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The Interaction of Neuromuscular Blocking Agents With Human Cholinesterases and Their Binding to Plasma Proteins

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Part of the book series: Handbook of Experimental Pharmacology ((HEP,volume 79))

Abstract

The interactions of neuromuscular (NM) blocking agents (NMBA) with cholinesterases (ChE) have inportant pharmacologic and clinical implications. Some of the ester type NMBA, e.g., succinylcholine chloride (suxamethonium; SCh), suxethonium bromide, are hydrolyzed by human plasma butyrylcholinesterase (EC 3.1.1.8; BuChE) (Tsuji and Foldes 1953; Foldes et al. 1956). Their hydrolysis rate in most other mammalian plasmas is much lower than in human plasma (Tsuji and Foldes 1953). In vivo inhibition of plasma BuChE will increse the intensity and duration of action of hydrolyzable NMBA.

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References

  • Deery A, Foldes FF, Benad G, McCloskey MA (1982) Interaction of neuromuscular blocking agents with human cholinesterases. Anesthesiology 51:A275

    Article  Google Scholar 

  • Foldes FF (1978) Enzymes of acetylcholine metabolism. In: Foldes FF (ed) Enzymes in anesthesiology. Springer, New York Heidelberg Berlin, pp 91–168

    Chapter  Google Scholar 

  • Foldes FF, Foldes VM (1965) ω-Amino fatty acid esters of choline: interaction with cholinesterases and neuromuscular activity in man. J Pharmcol Exp Ther 150:220–230

    CAS  Google Scholar 

  • Foldes FF, Smith JC (1966) The interaction of human cholinesterases with anticholinesterases used in the therapy of myasthenia gravis. Ann NY Acad Sci 135:287–301

    Article  PubMed  CAS  Google Scholar 

  • Foldes FF, Swerdlow M, Lipschitz E, van Hees GR, Shanor SP (1956) Comparison of the respiratory effects of suxamethonium and suxethonium in man. Anesthesiology 17:559–568

    Article  PubMed  CAS  Google Scholar 

  • Foldes FF, Molloy RE, Zsigmond EK, Zwartz JA (1960) Hexafluorenium: its anticholinesterase and neuromuscular activity. J Pharmacol Exp Ther 129:400–404

    PubMed  CAS  Google Scholar 

  • Foldes FF, Zsigmond EK, Foldes VM, Erdos EG (1962) The distribution of acetylcholinesterase and butyrylcholinesterase in the human brain. J Neurochem 9:559–572

    Article  PubMed  CAS  Google Scholar 

  • Foldes FF, Foldes VM, Smith JC, Zsigmond EK (1963) The relation between plasma Cholinesterase and prolonged apnea caused by succinylcholine. Anesthesiology 24:208–216

    Article  PubMed  CAS  Google Scholar 

  • Pantuck EJ (1966) Ecothiopate iodide eye drops and prolonged response to suxamethonium. Br J Anaesth 38:406–407

    Article  PubMed  CAS  Google Scholar 

  • Smith JC, Foldes VM, Foldes FF (1963) Distribution of Cholinesterase in normal human muscle. Can J Biochem Physiol 41:1713–1720

    Article  PubMed  CAS  Google Scholar 

  • Tsuji FJ, Foldes FF (1953) Hydrolysis of succinylcholine in human plasma. Fed Proc 12:374

    Google Scholar 

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© 1986 Springer-Verlag Berlin Heidelberg

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Foldes, F.F., Deery, A. (1986). The Interaction of Neuromuscular Blocking Agents With Human Cholinesterases and Their Binding to Plasma Proteins. In: Kharkevich, D.A. (eds) New Neuromuscular Blocking Agents. Handbook of Experimental Pharmacology, vol 79. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-70682-0_8

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  • DOI: https://doi.org/10.1007/978-3-642-70682-0_8

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-70684-4

  • Online ISBN: 978-3-642-70682-0

  • eBook Packages: Springer Book Archive

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