Tom 17, Nr 4 (2020)
Artykuł przeglądowy
Opublikowany online: 2021-02-28
Siarkowodór — od kłopotliwego zapachu do podręcznika farmakologii
Choroby Serca i Naczyń 2020;17(4):225-235.
Streszczenie
Historia siarkowodoru (H2S) — bezbarwnego, toksycznego gazu o charakterystycznej, odrażającej woni zepsutych jajek — jest długa. Odegrał on istotną rolę nie tylko w ewolucji wszechświata, ale również w ewolucji ustrojów żywych. Poza swoim udziałem w historii ewolucji gaz ten jest jednym z ważnych gazoprzekaźników i odgrywa kluczową rolę w wielu procesach biologicznych. W pracy omówiono drogi syntezy endogennego siarkowodoru, a także dokonano przeglądu najistotniejszych działań biologicznych istotnych dla czynności układu krążenia. W dalszej części wskazano niektóre substancje pochodzenia naturalnego oraz uzyskane drogą syntezy chemicznej i zarejestrowane jako leki, które drogą różnych działań przyczyniają się do zwiększenia biodostępności siarkowodoru. Jednym z leków stosowanych w terapii jest zofenopril. Lek ten należy do klasy inhibitorów konwertazy angiotensyny (ACEI) zawierających w swojej chemicznej strukturze grupę sulfhydrylową. Metabolit zofenoprilu zwiększa ekspresję enzymu tworzącego siarkowodór oraz podwyższa jego stężenie we krwi i w mięśniu sercowym. Działań takich nie wykazano w odniesieniu do innych ACEI. Ta szczególna, wybiegająca poza hamowanie układu renina–angiotensyna, właściwość może stanowić jedno z wyjaśnień faktu, że w prospektywnym, randomizowanym badaniu klinicznym zofenopril skuteczniej niż inne ACEI ograniczał chorobowość i śmiertelność u pacjentów obciążonych wysokim ryzykiem sercowo-naczyniowym.
Słowa kluczowe: siarkowodórpochodzenieefekty sercowo-naczyniowegrupy sulfhydryloweleki modyfikujące
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