0
ARTICLE |

Anisodamine Inhibits Thromboxane Synthesis, Granulocyte Aggregation, and Platelet Aggregation: Title and subTitle BreakA Possible Mechanism for Its Efficacy in Bacteremic Shock FREE

Xiu Rui-Juan, MD; Dale E. Hammerschmidt, MD; Patricia A. Coppo, MS; Harry S. Jacob, MD
[+] Author Affiliations

Reprint requests to Box 480 Mayo Building, University of Minnesota Hospitals, Minneapolis, MN 55455 (Dr Hammerschmidt).


JAMA. 1982;247(10):1458-1460. doi:10.1001/jama.1982.03320350062033
Text Size: A A A
Published online

Anisodamine hydrochloride is a vasoactive drug produced in the People's Republic of China that appears efficacious in clinical and experimental bacteremic shock, and about whose mode of action little is known. Suspecting that the drug might work by inhibition of platelet or granulocyte aggregation, or both, we tested it in these systems. Anisodamine proved a modest inhibitor of granulocyte aggregation and a powerful inhibitor of platelet aggregation; thromboxane synthesis was inhibited in anisodaminetreated platelets, further suggesting that the biochemical mode of action might be inhibition of cyclo-oxygenase or thromboxane synthetase.

(JAMA 1982;247:1458-1460)

REFERENCES

 Changes in nail-fold microcirculation and amines in diseases manifesting acute microcirculatory disturbance, anonymous, from the Chinese Academy of Medical Sciences and Beijing Friendship Hospital . Chin Med J 1975;;1:216-224.
Xiu R-J:  Some links of microcirculatory disturbances, lecture . Chung Hua Nei Ko Tsa Chih 1980;;19:306-309.
Xiu R-J:  Studies on microcirculation in Institute of Basic Medical Sciences, Chinese Academy of Medical Sciences . Microvasc Res 1980;;20:371-373.
Xiu R-J:  Studies on anisodamine antagonism of microvascular vasospasm using CCTV . Chin Med J , to be published.
Hammerschmidt DE, White JG, Craddock PR, et al:  Corticosteroids inhibit complement-induced granulocyte aggregation: A possible mechanism for their efficacy in shock states . J Clin Invest 1979;;63:798-803.
Flynn PJ, Becker WK, Weisdorf DJ, et al:  A mechanism for reduction of experimental myocardial infarct size by ibuprofen . Circ Shock 1980;;7:187.
Craddock PR, Hammerschmidt DE, White JG, et al:  Complement (C5a)-induced granulocyte aggregation in vitro . J Clin Invest 1977;; 60:261-264.
Hammerschmidt DE, Bowers TK, Lammi-Keefe CJ, et al:  Granulocyte aggregometry: A sensitive technique for the detection of C5a and complement activation . Blood 1980;;55:898-902.
Harms C:  Routine laboratory procedures , in Triplett DA (ed): Platelet Function: Laboratory Evaluation and Clinical Application . Chicago, American Society of Clinical Pathologists, 1978;, pp 211-221.
Clark C, Harms C:  Specialized laboratory procedures , in Triplett DA (ed): Platelet Function: Laboratory Evaluation and Clinical Application . Chicago, American Society of Clinical Pathologists, 1978;, pp 240-242.
 Adsorption, distribution and excretion of anisodamine, anonymous, from the Chinese Academy of Medical Sciences and Beijing Friendship Hospital . Chin Med J 1973;;1:274-278 (English abstract, p 59).
 Pharmacologic effects of anisodamine, anonymous, from the Chinese Academy of Medical Sciences and Beijing Friendship Hospital . Chin Med J 1975;;1:133-138.

Figures

Tables

Interactive Graphics

Video

Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal

 Changes in nail-fold microcirculation and amines in diseases manifesting acute microcirculatory disturbance, anonymous, from the Chinese Academy of Medical Sciences and Beijing Friendship Hospital . Chin Med J 1975;;1:216-224.
Xiu R-J:  Some links of microcirculatory disturbances, lecture . Chung Hua Nei Ko Tsa Chih 1980;;19:306-309.
Xiu R-J:  Studies on microcirculation in Institute of Basic Medical Sciences, Chinese Academy of Medical Sciences . Microvasc Res 1980;;20:371-373.
Xiu R-J:  Studies on anisodamine antagonism of microvascular vasospasm using CCTV . Chin Med J , to be published.
Hammerschmidt DE, White JG, Craddock PR, et al:  Corticosteroids inhibit complement-induced granulocyte aggregation: A possible mechanism for their efficacy in shock states . J Clin Invest 1979;;63:798-803.
Flynn PJ, Becker WK, Weisdorf DJ, et al:  A mechanism for reduction of experimental myocardial infarct size by ibuprofen . Circ Shock 1980;;7:187.
Craddock PR, Hammerschmidt DE, White JG, et al:  Complement (C5a)-induced granulocyte aggregation in vitro . J Clin Invest 1977;; 60:261-264.
Hammerschmidt DE, Bowers TK, Lammi-Keefe CJ, et al:  Granulocyte aggregometry: A sensitive technique for the detection of C5a and complement activation . Blood 1980;;55:898-902.
Harms C:  Routine laboratory procedures , in Triplett DA (ed): Platelet Function: Laboratory Evaluation and Clinical Application . Chicago, American Society of Clinical Pathologists, 1978;, pp 211-221.
Clark C, Harms C:  Specialized laboratory procedures , in Triplett DA (ed): Platelet Function: Laboratory Evaluation and Clinical Application . Chicago, American Society of Clinical Pathologists, 1978;, pp 240-242.
 Adsorption, distribution and excretion of anisodamine, anonymous, from the Chinese Academy of Medical Sciences and Beijing Friendship Hospital . Chin Med J 1973;;1:274-278 (English abstract, p 59).
 Pharmacologic effects of anisodamine, anonymous, from the Chinese Academy of Medical Sciences and Beijing Friendship Hospital . Chin Med J 1975;;1:133-138.
CME Course for:


You need to register in order to view this quiz.


To understand the clinical management of acute heart failure syndromes.
Accreditation Information The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
To view and print your certificate and access a summary of your CME courses go to My CME.
NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s “Cited By” API will populate this tab (http://www.crossref.org/citedby.html).
Submit a Response

Some tools below are only available to our subscribers or users with an online account.

Related Content

Customize your page view by dragging & repositioning the boxes below.