Methods of the assessment of the effect of drugs on liver blood flow in man.

作者: EE Ohnhaus

DOI: 10.1111/J.1365-2125.1979.TB00926.X

关键词: Liver functionPathologyCirrhosisLiver blood flowDrug metabolismPortal hypertensionHepatic drug clearanceAnastomosisPhysiologyLiver diseaseMedicine

摘要: The liver is the central metabolic organ of body and therefore volume composition blood perfusing are undoubtedly major determinants hepatocellular function. In past amount flow its regulation was mainly investigated by physiologists most work done in animals (Bradley, 1963; Greenway Stark, 1971). recent years clinicians pharmacologists have paid more attention to problem measurements as it found that drug metabolism can be influenced changes under certain experimental conditions (Ohnhaus, Thorgeirsson, Davies Breckenridge, 1971; Branch, Shand, Wilkinson Nies, 1974). Based on these findings a physiological approach hepatic clearance has been developed which seems very useful predicting kinetics produced variations biological disposition (Wilkinson, 1975; 1975). addition, surgeons started treat portal hypertension occurring disease such cirrhosis portocaval or similar anastomoses, assessed with other parameters function select appropriate patients for surgery (Bircher, Blankart, Halpern, Hacki, Laissue Preisig, 1973). These facts increased tremendously interest clinical methods measurement their limitations order investigate outcome following different operating procedures.

参考文章(59)
Lars F. Gram, Johannes Christiansen, First-pass metabolism of imipramine in man. Clinical Pharmacology & Therapeutics. ,vol. 17, pp. 555- 563 ,(1975) , 10.1002/CPT1975175555
Grant R. Wilkinson, David G. Shand, A physiological approach to hepatic drug clearance Clinical Pharmacology & Therapeutics. ,vol. 18, pp. 377- 390 ,(1975) , 10.1002/CPT1975184377
J Caesar, S Sherlock, L Chiandussi, S Shaldon, L Guevara, The use of indocyanine green in the measurement of hepatic blood flow and as a test of hepatic function. Clinical Science. ,vol. 21, pp. 43- 57 ,(1961)
Lars F. Gram, Kerstin Fredricson Overø, First-pass metabolism of nortriptyline in man. Clinical Pharmacology & Therapeutics. ,vol. 18, pp. 305- 314 ,(1975) , 10.1002/CPT1975183305
Hadley L. Conn, Equilibrium distribution of radioxenon in tissue: xenon-hemoglobin association curve Journal of Applied Physiology. ,vol. 16, pp. 1065- 1070 ,(1961) , 10.1152/JAPPL.1961.16.6.1065
G. Dietze, M. Wicklmayr, H. Czempiel, H. G. Henftling, K. D. Hepp, H. Mehnert, [On the analysis of the hepatic-venous 133xenon-clearance after the application of the gas by inhalation]. Journal of Molecular Medicine. ,vol. 53, pp. 639- 640 ,(1975) , 10.1007/BF01469686
D. Mendel, John Grayson, Physiology of the Splanchnic Circulation ,(1965)
Telfer B. Reynolds, Allan G. Redeker, Herman M. Geller, Wedged hepatic venous pressure The American Journal of Medicine. ,vol. 22, pp. 341- 350 ,(1957) , 10.1016/0002-9343(57)90090-6
Robert A. Branch, David G. Shand, Grant R. Wilkinson, Alan S. Nies, Increased Clearance of Antipyrine and d-Propranolol after Phenobarbital Treatment in the Monkey Journal of Clinical Investigation. ,vol. 53, pp. 1101- 1107 ,(1974) , 10.1172/JCI107647
C V Greenway, R D Stark, Hepatic vascular bed. Physiological Reviews. ,vol. 51, pp. 23- 65 ,(1971) , 10.1152/PHYSREV.1971.51.1.23