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二巯基琥珀酸(DMSA),一种用于治疗重金属中毒的无毒水溶性药物。

Dimercaptosuccinic acid (DMSA), a non-toxic, water-soluble treatment for heavy metal toxicity.

作者信息

Miller A L

机构信息

Alternative Medicine Review. P.O. Box 25, Dover, ID 83825, USA.

出版信息

Altern Med Rev. 1998 Jun;3(3):199-207.

PMID:9630737
Abstract

Heavy metals are, unfortunately, present in the air, water, and food supply. Cases of severe acute lead, mercury, arsenic, and cadmium poisoning are rare; however, when they do occur an effective, non-toxic treatment is essential. In addition, chronic, low-level exposure to lead in the soil and in residues of lead-based paint, to mercury in the atmosphere, in dental amalgams and in seafood, and to cadmium and arsenic in the environment and in cigarette smoke is much more common than acute exposure. Meso-2,3-dimercaptosuccinic acid (DMSA) is a sulfhydryl-containing, water-soluble, non-toxic, orally-administered metal chelator which has been in use as an antidote to heavy metal toxicity since the 1950s. More recent clinical use and research substantiates this compound s efficacy and safety, and establishes it as the premier metal chelation compound, based on oral dosing, urinary excretion, and its safety characteristics compared to other chelating substances.

摘要

不幸的是,空气、水和食物供应中都存在重金属。严重急性铅、汞、砷和镉中毒的病例很少见;然而,一旦发生,有效的无毒治疗至关重要。此外,长期低水平接触土壤中的铅、铅基油漆残渣中的铅、大气中的汞、牙科汞合金和海鲜中的汞,以及环境和香烟烟雾中的镉和砷,比急性接触更为常见。内消旋-2,3-二巯基丁二酸(DMSA)是一种含巯基、水溶性、无毒的口服金属螯合剂,自20世纪50年代以来一直用作重金属中毒的解毒剂。最近的临床应用和研究证实了该化合物的有效性和安全性,并将其确立为基于口服给药、尿排泄及其与其他螯合物质相比的安全特性的首要金属螯合化合物。

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