Ujházy E, Balonová T, Vargová T, Jansák J, Derková L
Institute of Experimental Pharmacology, Slovak Academy of Sciences, Bratislava, Czechoslovakia.
Teratog Carcinog Mutagen. 1992;12(5):211-21. doi: 10.1002/tcm.1770120504.
The toxic developmental potential of the anti-arrhythmic drug stobadin was assessed after single intravenous or repeated oral doses to pregnant rats. Stobadin was studied in the form of dihydrochloride (DH 1011) at doses of 2 and 6 mg/kg, given in single intravenous injections on days 3, 6, 9, or 12 of gestation. Immediately after injection of the 6-mg/kg dose of DH 1011 to pregnant rats, saccade abdominal respiration, tremor of hindlimbs, and sedative behaviour were observed on each day of medication. No deaths of females occurred in either the control or experimental groups. Slight foetal toxicity was manifested by significantly decreased foetal weight only after treatment on day 3 of gestation at 6 mg/kg and by significantly increased incidence of delayed ossification of the parietal and supraoccipital bone also at 6 mg/kg DH 1011 given on day 12 of gestation. The effect of repeated oral treatment in the form of dipalmitate salt (DP 1031) was studied in doses of 5, 15, and 45 mg/kg from days 2-15 of gestation. Oral exposure to 45 mg/kg DP 1031 resulted in significant reduction of maternal body weight gain and in embryofoetal toxicity, namely, increased preimplantation foetal loss, anomalies of sternebrae, and, after 15 and 45 mg/kg DP 1031, significantly decreased foetal weight and smaller litter size. The relevance of the two routes of stobadin administration for risk extrapolation is discussed.
在对怀孕大鼠单次静脉注射或重复口服抗心律失常药物司巴丁后,评估了其潜在的发育毒性。以二盐酸盐(DH 1011)的形式研究司巴丁,在妊娠第3、6、9或12天单次静脉注射给药,剂量为2和6 mg/kg。在给怀孕大鼠注射6 mg/kg剂量的DH 1011后,在用药的每一天都观察到扫视性腹部呼吸、后肢震颤和镇静行为。对照组和实验组的雌性大鼠均未死亡。仅在妊娠第3天以6 mg/kg剂量治疗后,胎儿体重显著下降,以及在妊娠第12天给予6 mg/kg DH 1011后,顶骨和枕上骨延迟骨化的发生率显著增加,表明存在轻微的胎儿毒性。在妊娠第2 - 15天,以二棕榈酸盐(DP 1031)的形式重复口服给药,研究剂量为5、15和45 mg/kg的效果。口服45 mg/kg DP 1031导致母体体重增加显著减少以及胚胎 - 胎儿毒性,即植入前胎儿丢失增加、胸骨异常,并且在给予15和45 mg/kg DP 1031后,胎儿体重显著下降和窝仔数减少。讨论了司巴丁两种给药途径与风险外推的相关性。