Aromatic-aromatic interaction of amitriptyline: implication of overdosed drug detoxification

The objectives of this work are to explore the pi-pi complexation of amitriptyline with pi electron-deficient aromatic rings and demonstrate the feasibility of pi-pi complexation for overdosed drug detoxification. Water-soluble oligochitosan was chemically modified with dinitrobenzenesulfonyl groups to induce selective binding toward amitriptyline through pi-pi complexation. NMR studies showed that benzenesulfonyl and dinitrobenzenesulfonyl protons were upfield shifted by the addition of amitriptyline, indicating the formation of pi-pi complexes. The pi-pi complexation of amitriptyline is driven primarily by a desolvation driving force, whereas the magnitude of interaction is dictated by the complementrary electrostatic interaction. Isolated rat heart tests revealed that dinitrobenzenesulfonyl oligochitosan prevented the amitriptyline-induced cardiotoxicity and was itself not cardiotoxic.

Detoxification of amitriptyline by oligochitosan derivatives

Oligo-chitosans were chemically modified with dinitrophenyl groups for selective and rapid adsorption of amitriptyline by forming pi-pi complexes. 1H-NMR was utilized not only for characterization of modified chitosans but also for monitoring the aromatic-aromatic interaction. The variation in the chemical shift of aromatic protons was followed to monitor the aromatic-aromatic interaction. Upfield shift of aromatic protons of dinitrophenyl groups supports aromatic-aromatic interactions with amitriptyline. Drug uptake test by HPLC reveals that dinitrophenyl chitosan particles (1-2 microm) at 0.4 wt% (w/v) in a saline solution (pH 6.9) adsorb 90% amitriptyline within 30 min.

Severe vs moderate energy restriction with and without exercise in the treatment of obesity: efficiency of weight loss

Thirty obese women were randomly assigned to either 40% [severe energy restriction (SER)] or 70% [moderate energy restriction (MER)] of their maintenance energy requirements and to no exercise, aerobic exercise (walking), or aerobic exercise plus circuit weight training. Body composition by hydrostatic weighing and energy expenditure by indirect calorimetry were measured at 0, 3, and 6 mo. In addition, we developed a deficit-efficiency factor (DEF), calculated as body energy loss/dietary energy deficit, to attempt to quantify the effectiveness of the weight-reduction interventions. Subjects in the SER group lost more weight (mean +/- SE: 15.1 +/- 1.4 vs 10.8 +/- 1.0 kg), fat (11.7 +/- 1.1 vs 8.3 +/- 0.6 kg), and fat-free mass (2.8 +/- 0.3 vs 1.8 +/- 0.3 kg) than the MER group (P < or = 0.05). However, the overall DEF was greatest in the MER group (0.80 +/- 0.07) compared with the SER group (0.52 +/- 0.05; P < or = 0.01). Exercise had no significant effect. This study demonstrates that MER may offer an advantage over SER because it produces a greater energy loss relative to energy deficit.

The electrophysiological actions of phenylephrine on the rabbit S-A node

This study characterizes the electrophysiologic effects of the alpha agonist phenylephrine on the rabbit sinus node. Phenylephrine increased sinus node firing rate and increased slope of Phase 4 depolarization. It shortened action potential duration. It had no effect on maximum diastolic potential or action potential amplitude. These actions were blocked by propranolol. These data imply phenylephrine may exert an effect on the sinus node through a beta-adrenoreceptor.

Electrophysiologic effect of indomethacin on the rabbit sinus node

The anti-inflammatory agent indomethacin has been shown to affect calcium in smooth muscle, cardiac muscle, and cardiac Purkinje cells. This study looked at the action of indomethacin on rabbit sinus node. High doses of indomethacin reduce the slope of diastolic depolarization, spontaneous rate, action potential amplitude and time of repolarization. These results are consistent with a reduction of inward transmembrane movement of calcium.