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用于临床前惊厥风险评估的实验动物对药物诱导惊厥的比较敏感性。

Comparative sensitivity of laboratory animals used for preclinical convulsion risk assessment to drug-induced convulsion.

机构信息

Global Drug Safety, Biopharmaceutical Assessments Unit, Eisai Co., Ltd.

Tsukuba Site Management, Deep Human Biology Learning, Eisai Co., Ltd.

出版信息

J Toxicol Sci. 2024;49(9):409-423. doi: 10.2131/jts.49.409.

Abstract

Drug-induced convulsion is a serious concern in drug development, such that the convulsion liability of drug candidates must be evaluated in preclinical safety studies. However, information on the differences among species regarding their sensitivity to convulsions induced by convulsant drugs in humans remains limited. Here, we selected 11 test articles from several pharmacological classes and compared the sensitivities of three types of laboratory animal to convulsion. All 11 test articles were examined in mice via intraperitoneal injection and in rats via intravenous bolus; and 6 of the 11 test articles, selected mainly based on availabilities of data on drug plasma concentrations in humans at convulsion, were examined in non-human primates (NHPs) via intravenous infusion. Plasma concentrations of the test articles shortly after convulsion onset or 5 min after administration were measured. All 11 articles tested in mice, 10 of 11 articles tested in rats, and all 6 articles tested in NHPs induced convulsion with premonitory signs. Although there was a general tendency that rats and NHPs exhibited convulsions at lower plasma drug concentrations than did mice, the plasma concentrations at convulsion onset were generally comparable, within 3-fold differences, across the animal species. We conclude that the mice, rats, and NHPs examined in the present study generally showed similar sensitivities to convulsion induced by the test articles. Thus, each of these laboratory animals can be used for the assessment of convulsion risk in the early stages of drug development, depending on throughput, cost, and test article-specific requirements.

摘要

药物诱导的惊厥是药物开发中的一个严重问题,因此必须在临床前安全性研究中评估候选药物的惊厥倾向。然而,关于人类惊厥药物引起的惊厥敏感性在物种间的差异的信息仍然有限。在这里,我们从几个药理学类别中选择了 11 种测试药物,并比较了三种实验动物对惊厥的敏感性。所有 11 种测试药物均通过腹腔注射在小鼠中进行检查,通过静脉推注在大鼠中进行检查;并且基于人类在惊厥时药物血浆浓度的可用数据,选择了 11 种测试药物中的 6 种在非人类灵长类动物(NHPs)中通过静脉输注进行检查。在惊厥发作后不久或给药后 5 分钟测量测试药物的血浆浓度。在小鼠中测试的所有 11 种药物、在大鼠中测试的 11 种药物中的 10 种药物以及在 NHP 中测试的所有 6 种药物都引起了有预兆的惊厥。尽管通常存在这样的趋势,即大鼠和 NHP 表现出的惊厥所需的血浆药物浓度低于小鼠,但在动物种间,惊厥发作时的血浆浓度通常在 3 倍差异范围内可比。我们得出结论,在本研究中检查的小鼠、大鼠和 NHP 通常对测试药物引起的惊厥表现出相似的敏感性。因此,这些实验动物中的每一种都可以根据通量、成本和测试药物的具体要求,用于药物开发早期的惊厥风险评估。

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