Hartmann K, Donath A, Beer B, Egberink H F, Horzinek M C, Lutz H, Hoffmann-Fezer G, Thum I, Thefeld S
I. Department of Veterinary Medicine, Ludwig-Maximilians-University, Munich, Germany.
Vet Immunol Immunopathol. 1992 Dec;35(1-2):167-75. doi: 10.1016/0165-2427(92)90129-e.
In the present study the therapeutic efficacy and the side effects of two antiretroviral compounds used in human acquired immunodeficiency syndrome (AIDS) research, 3'-azido-2',3'-dideoxythymidine (AZT, zidovudine, Retrovir) and 9-(2-phosphonylmethoxyethyl)adenine (PMEA), were investigated in the treatment of cats naturally infected with feline immunodeficiency virus (FIV) and cats naturally infected with feline leukemia virus (FeLV). AZT was administered subcutaneously at a dose of 5 mg kg-1 body weight every 12 h and PMEA was administered subcutaneously at a dose of 2.5 mg kg-1 body weight every 12 h during a 3 week hospitalization. The therapeutic efficacy of both compounds was investigated. There was a stronger potency of PMEA than of AZT on the regression of stomatitis in FIV and in FeLV infected cats. In addition, in FIV infection PMEA had a stronger effect on the improvement of the general clinical status. Both antiretroviral compounds were potent agents to improve the immunologic status of FIV infected cats by raising the CD4/CD8 ratio. In FeLV infection PMEA and AZT appeared to reduce antigenemia. The hematological side effects caused by PMEA were severe and stronger than those of AZT. Therefore the advantage of PMEA in clinical and immunologic improvement was diminished by the hematologic disorders, which do not allow long term treatment with this drug in the dose used.
在本研究中,对用于人类获得性免疫缺陷综合征(艾滋病)研究的两种抗逆转录病毒化合物,即3'-叠氮-2',3'-双脱氧胸苷(AZT,齐多夫定,叠氮胸苷)和9-(2-膦酰甲氧基乙基)腺嘌呤(PMEA),在治疗自然感染猫免疫缺陷病毒(FIV)的猫和自然感染猫白血病病毒(FeLV)的猫方面的治疗效果及副作用进行了研究。在为期3周的住院期间,AZT以每12小时5mg/kg体重的剂量皮下给药,PMEA以每12小时2.5mg/kg体重的剂量皮下给药。对这两种化合物的治疗效果进行了研究。在FIV和FeLV感染的猫中,PMEA对口腔炎消退的效力比AZT更强。此外,在FIV感染中,PMEA对改善总体临床状况有更强的作用。两种抗逆转录病毒化合物都是通过提高CD4/CD8比值来改善FIV感染猫免疫状态的有效药物。在FeLV感染中,PMEA和AZT似乎能降低抗原血症。PMEA引起的血液学副作用比AZT严重且更强。因此,血液学紊乱削弱了PMEA在临床和免疫改善方面的优势,使得无法以所用剂量对该药物进行长期治疗。