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Dantrolene

單挫林
Mechanism of action:
Dantrolene 是一種骨骼肌鬆弛劑(skeletal muscle relaxant),屬於乙內醯脲類(hydantoin)的衍生物。與大多數中樞作用的肌肉鬆弛劑不同,dantrolene 直接作用於骨骼肌細胞(週邊性作用)。在正常肌肉收縮中,動作電位沿橫小管(T-tubule)傳導,活化二羥基吡啶受體(dihydropyridine receptor),進而刺激雷諾丁受體(ryanodine receptor,RyR)通道開啟,使肌漿網(sarcoplasmic reticulum,SR)釋放鈣離子進入細胞質,引發肌肉收縮。Dantrolene 可直接抑制雷諾丁受體的通道開啟,使肌肉放鬆。
Reference(s):
Krause T et al. (2004). Dantrolene: a review of its pharmacology, therapeutic use and new developments. Anaesthesia.
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