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蒿甲醚对绵羊自然感染肝片吸虫的疗效及安全性

Efficacy and safety of artemether against a natural Fasciola hepatica infection in sheep.

作者信息

Keiser Jennifer, Rinaldi Laura, Veneziano Vincenzo, Mezzino Laura, Tanner Marcel, Utzinger Jürg, Cringoli Giuseppe

机构信息

Department of Medical Parasitology and Infection Biology, Swiss Tropical Institute, Basel, Switzerland.

出版信息

Parasitol Res. 2008 Aug;103(3):517-22. doi: 10.1007/s00436-008-0998-0. Epub 2008 May 15.

Abstract

Triclabendazole is the current drug of choice against Fasciola spp. infections in livestock, but resistance has become a major problem. In this study, we assessed the efficacy and safety of artemether, a derivative of artemisinin, in sheep with a low natural Fasciola hepatica infection. Artemether was administered orally or intramuscularly; sheep were monitored for 8 h posttreatment and then once daily for adverse events, and drug efficacy was estimated by fecal egg count reductions and worm burden reductions. Single 40- and 80-mg/kg oral doses of artemether showed no effect on F. hepatica egg and worm burden. Treatment with a single 160-mg/kg intramuscular dose of artemether significantly reduced the egg burden (64.9%) and worm burden (91.3%). At half this dose, a worm burden reduction of 65.3% was obtained, which was still statistically significant (P < 0.05). The lowest intramuscular dose of artemether investigated (40 mg/kg) yielded no effect on egg counts and worm burden. There were no adverse events due to artemether; however, two abortions were observed 7 days posttreatment. In conclusion, artemether shows interesting fasciocidal properties in sheep, but embryotoxicity is of concern. Further studies are warranted to assess the potential of additional artemisinin derivatives and other peroxidic compounds for the treatment of Fasciola spp. infections in different ruminants.

摘要

三氯苯达唑是目前用于防治家畜片形吸虫感染的首选药物,但耐药性已成为一个主要问题。在本研究中,我们评估了青蒿素衍生物蒿甲醚对自然感染肝片吸虫程度较低的绵羊的疗效和安全性。蒿甲醚通过口服或肌肉注射给药;治疗后对绵羊监测8小时,然后每天监测一次不良事件,并通过粪便虫卵计数减少和虫体负荷减少来评估药物疗效。蒿甲醚40毫克/千克和80毫克/千克的单次口服剂量对肝片吸虫的虫卵和虫体负荷均无影响。单次肌肉注射160毫克/千克蒿甲醚治疗显著降低了虫卵负荷(64.9%)和虫体负荷(91.3%)。在该剂量减半时,虫体负荷减少了65.3%,仍具有统计学意义(P<0.05)。所研究的蒿甲醚最低肌肉注射剂量(40毫克/千克)对虫卵计数和虫体负荷均无影响。未观察到蒿甲醚引起的不良事件;然而,在治疗后7天观察到两例流产。总之,蒿甲醚在绵羊中显示出有趣的杀吸虫特性,但胚胎毒性令人担忧。有必要进一步研究评估其他青蒿素衍生物和其他过氧化物化合物治疗不同反刍动物片形吸虫感染的潜力。

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