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5-氨基水杨酸引起的肾毒性损伤。

Nephrotoxic lesions from 5-aminosalicylic Acid.

作者信息

Calder I C, Funder C C, Green C R, Ham K N, Tange J D

出版信息

Br Med J. 1972 Jan 15;1(5793):152-4. doi: 10.1136/bmj.1.5793.152.

DOI:10.1136/bmj.1.5793.152
PMID:20791817
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1787127/
Abstract

5-Aminosalicylic acid given to rats as a single intravenous injection led to necrosis of the proximal convoluted tubules and of the renal papilla. These two lesions developed at the same time and the cortical lesions did not appear to be a consequence of the renal papillary necrosis. Since the compound possesses the molecular structure both of a phenacetin derivative and of a salicylate these observations may be relevant to the problem of renal damage incident to abuse of analgesic compounds and suggest the possibility that in this syndrome cortical lesions may develop independently of renal papillary necrosis.

摘要

给大鼠单次静脉注射5-氨基水杨酸会导致近端曲管和肾乳头坏死。这两种损伤同时出现,皮质损伤似乎并非肾乳头坏死的结果。由于该化合物具有非那西丁衍生物和水杨酸盐的分子结构,这些观察结果可能与滥用止痛化合物所致肾损伤问题相关,并提示在该综合征中皮质损伤可能独立于肾乳头坏死而发生。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3eb2/1787127/44c4b0264820/brmedj02185-0039-d.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3eb2/1787127/ba5e767d0b2f/brmedj02185-0039-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3eb2/1787127/299683bef0d1/brmedj02185-0039-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3eb2/1787127/8ffc5a94877b/brmedj02185-0039-c.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3eb2/1787127/44c4b0264820/brmedj02185-0039-d.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3eb2/1787127/ba5e767d0b2f/brmedj02185-0039-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3eb2/1787127/299683bef0d1/brmedj02185-0039-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3eb2/1787127/8ffc5a94877b/brmedj02185-0039-c.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3eb2/1787127/44c4b0264820/brmedj02185-0039-d.jpg

相似文献

1
Nephrotoxic lesions from 5-aminosalicylic Acid.5-氨基水杨酸引起的肾毒性损伤。
Br Med J. 1972 Jan 15;1(5793):152-4. doi: 10.1136/bmj.1.5793.152.
2
Comparative nephrotoxicity of aspirin and phenacetin derivatives.
Br Med J. 1971 Nov 27;4(5786):518-21. doi: 10.1136/bmj.4.5786.518.
3
Pathology, aetiology and pathogenesis of analgesic nephropathy.
Aust N Z J Med. 1976;6 Suppl 1:Suppl 1:33-7.
4
Renal accumulation of salicylate and phenacetin: possible mechanisms in the nephropathy of analgesic abuse.水杨酸盐和非那西丁在肾脏的蓄积:镇痛药滥用所致肾病的可能机制
J Clin Invest. 1969 Nov;47(11):2507-14. doi: 10.1172/JCI105932.
5
Lesions of the renal papilla induced by paracetamol.
J Pathol. 1987 Jan;151(1):11-9. doi: 10.1002/path.1711510103.
6
A new reproducible experimental model of analgesic nephropathy.
J Pathol. 1983 Jan;139(1):23-32. doi: 10.1002/path.1711390103.
7
The induction of renal papillary necrosis in Gunn rats by analgesics and analgesic mixtures.镇痛药及镇痛药混合物对Gunn大鼠肾乳头坏死的诱导作用。
Br J Exp Pathol. 1975 Feb;56(1):92-7.
8
Experimental renal papillary necrosis.
Kidney Int. 1978 Jan;13(1):5-14. doi: 10.1038/ki.1978.2.
9
[Analgesic nephropathy].
Med Klin. 1975 May 16;70(20):889-95.
10
Discrepancy between the nephrotoxic potencies of cadmium-metallothionein and cadmium chloride and the renal concentration of cadmium in the proximal convoluted tubules.镉金属硫蛋白与氯化镉的肾毒性效力之间的差异以及近端曲管中镉的肾浓度。
Toxicol Appl Pharmacol. 1995 Jan;130(1):161-8. doi: 10.1006/taap.1995.1021.

引用本文的文献

1
Renal effects of long-term treatment with 5-aminosalicylic acid.5-氨基水杨酸长期治疗的肾脏效应
Can J Gastroenterol. 2009 Mar;23(3):170-6. doi: 10.1155/2009/501345.
2
Interstitial nephritis from mesalazine: case report and literature review.
Pediatr Nephrol. 2004 May;19(5):550-3. doi: 10.1007/s00467-004-1411-6. Epub 2004 Mar 9.
3
Systemic levels of free 5-aminosalicylic acid depend on the nature of the 5-aminosalicyclic acid derivative and not on disease activity or extent in patients with inflammatory bowel disease.游离5-氨基水杨酸的全身水平取决于5-氨基水杨酸衍生物的性质,而非炎症性肠病患者的疾病活动度或病变范围。

本文引用的文献

1
Distribution and metabolism of salicyl-azo-sulfapyridine. I. A study with C-14-5-amino-salicylic acid.柳氮磺胺吡啶的分布与代谢。I. 一项关于C-14-5-氨基水杨酸的研究。
Acta Med Scand. 1963 Jan;173:61-72. doi: 10.1111/j.0954-6820.1963.tb16506.x.
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Potassium deficiency and the kidney.钾缺乏与肾脏
Br Med Bull. 1957 Jan;13(1):15-8. doi: 10.1093/oxfordjournals.bmb.a069562.
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Kidney lesions induced in rats by p-aminophenol.对氨基酚诱导大鼠产生的肾脏病变。
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4
Renal tubular dysfunction in patients with inflammatory bowel disease treated with aminosalicylate.接受氨基水杨酸盐治疗的炎症性肠病患者的肾小管功能障碍
Gut. 1997 Jun;40(6):761-6. doi: 10.1136/gut.40.6.761.
5
Bioavailability of 5-aminosalicyclic acid from slow release 5-aminosalicyclic acid drug and sulfasalazine in normal children.正常儿童中缓释5-氨基水杨酸药物及柳氮磺胺吡啶中5-氨基水杨酸的生物利用度。
Dig Dis Sci. 1993 Oct;38(10):1831-6. doi: 10.1007/BF01296106.
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New salicylates as maintenance treatment in ulcerative colitis.新型水杨酸盐在溃疡性结肠炎维持治疗中的应用
Gut. 1994 Sep;35(9):1155-8. doi: 10.1136/gut.35.9.1155.
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Mesalazine induced interstitial nephritis.
Gut. 1994 Oct;35(10):1493-6. doi: 10.1136/gut.35.10.1493.
8
Safety and efficacy of controlled-release mesalamine for maintenance of remission in ulcerative colitis. Pentasa UC Maintenance Study Group.控释美沙拉嗪用于维持溃疡性结肠炎缓解的安全性和有效性。潘他沙UC维持治疗研究组。
Dig Dis Sci. 1995 Feb;40(2):296-304. doi: 10.1007/BF02065413.
9
Analgesic nephropathy: a reassessment of the role of phenacetin and other analgesics.镇痛剂肾病:对非那西丁及其他镇痛剂作用的重新评估
Drugs. 1982 Jan-Feb;23(1-2):75-149. doi: 10.2165/00003495-198223010-00004.
10
Renal function was not impaired by treatment with 5-aminosalicylic acid in rats and man.在大鼠和人类中,5-氨基水杨酸治疗并未损害肾功能。
Naunyn Schmiedebergs Arch Pharmacol. 1984 Jun;326(3):278-82. doi: 10.1007/BF00505331.
Br Med J. 1969 Jan 18;1(5637):162-4. doi: 10.1136/bmj.1.5637.162.
4
Comparative nephrotoxicity of aspirin and phenacetin derivatives.
Br Med J. 1971 Nov 27;4(5786):518-21. doi: 10.1136/bmj.4.5786.518.
5
Pathogenesis of the renal lesion associated with the abuse of analgesics.
Lancet. 1967 Apr 22;1(7495):859-62. doi: 10.1016/s0140-6736(67)91425-0.