Abstract
Prostacyclin (PGI2) is now available for intravascular infusions as a stable freeze-dried preparation under the approved name of epoprostenol and the trade names of Flolan (Wellcome) and Cycloprostin (Up-john). Vasodilatory and platelet-suppressant activities of prostacyclin in vitro which had been described at the time of its discovery (Moncada et al., 1976) were reproduced in healthy volunteers (Szczeklik et al., 1978b; Gryglewski et al., 1978). Those two properties of prostacyclin constitute a basic rationale for its clinical use in vascular disease, although stimulation of the fibrinolytic system by prostacyclin in man (Dembińska-Kieć et al., 1982; Szczeklik et al., 1983) and its cytoprotective action in animals (for references see Vane, 1983; Sikujara et al., 1983; Whittle &; Moncada, 1983) require a careful consideration in further clinical trials
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
ASSAL, A.W., HELG, C. &;amp; VONDERWELD, N. (1980). Prostacyclin perfusions in diabetic peripheral arterial insufficiency. Diabetologia, 19, 254.
BELCH, J.J.F., DRURY, J.K., CAPELL, H., FORBES, CH.D., NEWMAN, P., Mckenzie, F., LEIBERMAN, P. & PRENTICE, C.R.M. (1983a). Intenmittent epoprostenol (prostacyclin) infusion in patients with Raynaud’s syndrome. Lancet, i, 313–315.
BELCH, J.J.F., McARDLE, B., POLLOCK, J.G., FORBES, CH.D., McKAY, A., LEIBERMAN, P., LOWE, G.D. & PRENTICE, C.R.M. (1983b). Epoprostenol (prostacyclin) and severe arterial disease. Lancet, i, 315–317.
BELCH, J.J.F., NEWMAN, P., DRURY, J.K., CAPELL, H., LEIBERMAN, P., JAMES, W.B., FORBES, C.D. & PRENTICE, C.R.M. (1981). Successful treatment of Raynaud’s syndrome with prostacyclin. Thromb. Haemostas., 44, 255–256.
BERGMAN, G., DALY, K., ATKINSON, L., ROTHMAN, M., RICHARDSON, P. J., JACKSON, G. & JEWITT, D.E. (1981). Prostacyclin: haemodynamic and metabolic effects in patients with coronary artery disease. Lancet, i, 596.
BRANDT, R., DEMBIŃSKA-KIEĆ, A., KORBUT, R., GRYGLEWSKI, R.J. & NOWAK, J. (1984). Release of prostacyclin from human pulmonary vascular bed in response to cholinergic stimulation. Naunyn-Schmiedeberg’s Arch. Pharmac., 325, 69–75.
BUNTING, S., MONCADA, S. & VANE, J.R. (1983). The prostacyclin-thromboxane A2 balance: pathophysiological and therapeutic implications. Br. med. Bull., 39, 271–276.
CHIERCHIA, S., PATRONO, C., CIABATFONI, G., DE CATERINA, R., CINOTTI, G.A., DISTANTE, A. & MASERI, A. (1982). Effect of intravenous prostacyclin in variant angina. Circulation, 65, 470–477.
DECKMYN, H., VANHOUTTE, E., VERSTRAETE, M. & VERMYLEN, J. (1983). Manipulation of the local thromboxane and prostacyclin balance in vivo by the anti-thrombotic compounds dazoxiben, acetylsalicylic acid and nafazatrom. Biochem. Pharmac., 32, 2757–2762.
DEMBIŃSKA-KIEĆ, A., KORBUT, R., BIEROŃ, K., KOSTKA-TRĄBKA, E. & GRYGLEWSKI, R.J. (1983). Beta-Pyridylcarbinol (Ronicol) releases a prostacyclin-like substance into arterial blood of patients with arteriosclerosis obliterans. Pharmac. Res. Commun., 15, 377–385.
DEMBIŃSKA-KIEĆ, A., KOSTKA-TRĄBKA, E. & GRYGLEWSKI, R.J. (1982). Effect of prostacyclin on fibrinolytic activity in patients with arteriosclerosis obliterans. Thromb. Haemostas., 47, 190.
DEMBIIVSKA-KIE6, A., ZMUDA, A., GRODZINSKA, L., BIERON, K., BASISTA, M., KEDZIOR, A., KOSTKATRABKA, E., TELESZ, E. & ZELAZNY, T. (1981). Increased platelet activity after termination of prostacyclin infusion into man. Prostaglandins, 21, 827–831.
EDHAG, O., HENRIKSSON, P. & WENNMALM, A. (1983). Prostacyclin infusion in patients with acute myocardial infarction (preliminary report). New Engl. J. Med., 308, 1032–1033.
FISCHER, S. & WEBER, P.C. (1984). Prostaglandin I3 is formed in vivo in man after dietary eicosapentaenoic acid. Nature, 307, 165–168.
FOX, K.H., JONATHAN, A. & SELVYN, A.P. (1982). Effect of platelet inhibition on myocardial ischaemia. Lancet, ii, 727–730.
GRYGLEWSKI, R.J. (1982). In Advances in Pharmacology and Therapeutics II, Vol. 4. Yoshida, H., Hagihara, Y. & Ebashi, S. (eds) pp. 235–250, Oxford/New York: Pergamon Press.
GRYGLEWSKI, R.J., NOWAK, S., KOSTKA-TRĄBKA, E., KUŚMIDERSKI, J., DEMBIŃSKA-KIE-, A., BIROŃ, K., BASISTA, M. & BLASZCZYK, B. (1983). Treatment of ischaemic stroke with prostacyclin. Stroke, 14, 197–202.
GRYGLEWSKI, R.J., RADOMSKI, M., ŚWIĘS, J. & OCETKIEWICZ, A. (1982). In Role of Chemical Mediators in the Pathophysiology of Acute Illness and Injury. Rita McConn (ed.) pp. 253–262, New York: Raven Press.
GRYGLEWSKI, R.J. & SZCZEKLIK, A. (1984). In Thrombosis and Cardiovascular Disease. Advances in Experimental Medicine and Biology, Vol. 164. Strano, A. (ed.) pp. 211–214, New York/London: Plenum Press.
GRYGLEWSKI, R.J., SZCZEKLIK, A. & NIŻANKOWSKI, R. (1978). Anti-platelet effects of intravenous infusion of prostacyclin in man. Thromb. Res., 13, 153–163.
GUADAGNI, D.N., IKRAM, H. & MASLOWSKI, R. (1981). Haemodynamic effects of prostacyclin (PGI2) in pulmonary hypertension. Br. Heart J., 45, 385–388.
HALL, R.J. & DEWAR, H.A. (1981). Safety of coronary arterial prostacyclin infusion (Letter). Lancet, i, 949.
HALLENBECK, J.M. (1984). In Prostacyclin. Clinical Trials. Gryglewski, R.J., McGiff, J.C. & Szczeklik, A. (eds), New York: Raven Press (in press).
HENRIKSSON, P., EDHAG, O. & WENNMALM, A. (1984). In Prostacyclin. Clinical Trials, Gryglewski, R.J., McGiff, J.C. & Szcezeklik, A. (eds) New York: Raven Press (in press).
HOSSMAN, V., HEINEN, A. & AUEL, H. (1981). A randomized placebo-controlled trial of prostacyclin (PGI2) in peripheral arterial disease. Thromb. Res., 22, 481–490.
HUCZYŃSKI, J., KOSTKA-TĄBKA, E., SOTOWSKA, W., BIEROŃ, K., GRODZIŃSKA, L., DEMBIŃSKA-KIEĆ, A., PAKOSZ-MAZUR, E., PĘZAK, E. & GRYGLEWSKI, R.J. (1984). In Prostacychn. Clinical Trials, Gryglewski, R.J., McGiff, J.C. & Szczeklik, A. (eds), New York: Raven Press (in press).
KADOWITZ, P.J., SPANNHAKE, E.W., LEVIN, J.L. & HYMAN, A.L. (1980). In Advances in Prostaglandin and Thromboxane Research. Samuelsson, B., Ramwell, P.W. & Paoletti, R. (eds) pp. 731–743, New York: Raven Press.
KAUKINEN, S., PESSI, T., YLITALO, P., KRAIS, T. & VAPAATALO, H. (1984). In Prostacyclin. Clinical Trials, Gryglewski, R.J., McGiff, J.C. & Szczeklik, A. (eds) New York: Raven Press (in press).
LEITHNER, C., SINZINGER, H. & SCHWARTZ, M. (1981). Treatment of chronic kidney transplant rejection with prostacyclin — reduction of platelet deposition in the transplant; prolongation of platelet survival and improvement of transplant function. Prostaglandins, 22, 783–788.
LEWIS, P.J. & DOLLERY, C.T. (1983). Clinical pharmacology and potential of prostacyclin. Br. med. Bull., 39, 281–284.
MACHIN, S.J., DEFREYN, G., CHAMONE, D.A. & VERMYLEN, J. (1981). In Clinical Pharmacology of Prostacyclin, Lewis, P.J. & O’Grady, J.M. (eds) p. 173, New York: Raven Press.
MARTIN, J.F., HANDY, N.A.T., NICHOLL, J., LEWATAS, N., BERGVALL, U., OWEN, P., WHITTINGTON, D. & HOLRYHOD, M. (1984). In Prostacyclin. Clinical Trials. Gryglewski, R.J., McGiff, J.C. & Szczeklik, A. (eds), New York: Raven Press (in press).
MEISTER, W., VON SCHAKY, C., WEBER, M., LORENZ, R., KOTZUR, J., REICHART, B., THEISEN, K. & WEBER, P.C. (1984). Low-dose acetylsalicylic acid (100mg/day) after aortocoronary bypass surgery: a placebocontrolled trial. Br. J. clin. Pharmac., 17, 703–711.
MITCHELL, J.R.A. (1983). Clinical aspects of the arachidonic acid — thromboxane pathway. Br. med. Bull., 39, 289–295.
MONCADA, S., GRYGLEWSKI, R.J., BUNTING, S. & VANE, J.R. (1976). An enzyme isolated from arteries transforms prostaglandin endoperoxides to an unstable substance that inhibits platelet aggregation. Nature, 263, 663–665.
NERI SERNERI, G.G. (1982). In Cardiovascular Pharmacology of the Prostaglandins, Herman, A.G., VanHoutte, P.M., Denolin H. & Goosens, A. (eds) pp. 361–374, New York: Raven Press.
NIADA, R., MANTOVANI, M., PRINO, G., PESCADOR, R., PORTA, R., BERTI, F., FOLCO, G.C., OMINI, C. & VIGANO, T. (1982). PGT2-generation and antithrombotic activity of orally administered defibrotide. Pharmac. Res. Commun., 14. 949–957.
NIŻANKOWSKI, R., KRÓLIKOWSKI, W., BIELATOWICZ, J., SCHALLER, J. & SZCZEKLIK, A. (1984). In Prostacyclin. Clinical Trials, Gryglewski, R.J., McGiff, J.C. & Szczeklik, A. (eds), New York: Raven Press (in press).
OLSSON, A.G. (1980). Intravenous prostacyclin for ischaemic ulcers in peripheral artery disease (Letter). Lancet, ii, 1076.
OLSSON, A.G. (1984). InAtherosclerosis, Miller, N.E. (ed.) pp. 91–104, New York: Raven Press.
OLSZEWSKI, E., SEKUŁA, J., KOSTKA-TRĄBKA, E., GRODZIŃSKA, L., DEMBIŃSKA-KIEĆ, A., BIEROŃ, K., BASISTA, M., KĘDZIOR, A. & GRYGLEWSKI, R.J. (1984). In Prostacyclin. Clinical Trials. Gryglewski, R.J., McGiff, J.C. & Szczeklik, A. (eds) New York: Raven Press (in press).
PARDY, B.J., LEWIS, J.D. & EASTCOTF, H.H.G. (1981). Preliminary experience with prostaglandin E1 and I2 in peripheral vascular disease. Surgery, 88, 826–832.
PICKLES, H. & O’GRADY, J. (1982). Side-effects occurring during administration of epoprostenol (prostacyclin, PGI2) in man. Br. J. clin. Pharmac., 14, 177–185.
PRENTICE, C.R.M. & BELCH, J.J.F. (1984). In Prostacyclin. Clinical Trials, Gryglewski, R.J., McGiff, JC. & Szczeklik, A. (eds) New York: Raven Press (in press).
PRENTICE, C.R.M., BELCH, J.J.F., McKAY, A., McARDLE, B., LEIBERMAN, P., POLLOCK, J.G., LOWE, G.D.O. & FORBES, C.D. (1984). In Prostacyclin. Clinical Trials, Gryglewski, R.J., McGiff, J.C. & Szczeklik, A. (eds) New York: Raven Press (in press).
RHODES, R.S. & HEARD, S.E. (1983). Detrimental effect of high-dose prostaglandin E1 in the treatment of ischaemic ulcers. Surgery, 93, 839–842.
RUBIN, L.J., GROVES, B.M., REEVES, J.Y., FROSOLONO, M., HENDEL, F. & CATO, A. (1982). Prostacyclininduced acute pulmonary vasodilation in primary pulmonary hypertension. Circulation, 66, 334–338.
SCHOLKENS, B.A., GEHRING, D. & JUNG, W. (1983). The orally-active thia-imino-prostacyclin HOW 892: antiaggregatory and cardiovascular activities. Prostaglandins, Leukotrienes and Medicine, 10, 231–256.
SIKUJARA, O., MONDEN, H., TOYOSHIMA, K., OKAMURA, J. & KOSAKI, G. (1983). Cytoprotective effect of prostaglandin I2 on ischemia-induced hepatic cell injury. Transplantation, 36, 238–243.
SINZINGER, H, O’GRADY, J., CROMWELL, M. & HOFER, R. (1983). Epoprostenol (prostacyclin) decreases platelet deposition on vascular prosthetic grafts. Lancet, i, 1275–1276.
SINZINGER, H., SILBERBAUER, K., HARSCH, A.K. & GALL, A. (1981). Decreased sensitivity of human platelets to PGI2 during long-term intraarterial prostacyclin infusion in patients with peripheral vascular disease - a rebound phenomenon. Prostaglandins, 21, 49–51.
SRIVASTAVA, K.C. & AWASHTI, K.K. (1983). Effects of labetalol on the arachidonic acid metabolism in human blood platelets and in lung and aorta of the rat. Prostaglandins, Leukotrienes and Medicine, 12, 1–9.
SZCZEKLIK, A., GRYGLEWSKI, R.J., MUSIAL, J., GRODZINSKA, L., SERWOŃSKA, M. & MARCINKIEWICZ, E. (1978a). Thromboxane generation and platelet aggregation in survivals of myocardial infarction. Thromb. Haemostas., 40, 66–74.
SZCZEKLIK, A., GRYGLEWSKI, R.J., NIŻANKOWSKI, R., MUSIAŁ, J., PIETOŃ, R. & MRUK, J. (1978b). Circulatory and antiplatelet effects of intravenous prostacyclin in healthy men. Pharmac. Res. Commun.,10, 545–556.
SZCZEKLIK, A., KOPEĆ, M., SŁADEK, K., MUSIAŁ, J., CHMIELEWSKA, J., TEISSEYRE, E., DUDEKWOJCIECHOWSKA, G. & PALESTER-CHLEBOWCZYK, M. (19830. Prostacyclin and the fibrinolytic system in ischemic vascular disease. Thromb. Res., 29, 655-b60.
SZCZEKLIK, A., NIŻANKOWSKI, R., SKAWIŃSKI, S., SZCZEKLIK, J., GLUSZKO, P. & GRYGLEWSKI, R.J. (1979). Successful therapy of advanced arteriosclerosis obliterans with prostacyclin. Lancet, i, 1111–1114.
SZCZEKLIK, A., NIZANKOWSKI, R., SZCZEKLIK, J., TABEAU, J. & KRÓLIKOWSKI, W. (1984). In Prostacyclin. Clinical Trials. Gryglewski, R.J., McGiff, J.C. & Szczeklik, A. (eds), New York: Raven Press (in press).
SZCZEKLIK, J., SZCZEKLIK, A. & NIŻANKOWSKI, R. (1980). Prostacyclin for pulmonary hypertension (Letter). Lancet, ii, 1076.
SZCZEKLIK, A., SZCZEKLIK, J. & NIŻANKOWSKI, R. (1981). Prostacyclin, nitroglycerin and effort angina (Letter). Lancet, i, 1006.
UCHIDA, Y., HANAI, T., HASEGAWA, K., KAWAMURA, K. & OSHIMA, T. (1982). Coronary recanalization induced by intracoronary administration of prostacyclin in patients with acute myocardial infarction. Circulation, 66 (part II) abstr. No 1045.
VANE, J.R. (1983). Prostaglandins and the cardiovascular system. Br. Heart J., 49, 405–409.
WARSO, M.A. & LANDS, W.E.M. (1983). Lipid peroxidation in relation to prostacyclin and thromboxane physiology and pathophysiology. Br. med. Bull., 39, 277–280.
WATKINS, W.D., PETERSON, M.B., CRONE, R.K., SHANDON, D.C. & LEVIVE, L. (1980). Prostacyclin and prostaglandin E1 for severe idiopathic pulmonary artery hypertension (Letter). Lancet, i, 1083.
WEKSLER, B.B., PETT, S.B., ALONSO, D., RICHTER, R., STELZER, C., SUBRAMANIAN, V., TACK-GOLDMAN, K. & GAY, W.A., Jr. (1983). Differential inhibition by aspirin of vascular and platelet prostaglandin synthesis in atherosclerotic patients. New Engl. J. Med., 308, 800–805.
WHITTLE, B.J.R. & MONCADA, S. (1983). Pharmacological interactions between prostacyclin and thromboxanes. Br. med. Bull., 39, 232–238.
YUI, Y., NAKAJIMA, H., KAWAI, C. & MURAKAMI, T. (1982). Prostacyclin therapy in patients with congestive heart failure. Am. J. Cardiol., 50, 320–324.
ZEHAVI, J., HAMILTON, W.A.P., O’REILLEY, M.Y.G., LEYTON, J., COTTON, L.T. & KAKKAR, V.V. (1980). Plasma exchange and platelet function in Raynaud’s phenomenon. Thromb. Res., 19, 86–93.
ŻYGULSKA-MACH, H., KOSTKA-TRABKA, E., GRODZIŃSKA, L. BIEROŃ, K., TELESZ, E. & GRYGLEWSKI, R.J. (1984). In Prostacyclin. Clinical Trials, Gryglewski, R.J., McGiff, J.C. & Szczeklik, A. (eds) New York: Raven Press (in press).
ŻYGULSKA-MACH, H., KOSTIKA-TRABKA, E., NTTOŃ, A. & GRYGLEWSKI, R.J. (1980). Prostacyclin in central retinal vein occlusion (Letter). Lancet, ii, 1075.
Author information
Authors and Affiliations
Editor information
Copyright information
© 1984 Macmillan Publishers Limited
About this chapter
Cite this chapter
Gryglewski, R.J. (1984). Controlled trials on the effects of prostacyclin in vascular disease. In: Paton, W., Mitchell, J., Turner, P., Padgham, C., Ashcroft, E. (eds) IUPHAR 9th International Congress of Pharmacology London 1984. Palgrave Macmillan, London. https://doi.org/10.1007/978-1-349-17615-1_5
Download citation
DOI: https://doi.org/10.1007/978-1-349-17615-1_5
Publisher Name: Palgrave Macmillan, London
Print ISBN: 978-0-333-37136-7
Online ISBN: 978-1-349-17615-1
eBook Packages: Biomedical and Life SciencesBiomedical and Life Sciences (R0)