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    • 2. 发明申请
    • AMINO ACIDS CONTAINING PARENTERAL FORMULATIONS FOR THE TREATMENT OF HYPOTENSION AND RELATED PATHOLOGIES
    • 含有治疗高血压和相关病理学的参考配方的氨基酸
    • WO1993005780A1
    • 1993-04-01
    • PCT/US1992008227
    • 1992-09-26
    • BOARD OF REGENTS, THE UNIVERSITY OF TEXAS SYSTEMCORNELL RESEARCH FOUNDATION, INC.
    • BOARD OF REGENTS, THE UNIVERSITY OF TEXAS SYSTEMCORNELL RESEARCH FOUNDATION, INC.KILBOURN, Robert, G.GRIFFITH, Owen, W.GROSS, Steven, S.
    • A61K31/415
    • A61K31/715A61K31/415A61K38/20A61K38/19A61K31/405A61K31/40A61K31/195A61K38/04A61K2300/00
    • An anti-hypotensive formulation comprising an essentially arginine-free or low arginine (less than about 0.1 %, most preferably, about 0.01 %) containing mixture of amino acids is provided. The formulations may further include ornithine, citrulline or both. Combination regimens of the described TPN solutions and an arginine analog, or the TPN formations with an anti-endotoxine antibody, an interleukin-1 receptor antagonist, or an anti-tumor necrosis antibody are also provided. Methods for prophylaxis and treatment of systemic hypotension in employing these combination regimens are also provided. A method for treating hypotension caused by nitric oxide synthesis, through administering a low or essentially arginine-free parenteral formulation is described. Methods for treating an animal in septic shock are also disclosed. Prophylaxis or treatment of systemic hypotension, particularly that hypotension incident to chemotherapeutic treatment with biologic response modifiers, such as tumor necrosis factor or interleukin-1 or -2, may be accomplished through the administration of the defined anti-hypotensive formulations or combination regimens with a TPN formulation until physiologically acceptable systolic blood pressure levels are achieved in the animal. Treatment of an animal for septic shock induced by endotoxin may also be accomplished by administering to the animal the arginine-free formulations described. Methods for providing nutritional support for an animal at risk of or in septic shock may also be provided through the administration of an arginine-free formulation or the combination regimens.
    • 提供包含基本上不含精氨酸或低精氨酸(小于约0.1%,最优选约0.01%)的包含氨基酸混合物的抗低血压制剂。 制剂还可包括鸟氨酸,瓜氨酸或两者。 还提供了所述TPN溶液和精氨酸类似物或具有抗内毒素抗体,白介素-1受体拮抗剂或抗肿瘤坏死抗体的TPN结构的组合方案。 还提供了在使用这些联合方案时预防和治疗全身性低血压的方法。 描述了通过施用低或基本上不含精氨酸的肠胃外制剂来治疗由一氧化氮合成引起的低血压的方法。 还公开了用于治疗脓毒性休克的动物的方法。 预防或治疗全身性低血压,特别是生物反应调节剂(如肿瘤坏死因子或白细胞介素-1或-2)对化疗治疗的低血压可以通过给予定义的抗低血压药物或组合方案与 TPN制剂在动物中达到生理上可接受的收缩压水平。 内毒素引起的脓毒性休克动物的治疗也可以通过向动物施用所述的不含精氨酸的制剂来实现。 还可以通过施用无精氨酸制剂或组合方案来提供危险的或在脓毒性休克中的动物的营养支持的方法。