James R W, Wadsworth P F, Chesterman H, Ball S A, Majeed S K, Heywood R, Street A E, Koeda T, Takeda U, Sasaki H
Jpn J Antibiot. 1980 Aug;33(8):749-57.
Dibekacin sulphate (DKB), a new aminoglycoside antibiotic developed on the theory of bacterial resistance, was given by intravenous injection to groups of female Beagle dogs at dosages of 2.5, 5.0, 10.0 or 25.0 mg/kg/day for 13 weeks. Physiological saline was given as a control. Some dogs given 5.0 or 10.0 mg/kg/day were retained undosed for a further 5 weeks in order to assess recovery. Premature deaths from acute renal tubular nephrosis occurred in dogs given 25.0 and 10.0 mg/kg/day. Dogs which survived treatment at 10.0 mg/kg/day showed marked elevation of circulating urea and creatinine concentrations after 4 weeks' treatment but thereafter the increases became less obvious. Varying degrees of renal cortical tubular dilatation, basophilia, degeneration or necrosis were seen in the kidneys of all dogs examined after 13 weeks treatment although no clinical impairment of renal function was detectable at dosages up to 5.0 mg/kg/day. These changes had essentially regressed in dogs examined 5 weeks after the last dose of DKB at 5.0 mg/kg/day. All the adverse clinical and histological effects noted, following any dose level of DKB tested, could be attributed to renal changes.
硫酸地贝卡星(DKB)是一种基于细菌耐药性理论研发的新型氨基糖苷类抗生素,以2.5、5.0、10.0或25.0毫克/千克/天的剂量静脉注射给雌性比格犬组,持续13周。给予生理盐水作为对照。一些接受5.0或10.0毫克/千克/天剂量的犬在停药后再观察5周以评估恢复情况。接受25.0和10.0毫克/千克/天剂量的犬出现了急性肾小管坏死导致的过早死亡。接受10.0毫克/千克/天剂量治疗存活的犬在治疗4周后循环尿素和肌酐浓度显著升高,但此后升高变得不那么明显。在13周治疗后,所有接受检查的犬的肾脏均出现了不同程度的肾皮质肾小管扩张、嗜碱性变、变性或坏死,尽管在剂量高达5.0毫克/千克/天时未检测到肾功能的临床损害。在最后一剂5.0毫克/千克/天的DKB给药5周后接受检查的犬中,这些变化基本消退。在测试的任何剂量水平的DKB之后观察到的所有不良临床和组织学效应都可归因于肾脏变化。