Donzanti B A, Green M D, Shores E I
Drug Chem Toxicol. 1985;8(6):431-49. doi: 10.3109/01480548509041068.
The present study demonstrates that dose combinations of atropine sulfate and 2-pyridine aldoxime methylchloride (2-PAM), which do not produce any overt toxic effects on the behavior of mice or guinea pigs in a stable environment, elicit clonic-tonic convulsions and death when the animals are physically stressed by cold water swimming. Phenoxybenzamine (1-6 mg/kg), diazepam (0.625 and 1.25 mg/kg) and pilocarpine (2.5 and 5 mg/kg) significantly decreased (or abolished) the occurrence of atropine and 2-PAM stressed-induced convulsions and/or lethality. In contrast, propranolol (20 mg/kg), was ineffective in preventing either convulsions or lethality. Changes in plasma glucose levels and internal body temperature did not appear to explain the precipitation of convulsions or ensuing death. These results suggest that during acute physical stress, relatively low doses of atropine and 2-PAM produce toxic and lethal effects due to the activation of alpha-adrenergic mechanisms along with a concomitant inactivation of cholinergic mechanisms.
本研究表明,硫酸阿托品与氯解磷定(2-PAM)的剂量组合,在稳定环境中对小鼠或豚鼠的行为未产生任何明显毒性作用,但当动物通过冷水游泳受到身体应激时,会引发阵挛性强直惊厥和死亡。酚苄明(1 - 6毫克/千克)、地西泮(0.625和1.25毫克/千克)和毛果芸香碱(2.5和5毫克/千克)显著降低(或消除)了阿托品和2-PAM应激诱导的惊厥和/或致死率。相比之下,普萘洛尔(20毫克/千克)在预防惊厥或致死方面无效。血浆葡萄糖水平和体内体温的变化似乎无法解释惊厥的诱发或随后的死亡。这些结果表明,在急性身体应激期间,相对低剂量的阿托品和2-PAM由于α-肾上腺素能机制的激活以及胆碱能机制的同时失活而产生毒性和致死作用。