Propofol: An immunomodulating agent

被引:101
作者
Marik, PE [1 ]
机构
[1] Thomas Jefferson Univ, Div Pulm & Crit Care Med, Philadelphia, PA 19107 USA
来源
PHARMACOTHERAPY | 2005年 / 25卷 / 05期
关键词
propofol; ethylenediaminetetraacetic acid; metabisulfite; EDTA; cytokines; nuclear factor-kappa B; nitric oxide; lipid peroxidation; antioxidant;
D O I
10.1592/phco.2005.25.5_Part_2.28S
中图分类号
R9 [药学];
学科分类号
1007 ;
摘要
Propofol (2,6-diisopropylphenol) is a potent intravenous hypnotic agent widely administered for induction and maintenance of anesthesia and for sedation in the intensive care unit. Propofol is insoluble in water and therefore is formulated in a lipid emulsion. In addition, a preservative (ethylenediaminetetraacetic acid [EDTA] or sodium metabisulfite) is added to retard bacterial growth. Propofol has antiinflammatory properties, decreasing production of proinflammatory cytokines, altering expression of nitric oxide, and inhibiting neutrophil function. Propofol also is a potent antioxidant. The added preservatives have biologic activity; EDTA has antiinflammatory properties, whereas metabisulfite may cause lipid peroxidation. The antiinflammatory and antioxidant properties of propofol may have beneficial effects in patients with sepsis and systemic inflammatory response syndrome.
引用
收藏
页码:28S / 33S
页数:6
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