Careaga-Olivares J, González-Ramírez D
Centro de Investigación Biomédica del Noreste, Instituto Mexicano del Seguro Social, Monterrey, N.L., México.
Arch Med Res. 1995 Winter;26(4):427-30.
D-penicillamine (PCA) is used by some physicians in human thallium intoxication. With the aim of learning how the blood thallium altered kinetics and the modifications produced on the tissue accumulation, we administered PCA to white male thallium dosed rabbits. The method consisted of intravenous (i.v.) administration of thallium (10 mg/kg) to three groups of rabbits. The first group (control) received only the metal, the second group (treatment A) received PCA (25 mg/kg) at the 70th minute after thallium dose, the third group (treatment B) received the PCA at the same dose, 30 sec before the metal was administered. For kinetics studies, blood samples were collected in all groups at minutes 65, 70, 71, 73, 75, 80, 85 and 90. For thallium accumulation studies, bile, urine and tissue samples were collected. Thallium analyses were made by atomic absorption spectrophotometry. The results showed that in treatment A rabbits, the blood thallium concentration raised significantly at the 71st and 73rd minutes. Concerning metal in tissues, muscle mass accumulated significantly more thallium by the B-treatment, while brain accumulation was significantly greater with treatment A. In conclusion, the PCA modifies the blood thallium elimination acute kinetics for a few minutes and changes its accumulation in some tissues, suggesting that PCA extracts the metal from tissues and then re-distributes it throughout the organism.
一些医生在治疗人体铊中毒时会使用D-青霉胺(PCA)。为了了解血液中铊的动力学变化以及对组织蓄积产生的影响,我们对经铊染毒的雄性白兔注射了PCA。方法是对三组兔子静脉注射铊(10mg/kg)。第一组(对照组)只注射金属,第二组(治疗A组)在注射铊后第70分钟注射PCA(25mg/kg),第三组(治疗B组)在注射金属前30秒注射相同剂量的PCA。为进行动力学研究,在第65、70、71、73、75、80、85和90分钟采集所有组的血样。为进行铊蓄积研究,采集胆汁、尿液和组织样本。通过原子吸收分光光度法进行铊分析。结果显示,在治疗A组兔子中,血液铊浓度在第71和73分钟显著升高。关于组织中的金属,B治疗组肌肉组织蓄积的铊明显更多,而A治疗组大脑中的蓄积明显更多。总之,PCA在几分钟内改变了血液中铊的急性消除动力学,并改变了其在某些组织中的蓄积,这表明PCA从组织中提取金属,然后在整个机体中重新分布。