Almitrine bismesylate is known to be an anti-hypoxemic agent that acts via the enhancement of hypoxic pulmonary vasoconstriction. However, screening for this class of compounds has been minimal, owing, in part, to a lack of convenient hypoxemic models in small animals. The present study was designed to establish a convenient model of
hypoxemia induced by
bleomycin and to evaluate anti-hypoxemic agents including a newly synthesized compound.
TEI-7322, 2-allylamino-4-tert-butyl-amino-7-methyl-7H-pyrrolo[2,3- d]
pyrimidine hydrochloride by using this model.
Bleomycin was intratracheally instilled into rats. After 3 weeks, the arterial blood gas pressures were monitored in the animals in the conscious state. Then,
prednisolone,
doxapram,
almitrine or
TEI-7322 was administered to the
bleomycin-treated rats to monitor changes in arterial blood gas pressures.
Bleomycin-treated rats showed a decrease in the arterial blood O2 pressure (PaO2). The blood CO2 pressure (PaCO2) increased, along with an increase in the alveolar-arterial
oxygen difference (AaDO2). These blood gas pressures
in bleomycin-treated rats were not affected by treatment with
prednisolone.
Doxapram decreased the PaCO2 but did not change the PaO2. However, administration of
almitrine or
TEI-7322 significantly improved the PaO2 of
bleomycin-treated rats with a decrease in the PaCO2. In conclusion, (1)
bleomycin-induced
lung injury causes
hypoxemia in rats, probably resulting from ventilation-perfusion inequality; thus this model may be useful for evaluating anti-hypoxemic agents; and (2)
TEI-7322, as well as
almitrine, showed anti-hypoxemic effects in this model with different properties from those of
doxapram, possibly due to improvement of ventilation-perfusion inequality, indicating that
TEI-7322 may be a potent candidate for the treatment of
hypoxemia.