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丙硫氧嘧啶、甲巯咪唑和卡比马唑的胎盘转运。

The placental transfer of propylthiouracil, methimazole and carbimazole.

作者信息

Marchant B, Brownlie B E, Hart D M, Horton P W, Alexander W D

出版信息

J Clin Endocrinol Metab. 1977 Dec;45(6):1187-93. doi: 10.1210/jcem-45-6-1187.

Abstract

The placental transfer of 35S-labelled methimazole (MMI), carbimazole and propylthiouracil (PTU) has been examined in the rat in late pregnancy and in patients undergoing therapeutic abortion. Although rapid equilibrium of fetal and maternal serum radioactivity (FS:MS ratio 1:1) occurred after iv administration of 35S-carbimazole or 35S-MMI in rats, a persistent fetal to maternal ratio of less than one was observed after 35S-PTU administration. Results from human studies after a single oral dose indicate that, as in the rat, the placenta appeared to be more permeable to 35S-MMI than to 35S-PTU as shown by the marked difference in fetal serum:maternal serum ratios and amounts accumulated in the fetus. Localization of radioactivity in the human fetal thyroid was also observed after administration of 35S-labelled MMI, carbimazole or PTU.

摘要

在妊娠晚期的大鼠以及接受治疗性流产的患者中,研究了35S标记的甲巯咪唑(MMI)、卡比马唑和丙硫氧嘧啶(PTU)的胎盘转运情况。虽然在大鼠静脉注射35S-卡比马唑或35S-MMI后,胎儿和母体血清放射性迅速达到平衡(FS:MS比值为1:1),但在注射35S-PTU后,观察到胎儿与母体的持续比值小于1。单次口服给药后人的研究结果表明,与大鼠一样,胎盘对35S-MMI的通透性似乎比对35S-PTU更高,这表现为胎儿血清:母体血清比值以及胎儿中积累量的显著差异。在给予35S标记的MMI、卡比马唑或PTU后,也观察到放射性在人胎儿甲状腺中的定位。

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