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
相关论文
共 87 条
[61]   COMPARATIVE EFFECTS OF PROPOFOL AND HALOTHANE ON OUTCOME FROM TEMPORARY MIDDLE CEREBRAL-ARTERY OCCLUSION IN THE RAT [J].
RIDENOUR, TR ;
WARNER, DS ;
TODD, MM ;
GIONET, TX .
ANESTHESIOLOGY, 1992, 76 (05) :807-812
[62]   Tissue antioxidant capacity during anesthesia:: Propofol enhances in vivo red cell and tissue antioxidant capacity in a rat model [J].
Runzer, TD ;
Ansley, DM ;
Godin, DV ;
Chambers, GK .
ANESTHESIA AND ANALGESIA, 2002, 94 (01) :89-93
[63]   Propofol attenuates myocardial lipid peroxidation during coronary artery bypass grafting surgery [J].
Sayin, MM ;
Özatamer, O ;
Tasöz, R ;
Kilinç, K ;
Ünal, N .
BRITISH JOURNAL OF ANAESTHESIA, 2002, 89 (02) :242-246
[64]   Iron activates NF-κB in Kupffer cells [J].
She, HY ;
Xiong, SG ;
Lin, M ;
Zandi, E ;
Giulivi, C ;
Tsukamoto, H .
AMERICAN JOURNAL OF PHYSIOLOGY-GASTROINTESTINAL AND LIVER PHYSIOLOGY, 2002, 283 (03) :G719-G726
[65]   Comparison of a lower-lipid propofol emulsion with the standard emulsion for sedation duying monitored anesthesia care [J].
Song, D ;
Hamza, MA ;
White, PF ;
Byerly, SI ;
Jones, SB ;
Macaluso, AD .
ANESTHESIOLOGY, 2004, 100 (05) :1072-1075
[66]   The pharmacodynamic effects of a lower-lipid emulsion of propofol: A comparison with the standard propofol emulsion [J].
Song, DJ ;
Hamza, M ;
White, PF ;
Klein, K ;
Recart, A ;
Khodaparast, O .
ANESTHESIA AND ANALGESIA, 2004, 98 (03) :687-691
[67]   INTERACTION OF BISULFITE WITH UNSATURATED FATTY-ACIDS [J].
SOUTHERLAND, WM ;
AKOGYERAM, CO ;
TOGHROL, F ;
SLOAN, L ;
SCHERRER, R .
JOURNAL OF TOXICOLOGY AND ENVIRONMENTAL HEALTH, 1982, 10 (03) :479-491
[68]   Ascorbic acid is neuroprotective against global ischaemia in striatum but not hippocampus: histological and voltammetric data [J].
Stamford, JA ;
Isaac, D ;
Hicks, CA ;
Ward, MA ;
Osborne, DJ ;
O'Neill, MJ .
BRAIN RESEARCH, 1999, 835 (02) :229-240
[69]  
STEPHAN H, 1987, ANAESTHESIST, V36, P60
[70]   Effects of intravenous anesthetics on interleukin (IL)-6 and IL-10 production by lipopolysaccharide-stimulated mononuclear cells from healthy volunteers [J].
Takaono, M ;
Yogosawa, T ;
Okawa-Takatsuji, M ;
Aotsuka, S .
ACTA ANAESTHESIOLOGICA SCANDINAVICA, 2002, 46 (02) :176-179