Kai S, Kohmura H, Ishikawa K, Makihara Y, Ohta S, Kawano S, Takahashi N
Drug Safety Research Department, Bristol-Myers Research Institute, Ltd. Aichi, Japan.
J Toxicol Sci. 1989 May;14(2):115-30. doi: 10.2131/jts.14.115.
In the preceding study, no teratological effects against rat fetuses were observed when carboplatin, an oncostatic platinum coordination complex, was dosed to their dams from days 7 to 17 of gestation at a dose level of 4 mg/kg/day. However, there are a few reports which show the teratogenic action of carboplatin injected from days 6 to 15 of pregnancy at a dose level of 6 mg/kg/day. In the present study, carboplatin was administered intravenously to pregnant female Crj: CD (Sprague-Dawley) rats from days 6 to 9 or 7 to 10 of gestation at a dose level of 6 mg/kg/day in order to know the teratogenicity of this drug. Carboplatin were highly embryolethal in dams when dosed from days 6 to 9 of gestation, but not in animals when injected from days 7 to 10 of pregnancy. Carboplatin also produced external, internal and skeletal anomalies in fetuses such as gastroschisis, dilatation of cerebral ventricles, cleft sternum, fused ribs, malformed thoracic vertebra when administered from days 6 to 9 of gestation, but not in conceptuses when dosed from days 7 to 10 of pregnancy. However, the delayed ossification which was ascribed to the fetal growth retardation was observed in rats treated with this drug during both administration periods. These results suggest that carboplatin is embryotoxic, inducing intrauterine death and congenital malformations in rats, when injected during the early stages of gestation including day 6 of pregnancy.
在先前的研究中,当在妊娠第7至17天以4毫克/千克/天的剂量水平将抗癌铂配位复合物卡铂给予妊娠大鼠的母鼠时,未观察到对大鼠胎儿的致畸作用。然而,有一些报告显示,在妊娠第6至15天以6毫克/千克/天的剂量水平注射卡铂具有致畸作用。在本研究中,为了了解该药物的致畸性,在妊娠第6至9天或第7至10天以6毫克/千克/天的剂量水平对怀孕的雌性Crj:CD(斯普拉格-道利)大鼠静脉注射卡铂。当在妊娠第6至9天给药时,卡铂对母鼠具有高度胚胎致死性,但在妊娠第7至10天注射时对动物没有致死性。当在妊娠第6至9天给药时,卡铂还会在胎儿中产生外部、内部和骨骼异常,如腹裂、脑室扩张、胸骨裂、肋骨融合、胸椎畸形,但在妊娠第7至10天给药时对胚胎没有影响。然而,在两个给药期用该药物治疗的大鼠中均观察到归因于胎儿生长迟缓的骨化延迟。这些结果表明,当在包括妊娠第6天在内的妊娠早期注射时,卡铂具有胚胎毒性,可导致大鼠宫内死亡和先天性畸形。