Hayashi T, Yada H, Blair M, Laughlin K A, Blanchard G L, Tucek P C, Geil R G
Drug Safety Laboratory, Taiho Pharmaceutical Co., Ltd., Tokushima, Japan.
J Toxicol Sci. 1994 Oct;19 Suppl 2:177-97. doi: 10.2131/jts.19.supplementii_177.
Tazobactam (TAZ) is a newly developed beta-lactamase inhibitor. Tazobactam/Piperacillin (TAZ/PIPC) is a formulation consisting of TAZ and PIPC in a ratio of 1:4. A six-month intravenous repeated dose toxicity study of TAZ/PIPC and TAZ including a one-month recovery period were carried out using male and female dogs. The doses were 200, 400 and 800 mg/kg/day for TAZ/PIPC, and 40, 80 and 160 mg/kg/day for TAZ. The results were as follows. 1. No test article-related deaths occurred during the study period. No effects on clinical findings, body weight and food consumption were evident. 2. No test article-related changes were noted in hematological, serum biochemical and urinalysis evaluations, and opthalmological and electrocardiographic examinations. 3. There were no test article-related changes in macroscopic findings or organ weight. 4. The histopathological examination revealed deposition of marked PAS-positive aggregates in liver cells of dogs given 400 mg/kg/day or more of TAZ/PIPC and 80 mg/kg/day or more of TAZ. Electron micrographs of hepatocytes revealed glycogen granules to be accumulated in the cytoplasm, and an increase of smooth endoplasmic reticulum. 5. After a one-month recovery period, the histopathological changes had generally disappeared, suggesting that they were reversible. 6. From the histopathological changes of liver, the no-toxic dose levels for TAZ/PIPC and TAZ were 200 mg/kg/day and 40 mg/kg/day, respectively.
他唑巴坦(TAZ)是一种新开发的β-内酰胺酶抑制剂。他唑巴坦/哌拉西林(TAZ/PIPC)是一种由TAZ和PIPC按1:4比例组成的制剂。使用雄性和雌性犬进行了TAZ/PIPC和TAZ的为期六个月的静脉重复给药毒性研究,包括一个月的恢复期。TAZ/PIPC的剂量为200、400和800mg/kg/天,TAZ的剂量为40、80和160mg/kg/天。结果如下。1. 在研究期间未发生与受试物相关的死亡。对临床症状、体重和食物摄入量无明显影响。2. 在血液学、血清生化和尿液分析评估以及眼科和心电图检查中未发现与受试物相关的变化。3. 在大体检查结果或器官重量方面未发现与受试物相关的变化。4. 组织病理学检查显示,给予400mg/kg/天及以上TAZ/PIPC和80mg/kg/天及以上TAZ的犬的肝细胞中有明显的PAS阳性聚集物沉积。肝细胞的电子显微镜照片显示糖原颗粒在细胞质中积累,滑面内质网增加。5. 经过一个月的恢复期,组织病理学变化一般消失,表明它们是可逆的。6. 从肝脏的组织病理学变化来看,TAZ/PIPC和TAZ的无毒剂量水平分别为200mg/kg/天和40mg/kg/天。