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孕期给母猴高剂量抗甲状腺药物甲巯咪唑后食蟹猴的胎儿及新生儿甲状腺肿

Fetal and neonatal goiter in cynomolgus monkeys following administration of the antithyroid drug thiamazole at high doses to dams during pregnancy.

作者信息

Yoshikawa Tsuyoshi, Moriyama Akiko, Kodama Rinya, Sasaki Yuji, Sunagawa Tatsumi, Okazaki Takanobu, Urashima Asami, Nishida Yoshiro, Arima Akihiro, Inoue Ayumi, Negishi Takayuki, Yoshikawa Yasuhiro, Ihara Toshio, Maeda Hiroshi

出版信息

J Toxicol Pathol. 2011 Dec;24(4):215-22. doi: 10.1293/tox.24.215. Epub 2012 Jan 7.

Abstract

To evaluate morphologic alterations in the thyroid gland in the second generation in cynomolgus monkeys, pregnant dams were exposed to high doses of thiamazole. In Experiment A, dams received thiamazole intragastrically via a nasogastric catheter from gestation day (GD) 50 to GD 150 or on the day before delivery. Initially, the dose level was 20 mg/kg/day (10 mg/kg twice daily); however, the dose level was subsequently decreased to 5 mg/kg/day (2.5 mg/kg twice daily), since deteriorated general conditions were observed in two dams. Six out of seven neonates died on the day of birth. The cause of neonatal death was tracheal compression and suffocation from goiter. The transplacental exposure to thiamazole affected the fetal thyroid glands and induced goiter in all neonates. The surviving neonate was necropsied 767 days after discontinuation of thiamazole exposure and showed reversibility of the induced changes. In Experiment B, dams were intragastrically administered thiamazole at 5 mg/kg/day (2.5 mg/kg twice daily) for treatment periods from GDs 51 to 70, 71 to 90, 91 to 110, 111 to 130 and 131 to 150. All fetuses showed enlarged thyroid glands but were viable. Histopathologically, hypertrophy and/or hyperplastic appearance of the follicular epithelium of the thyroid gland was observed at the end of each treatment period. The most active appearance of the follicular epithelium, consisting of crowded pedunculated structure, was demonstrated at end of the treatment period from GD 131 to 150. This is the first report on the morphology of fetal and neonatal goiter in the cynomolgus monkey.

摘要

为了评估食蟹猴第二代甲状腺的形态学改变,将怀孕的母猴暴露于高剂量的甲巯咪唑。在实验A中,母猴从妊娠第50天(GD)至第150天或分娩前一天通过鼻胃管经胃内给予甲巯咪唑。最初,剂量水平为20mg/kg/天(10mg/kg,每日两次);然而,由于观察到两只母猴的一般状况恶化,随后剂量水平降至5mg/kg/天(2.5mg/kg,每日两次)。七只新生猴中有六只在出生当天死亡。新生儿死亡原因是甲状腺肿导致气管受压和窒息。经胎盘暴露于甲巯咪唑影响了胎儿甲状腺并在所有新生儿中诱发了甲状腺肿。在停止甲巯咪唑暴露767天后对存活的新生猴进行了尸检,结果显示诱导变化具有可逆性。在实验B中,母猴在妊娠第51至70天、71至90天、91至110天、111至130天和131至150天期间,以5mg/kg/天(2.5mg/kg,每日两次)的剂量经胃内给予甲巯咪唑进行治疗。所有胎儿均表现出甲状腺肿大但存活。组织病理学检查显示,在每个治疗期结束时,甲状腺滤泡上皮出现肥大和/或增生外观。在妊娠第131至150天的治疗期结束时,滤泡上皮表现出最活跃的外观,由密集的有蒂结构组成。这是关于食蟹猴胎儿和新生儿甲状腺肿形态学的首次报道。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c791/3266356/5ec6d6cdc98e/tox-24-215-g001.jpg

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