Biomedical subjects

R C Schoemaker

Publications and source records attributed to R C Schoemaker.

75 records · Page 5Linked to original sources

PubMed1992

Gastrointestinal blood loss after non-steroidal anti-inflammatory drugs. Measurement by selective determination of faecal porphyrins.

1. A method for the detection of gastrointestinal blood loss based upon the selective measurement of faecal porphyrins was tested in two studies in healthy volunteers. 2. In the first study subjects (n = 6) received intragastric autologous blood (saline, 2 and 6 ml as a single dose) resulting in a dose dependent increase in faecal porphyrins. 3. In a subsequent placebo controlled cross over study in 12 subjects acetylsalicylic acid (ASA), nabumetone (a new NSAID) or placebo were administered for 5 days with a washout period of 9 days. They were no dietary restrictions. 4. All faeces were collected during the treatment period and both the full faecal homogenate and a random faecal sample were analyzed for deutero- and pemptoporphyrin content by h.p.l.c. Additionally a benzidine reaction was performed. 5. There was a highly significant correlation (r = 0.95) between the values obtained from random samples and the full homogenate. ASA increased the faecal porphyrin excretion (P less than 0.001) compared with placebo in contrast to nabumetone. Complaints of dyspepsia were most common after ASA. 6. Measurement of faecal porphyrins is useful for monitoring NSAID induced upper gastrointestinal blood loss and lacks some of the practical constraints of other methods.

Adult↗

PubMed1990

The influence of infusion rate on the hemodynamic effects of felodipine.

The hemodynamic effects of the calcium entry blocker felodipine were studied during and after different infusion rates. Eight healthy normotensive volunteers had their individual pharmacokinetics of felodipine determined, and they subsequently entered a double-blind, randomized, crossover study. Individualized infusions of felodipine were given by a computerized infusion pump to reach plasma concentrations of 6 ng/ml (15.6 nmol/L) after 20 minutes, to be sustained for 8 hours (fast infusion) or the same plasma concentration after 8 hours (slow infusion). Control infusions with saline and vehicle were given. Blood pressure, heart rate, ECG conduction times, and baroreceptor sensitivity by the Valsalva test were measured, as well as the plasma concentrations of felodipine. The infusion system used produced the expected plasma concentration-time profiles with higher plasma concentrations after the fast infusion until 8 hours. Both slow and fast infusion increased heart rate (p less than 0.05) and produced a similar decrease in diastolic blood pressure (p less than 0.05). Slow infusion therefore reduced blood pressure more effectively. The tachycardia after the fast infusion was more pronounced during the first hour of the infusion but was indistinguishable from the slow infusion later, when plasma concentrations were still significantly different. Baroreceptor responsiveness was diminished by both felodipine treatments. There was no obvious difference in side effects caused by the two infusion regimes. The initial tachycardia after felodipine can be diminished by a slow rate of administration of the drug with a similar effect on blood pressure.

Adult↗

PubMedDate not supplied

Analysis of asymmetry of agonist concentration-effect curves.

We have developed a fitting procedure, based on nonlinear mixed effect modelling and original work by Richards (1959, J Exp Botany 10, 290-300), to describe the degree of asymmetry of concentration-effect E/[A] curves and analysed the shape of E/[A] curves obtained with alpha1-adrenoceptor agonists in rat aorta. The four-parameter Richards model provided a significantly better fit of the data than the standard logistic/Hill model for all ligands investigated, which implies that E/[A] curves were asymmetrical. With the exception of ST 587, the asymmetry parameter (delta) tended toward zero and the Richards model could be replaced without significant loss of goodness-of-fit by the three-parameter, asymmetrical Gompertz model. The alpha1-adrenoceptor antagonist, prazosin (10 nM), had no effect on the asymmetry of the noradrenaline E/[A] curve but significantly increased the slope at the point of inflection. In contrast, pretreatment with the irreversible antagonist, phenoxybenzamine (60 nM), produced a shift of the delta estimate for noradrenaline from zero to unity, indicating a change from an asymmetrical to a symmetrical curve. Therefore, detailed statistical analysis of E/[A] curve asymmetry demonstrates that alpha1-adrenoceptors in rat aorta do not operate as a homogenous one-receptor-one-transducer system. This conclusion could not have been reached by either an analysis with the standard logistic/Hill model or visual inspection of experimental data. Overall, the curve-fitting analysis developed in this study provides a quantitative and sensitive measure of asymmetry and a novel method for the objective discrimination of agonist action on the basis of curve shape. The method is generally applicable to other pharmacological assays and provides a new tool in receptor classification studies.

Adrenergic alpha-Agonists↗