Drug intelligence / Profile preview

sevoflurane + propofol (Ruijin Hospital)

Development stage
Phase 4
Lead developer
Ruijin Hospital
Modality
Small Molecules
Administration
Inhalation, Intravenous
01

Overview

Sevoflurane + propofol refers to a combined anesthetic maintenance regimen evaluated by Ruijin Hospital for use in patients with coronary artery disease undergoing off-pump coronary artery bypass graft (OPCAB) surgery. This combination therapy utilizes sevoflurane, a volatile halogenated ether inhaled anesthetic, and propofol, a short-acting intravenous hypnotic agent. The primary objective of this specific clinical application was to evaluate the protective effects of the combination on circulating lymphocytes against surgery-induced apoptosis. Mechanistically, both agents modulate the GABA-A receptor, while sevoflurane also acts as an NMDA receptor antagonist. Clinical study results indicated that the combination regimen was superior to sevoflurane alone in protecting circulating lymphocytes from apoptosis, a process associated with the reduced expression of caspase-3 and apoptosis-inducing factor (AIF).

Other names
combine of sevoflurane and propofolsevoflurane-propofol combination
02

Targets

GABRR (GABA-A receptor subunit rho)NaV (Voltage-gated sodium channels)GABRA2 (Gamma-aminobutyric acid receptor subunit alpha 2)NMDAR (Glutamate receptor ionotropic, NMDA)

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