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苯二氮䓬类药物夸西泮的临床前安全性评价。

Preclinical safety evaluation of the benzodiazepine quazepam.

作者信息

Black H E, Szot R J, Arthaud L E, Massa T, Mylecraine L, Klein M, Lake R, Fabry A, Kaminska G Z, Sinha D P

机构信息

Safety Evaluation Center, Schering Plough Corporation, Lafayette, NJ.

出版信息

Arzneimittelforschung. 1987 Aug;37(8):906-13.

PMID:2890357
Abstract

7-Chloro-5-(2-fluorophenyl)-1,3-dihydro-1-(2,2,2-trifluoroethyl)-2H-1,4- benzodiazepine-2-thione (quazepam, Sch 16134, Dormalin) was evaluated for evidence of systemic toxicity, carcinogenicity and reproductive toxicity in several laboratory animal species including the hamster. Mutagenic potential was also assessed in one in vivo and three in vitro assays. In some studies, diazepam was used as a comparative control. Oral LD50 values were greater than 5000 mg/kg in the mouse and rat while i.p. LD50 values were approximately 900 and 2900 mg/kg in the mouse and rat, respectively. Studies in hamsters for 4 weeks at doses up to 500 mg/kg/d and for 51 weeks at doses up to 120 mg/kg/d demonstrated that the liver was the principal target organ in this species with the effects upon the liver related to dose and duration of dosing. Studies in the squirrel monkey for 13 and 52 weeks at doses up to 50 mg/kg/d demonstrated a transient ataxia, hypoactivity and somnolence during the initial two weeks of dosing. No unusual necropsy or microscopic observations were noted in the 13-week study. Male reproductive organs of quazepam-dosed monkeys were reduced in weight after 52 weeks. Moderate to marked impairment of spermatogenesis and higher liver weights with moderate to marked fatty change in both sexes were observed in groups given diazepam. Abrupt withdrawal of quazepam or diazepam after 52 weeks of dosing was associated at all dose levels with excitability, hyperactivity and convulsions. Two quazepam- and all diazepam-dosed monkeys died.(ABSTRACT TRUNCATED AT 250 WORDS)

摘要

对7-氯-5-(2-氟苯基)-1,3-二氢-1-(2,2,2-三氟乙基)-2H-1,4-苯并二氮杂䓬-2-硫酮(夸西泮,Sch 16134,多马宁)在包括仓鼠在内的几种实验动物物种中进行了全身毒性、致癌性和生殖毒性的评估。还通过一项体内试验和三项体外试验评估了其致突变潜力。在一些研究中,地西泮用作对照。小鼠和大鼠的口服半数致死量(LD50)值大于5000 mg/kg,而小鼠和大鼠的腹腔注射LD50值分别约为900和2900 mg/kg。在仓鼠中,以高达500 mg/kg/d的剂量进行4周研究以及以高达120 mg/kg/d的剂量进行51周研究表明,肝脏是该物种的主要靶器官,对肝脏的影响与给药剂量和给药持续时间有关。在松鼠猴中,以高达50 mg/kg/d的剂量进行13周和52周研究表明,给药的最初两周出现短暂共济失调、活动减退和嗜睡。在13周研究中未发现异常尸检或显微镜观察结果。给药52周后,服用夸西泮的猴子雄性生殖器官重量减轻。给予地西泮的组观察到中度至明显的精子发生受损,两性肝脏重量增加并伴有中度至明显的脂肪变性。给药52周后突然停用夸西泮或地西泮,在所有剂量水平下均出现兴奋、多动和惊厥。两只服用夸西泮的猴子和所有服用地西泮的猴子死亡。(摘要截断于250字)

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