye ne-pharmacodynamics ye-factor Xa inhibitor apixaban kwimivundla[J].Ijenali ye-thrombosis kunye ne-thrombolysis, i-2010, i-29 (1): 70-80.
Yena K, uLuettgen JM, uZhang D, et al.I-pharmacokinetics ye-preclinical kunye ne-pharmacodynamics ye-apixaban, into enamandla kunye nekhethiweyo ye-Xa inhibitor[J].Ijenali yaseYurophu ye-metabolism yeziyobisi kunye ne-pharmacokinetics, i-2011, i-36 (3): 129-139.
I-Apixaban yi-inhibitor ekhethiweyo kunye ne-reversible inhibitor ye-Factor Xa enexabiso le-Ki ye-0.08 nM kunye ne-0.17 nM kumntu kunye nomvundla, ngokulandelanayo[1].
I-Factor X, ekwabizwa ngegama elithi Stuart-Prower factor, yi-enzyme ye-coagulation cascade.I-Factor X iyasebenza, nge-hydrolysis, ibe yi-factor Xa zombini i-IX.I-Factor Xa yindlela esetyenzisiweyo ye-coagulation factorthrombokinase.I-Inhibiting Factor Xa inokunika enye indlela ye-anticoagulation.Direct Xa inhibitors zithandwa anticoagulants [2].
I-In vitro: I-Apixabanhas ibonise izinga eliphezulu lamandla, ukukhetha, kunye nokusebenza kakuhle kwi-Factor Xa kunye ne-Ki ye-0.08 nM kunye ne-0.17 nM ye-Human Factor Xa kunye ne-Rabbit Factor Xa, ngokulandelanayo [1].I-Apixaban yandisa amaxesha okuvala i-plasma yomntu eqhelekileyo kunye nokugxininiswa (EC2x) ye-3.6, 0.37, 7.4 kunye ne-0.4 μM, efunekayo ngokulandelanayo ukuphindaphinda ixesha le-prothrombin (PT), ixesha leprothrombin elilungisiweyo (mPT), ixesha elisebenzayo le-thromboplastin ( APTT) kunye neHepTest.Ngaphandle koko, i-Apixaban ibonise amandla aphezulu kwi-plasma yomntu kunye nomvundla, kodwa amandla amancinci kwi-rat kunye ne-dog plasma kuzo zombini ii-PT kunye ne-APTT assays [3].
Kwi-vivo: I-Apixaban ibonise i-pharmacokinetics egqwesileyo enemvume ephantsi kakhulu (Cl: 0.02 L kg-1h-1), kunye nomthamo ophantsi wokusabalalisa (Vdss: 0.2 L / kg) kwinja.Ngaphandle koko, i-Apixaban iphinde yabonisa i-half-life half-life kunye ne-T1 / 2 yeeyure ze-5.8 kunye ne-bioavailability yomlomo omhle (F: 58%) [1].Kwi-arteriovenous-shunt thrombosis (AVST), i-venous thrombosis (VT) kunye ne-carotid arterial thrombosis (ECAT) imodeli yomvundla, i-Apixaban ivelise iziphumo ze-antithrombotic kunye ne-EC50 ye-270 nM, i-110 nM kunye ne-70 nM ngendlela exhomekeke kwi-dose [3]. ].I-Apixaban inhibited kakhulu xa umsebenzi nge-IC50 ye-0.22 μM kumvundla ex vivo[4].Kwi-chimpanzee, i-Apixaban nayo yabonisa umthamo omncinci wokusabalalisa (Vdss: 0.17 L kg-1), imvume ephantsi yenkqubo (Cl: 0.018 L kg-1h-1), kunye ne-bioavailability yomlomo omhle (F: 59%) [5].
IiReferensi:
Pinto DJP, Orwat MJ, Koch S, et al.Ukufunyanwa kwe-1-(4-methoxyphenyl)-7-oxo-6-(4-(2-oxopiperidin-1-yl) phenyl)-4, 5, 6, 7-tetrahydro-1 H-pyrazolo [3, 4- c] i-pyridine-3-carboxamide (i-Apixaban, i-BMS-562247), i-inhibitor enamandla kakhulu, ekhethiweyo, esebenzayo, kunye ne-oral bioavailable inhibitor ye-blood coagulation factor Xa[J].Ijenali yekhemistri yonyango, i-2007, i-50 (22): 5339-5356.
Sidhu P S. I-Factor Direct Xa Inhibitors njenge-Anticoagulants[J].
Wong PC, Crain EJ, Xin B, et al.I-Apixaban, i-oral, ngokuthe ngqo kunye ne-high selective factor Xa inhibitor: in vitro, antithrombotic kunye ne-antihemostaticstudies[J].Ijenali ye-Thrombosis kunye ne-Haemostasis, i-2008, i-6 (5): 820-829.
Zhang D, He K, Raghavan N, et al.I-Metabolism, i-pharmacokinetics kunye ne-pharmacodynamics ye-factor Xa inhibitor apixaban kwimivundla[J].Ijenali ye-thrombosis kunye ne-thrombolysis, i-2010, i-29 (1): 70-80.
Yena K, uLuettgen JM, uZhang D, et al.I-pharmacokinetics ye-preclinical kunye ne-pharmacodynamics ye-apixaban, into enamandla kunye nekhethiweyo ye-Xa inhibitor[J].Ijenali yaseYurophu ye-metabolism yeziyobisi kunye ne-pharmacokinetics, i-2011, i-36 (3): 129-139.
Ubume beMichiza
Isindululo18Iiprojekthi zoVavanyo loBulunga ezivunyiweyo4, kwaye6iiprojekthi ziphantsi kolwamkelo.
Inkqubo yolawulo lomgangatho wehlabathi ephucukileyo ibeke isiseko esiluqilima sokuthengisa.
Ukongamela umgangatho kutyhutyha umjikelo wobomi bemveliso ukuqinisekisa umgangatho kunye nesiphumo sonyango.
Iqela leMicimbi yoLawulo lobuGcisa lixhasa iimfuno zomgangatho ngexesha lesicelo nokubhaliswa.