Moredun Foundation, Pentlands Science Park, Edinburgh EH26 0PZ, UK.
Vet Rec. 2012 Sep 8;171(10):246. doi: 10.1136/vr.100722. Epub 2012 Jul 13.
Efficacy of ammonium tetrathiomolybdate (3.4 mg/kg LW, TTM(3.4)) was monitored in nine, specific pathogen-free sheep with mild-to-severe, prehaemolytic copper poisoning (pre-HCP). Five sheep were given three subcutaneous injections over seven days and four began a shorter, five-day course four days later. Plasma bile acid (BA) and glutamate dehydrogenase (GDH) had fallen significantly after six days but BA briefly rose again between days 10 to 18. Aspartate aminotransferase (AST), δ-glutamyl transferase (GGT) were later to decline but presented little evidence of hepatotoxicity by day 45. Erythrocyte superoxide dismutase (ESOD) was rapidly inhibited, activities falling by 65 per cent within three days and taking 25 days to recover. Trichloroacetic (TCA)-insoluble copper increased by 6 to 8 μmol/l after three days but had largely disappeared by day 18. Six lambs had become hypercupraemic by day 18 due to a rise in TCA-soluble Cu. ESOD activity fell again by 188 ± 29.5 U/gHb between days 25 and 45 but had largely recovered by day 62. TTM(3.4) gave better control of hepatotoxicity than TTM(1.7) had done in more severely affects cohorts but at the expense of greater inhibition of ESOD. Treatment of pre-HCuP should rely more on reducing copper absorption until more is known of the side effects of TTM on cuproenzymes.
四氨四硫钼酸铵(3.4mg/kg 体重,TTM(3.4))在 9 只患有轻度至重度溶血性前铜中毒(pre-HCP)的无菌绵羊中进行了疗效监测。其中 5 只绵羊在 7 天内接受了 3 次皮下注射,另外 4 只在 4 天后开始接受为期 5 天的较短疗程。六天后,血浆胆汁酸(BA)和谷氨酸脱氢酶(GDH)显著下降,但 BA 在 10 至 18 天之间短暂回升。天冬氨酸转氨酶(AST)和δ-谷氨酰转移酶(GGT)随后下降,但到第 45 天几乎没有表现出肝毒性。红细胞超氧化物歧化酶(ESOD)迅速受到抑制,三天内活性下降 65%,25 天才能恢复。三氯乙酸(TCA)不溶性铜在 3 天后增加了 6 至 8 μmol/L,但到第 18 天已基本消失。由于 TCA 可溶铜的增加,6 只羔羊在第 18 天已出现高铜血症。ESOD 活性在第 25 天至第 45 天之间再次下降 188±29.5 U/gHb,但在第 62 天基本恢复。TTM(3.4)对肝毒性的控制优于 TTM(1.7)在更严重的感染组中,但以更大程度地抑制 ESOD 为代价。治疗溶血性前铜中毒应更多地依赖于减少铜的吸收,直到更多地了解 TTM 对铜酶的副作用。