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庆大霉素诱导的小鼠肾毒性:袢利尿剂的保护作用。

Gentamicin-induced nephrotoxicity in mice: protection by loop diuretics.

作者信息

Whiting P H, Petersen J, Simpson J G

出版信息

Br J Exp Pathol. 1981 Apr;62(2):200-6.

PMID:7236500
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2041661/
Abstract

Gentamicin, at doses of 50 or 100 mg/kg body wt administered daily to healthy male MF1 mice by i.p. injection for either 7 or 10 days caused proximal tubular cell damage shown both by the urinary excretion of N-acetyl-beta-D-glucosaminidase (NAG) and by electron microscopy. The tubular damage was maximal at 7 days. Concomitant administration of any of 3 diuretics-frusemide, bumetanide or piretanide at 5,0.5 and 1 mg/kg body wt/day respectively-resulted in less tubular damage than that caused by gentamicin alone. This finding of protection by diuretics contrasts with those of previous studies of combination gentamicin-diuretic therapy.

摘要

将庆大霉素以50或100毫克/千克体重的剂量,通过腹腔注射每日给予健康雄性MF1小鼠,持续7天或10天,会导致近端肾小管细胞损伤,这通过N - 乙酰 - β - D - 氨基葡萄糖苷酶(NAG)的尿排泄以及电子显微镜检查得以显示。肾小管损伤在第7天时最为严重。分别以5、0.5和1毫克/千克体重/天的剂量同时给予三种利尿剂(速尿、布美他尼或吡咯他尼)中的任何一种,所导致的肾小管损伤比单独使用庆大霉素时要少。利尿剂的这种保护作用的发现与先前关于庆大霉素 - 利尿剂联合治疗的研究结果形成了对比。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f063/2041661/e73fb2354994/brjexppathol00110-0093-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f063/2041661/94e0703bdff6/brjexppathol00110-0093-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f063/2041661/e73fb2354994/brjexppathol00110-0093-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f063/2041661/94e0703bdff6/brjexppathol00110-0093-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f063/2041661/e73fb2354994/brjexppathol00110-0093-b.jpg

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1
Gentamicin-induced nephrotoxicity in mice: protection by loop diuretics.庆大霉素诱导的小鼠肾毒性:袢利尿剂的保护作用。
Br J Exp Pathol. 1981 Apr;62(2):200-6.
2
[Can gentamicin nephrotoxicity in rats be modified by chronic administration of muzolimine?].[长期给予莫唑胺能否改善大鼠庆大霉素肾毒性?]
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3
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4
[Urinary excretion of N-acetyl-beta-D-glucosaminidase (NAG) and its isoenzyme B as a marker of the nephrotoxicity of gentamicin: re-test from an animal model].
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The effect of frusemide and piretanide on the renal clearance of gentamicin in man.

本文引用的文献

1
Protein measurement with the Folin phenol reagent.使用福林酚试剂进行蛋白质测定。
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Nephrotoxicity of gentamicin.庆大霉素的肾毒性
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Early warning of rejection?排斥反应的早期预警?
速尿和吡咯他尼对庆大霉素在人体肾清除率的影响。
Br J Clin Pharmacol. 1981 Dec;12(6):795-9. doi: 10.1111/j.1365-2125.1981.tb01309.x.
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The toxic effects of combined administration of cyclosporin A and gentamicin.环孢素A与庆大霉素联合给药的毒性作用。
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Bumetanide. A review of its pharmacodynamic and pharmacokinetic properties and therapeutic use.布美他尼。对其药效学、药代动力学特性及治疗用途的综述。
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Immunization with live types 7 and 4 adenovirus vaccines. I. Safety, infectivity, antigenicity, and potency of adenovirus type 7 vaccine in humans.7型和4型腺病毒活疫苗免疫接种。I. 7型腺病毒疫苗在人体中的安全性、感染性、抗原性和效力。
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Nephrotoxicity of aminoglycosides and gentamicin.氨基糖苷类药物及庆大霉素的肾毒性
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Nephrotoxicity of anti-infective drugs.抗感染药物的肾毒性。
Clin Pediatr (Phila). 1968 Jul;7(7):389-90. doi: 10.1177/000992286800700706.
7
Renal damage caused by gentamicin: a study of the effects on renal morphology and urinary enzyme excretion.
J Pathol. 1976 Mar;118(3):171-82. doi: 10.1002/path.1711180307.
8
Effects of hydration on gentamicin excretion and renal accumulation in furosemide-treated rats.水合作用对速尿处理大鼠庆大霉素排泄及肾脏蓄积的影响。
Antimicrob Agents Chemother. 1978 Aug;14(2):214-7. doi: 10.1128/AAC.14.2.214.
9
[Renal toxicity of the association: gentamicin/furosemide. One case (author's transl)].联合用药(庆大霉素/呋塞米)的肾毒性。1例报告(作者译)
Nouv Presse Med. 1978 Feb 4;7(5):351-3.
10
The influence of dosage regimen on experimental gentamicin nephrotoxicity: dissociation of peak serum levels from renal failure.给药方案对实验性庆大霉素肾毒性的影响:血清峰值水平与肾衰竭的分离
J Infect Dis. 1979 Oct;140(4):576-80. doi: 10.1093/infdis/140.4.576.