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D-青霉胺对高铜补充绵羊尿铜排泄的影响。

Effects of D-penicillamine on urinary copper excretion in high-copper supplemented sheep.

作者信息

Humann-Ziehank E, Bickhardt K

机构信息

Clinic for Pigs and Small Ruminants, Forensic Medicine and Ambulatory Service, School of Veterinary Medicine, Hannover, Germany.

出版信息

J Vet Med A Physiol Pathol Clin Med. 2001 Nov;48(9):537-44. doi: 10.1046/j.1439-0442.2001.00382.x.

DOI:10.1046/j.1439-0442.2001.00382.x
PMID:11765810
Abstract

The effects of a single oral application of D-penicillamine (DPA, mean dosage 28 mg/kg body weight) on urinary copper (Cu) excretion and general renal function in six high-Cu supplemented sheep (Cu intake of 3.7 mg/day per kg body weight for 84 days) and four controls (Cu intake of 0.16 mg/day per kg body weight) were investigated to quantify induced cupruresis and the therapeutic effect of DPA as a decoppering agent. Changes in liver Cu concentration were examined before and after DPA treatment by liver biopsies. The influence of DPA treatment on general renal function was low. A 10-fold increase in renal Cu excretion was induced in both groups of sheep. Maximal Cu excretion was observed 4 h after DPA treatment, with mean values of 280 pmol/min per kg body weight in the high Cu group and 145 pmol/min per kg body weight in the controls. In the high Cu sheep, urinary Cu excretion within 24 h after DPA application was equivalent to only 0.42 +/- 0.26% of liver Cu content (mean concentration 347 +/- 124 mg/kg wet weight). Moreover, no effect of DPA on liver Cu concentration was evident. These findings demonstrate that a single application of DPA is not effective in inducing sufficient Cu loss from the bodies of Cu-loaded sheep.

摘要

研究了单次口服 D-青霉胺(DPA,平均剂量 28 mg/kg 体重)对六只高铜补充绵羊(84 天内铜摄入量为 3.7 mg/天·kg 体重)和四只对照绵羊(铜摄入量为 0.16 mg/天·kg 体重)尿铜(Cu)排泄及一般肾功能的影响,以量化诱导的尿铜增多以及 DPA 作为排铜剂的治疗效果。通过肝活检检查 DPA 治疗前后肝脏铜浓度的变化。DPA 治疗对一般肾功能的影响较小。两组绵羊的肾铜排泄均增加了 10 倍。DPA 治疗后 4 小时观察到最大铜排泄量,高铜组的平均值为 280 pmol/分钟·kg 体重,对照组为 145 pmol/分钟·kg 体重。在高铜绵羊中,DPA 应用后 24 小时内的尿铜排泄量仅相当于肝脏铜含量的 0.42±0.26%(平均浓度 347±124 mg/kg 湿重)。此外,DPA 对肝脏铜浓度没有明显影响。这些发现表明,单次应用 DPA 对从高铜绵羊体内诱导足够的铜流失无效。

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