梁猷毅, 施觉民, 陈立信, 丁光生. 口服二巯基丁二酸的毒性和对铅、铜、锑、锶、铊、钷的促排作用J. 药学学报, 1980, 15(6): 335-340.
引用本文: 梁猷毅, 施觉民, 陈立信, 丁光生. 口服二巯基丁二酸的毒性和对铅、铜、锑、锶、铊、钷的促排作用J. 药学学报, 1980, 15(6): 335-340.
Liang Youyi, Shi Juemin, Chen Lixin , Ding Guangsheng, . DIMERCAPTOSUCCINIC ACID PER OS PROMOTED THE EXCRETIONS OF Pb,Cu,Sb,Sr,Tl AND PmJ. Acta Pharmaceutica Sinica, 1980, 15(6): 335-340.
Citation: Liang Youyi, Shi Juemin, Chen Lixin , Ding Guangsheng, . DIMERCAPTOSUCCINIC ACID PER OS PROMOTED THE EXCRETIONS OF Pb,Cu,Sb,Sr,Tl AND PmJ. Acta Pharmaceutica Sinica, 1980, 15(6): 335-340.

口服二巯基丁二酸的毒性和对铅、铜、锑、锶、铊、钷的促排作用

DIMERCAPTOSUCCINIC ACID PER OS PROMOTED THE EXCRETIONS OF Pb,Cu,Sb,Sr,Tl AND Pm

  • 摘要: 小鼠一次灌胃二巯基丁二酸(DMSA)混悬剂的LD50为6g/kg,大白鼠为4g/kg。正常狗每天灌DMSA0.5g/kg共6周(5天/周)给药后食量减少,呕吐,体重减轻。血象、血糖、心电图、肝功能和肾功能均无显著变化。解剖一狗见十二脂肠有少量充血。灌服0.2g/kg组无明显症状。兔一次灌服DMSA后半小时,血中SH含量达高峰,5小时内血中SH浓度已明显下降。小鼠皮下注射210Pb-醋酸铅后以骨和肾210Pb含量最高。静注二巯基丁二酸钠(Na-DMS)或灌服DMSA可排除体内吸收210Pb,二者均非常显著降低骨和肾中210Pb。兔皮下注射硫酸铜后,DMSA可明显促进尿铜的排泄。加服NaHCO3或枸橼酸钠可加强DMSA的排铜作用。小鼠分别肌注125Sb-吐酒石、90Sr-硝酸锶、204Tl-硫酸亚铊和147Pm-硝酸钷后立即灌胃DMSA和NaHCO3,DMSA明显增加放射性金属在尿中排泄。促使125Sb排泄增加6倍、90Sr 2倍、204Tl 11倍和可提高147Pm 12倍。血和大多组织中放射性都有降低。上述结果提示口服DMSA可用于金属中毒治疗。DMSA比Na-DMS稳定低毒,值得继续研究。

     

    Abstract: After a single intragastric gavage to mice and rats, the LD50 of 2,3-dimercaptosuccinic acid (DMSA) were found to be 6 and 4g/kg, respectively.Dogs were given intragastrically DMSA 0.5 g/kg daily (5 days/week) for 6 weeks. Vomiting occurred and food intake decreased, thus causing a loss of body weight. However, no remarkable changes were found in blood picture, blood glucose, electrocardiogram, liver function tests (BSP, serum alkaline phosphatase, thymol turbidity and SGPT) and renal function tests (NPN and creatinine). Autopsy revealed a slight congestion in the duodenum. A daily dose of 0.2 g/kg caused no pathological signs.In rabbits given an intragastric gavage of DMSA, the blood SH content rose to a peak at 1/2 hour, and then declined in 5 hours.In mice given a subcutaneous injection of lead acetate (210PbAc2) the bone and kidney contained more 210pb than other organs. Both DMSA and sodium dimercaptosuccinate (Na-DMS) could diminish the 210pb contents in tissues and promote the urinary excretion of 210pb.In rabbits given a subcutaneous injection of CuSO4 an intragastric garage of DMSA hastened the urinary excretion of copper markedly. Both sodium bicarbonate and sodium citrate enhanced the effect of DMSA.Mice were given an intramuscular injection of K-125Sb-tartrate, 90Sr (NO3)2, 204Tl2SO4 or 147Pm(NO3)3, followed immediately by an intragastric gavage of DMSA and NaHCO3. There appeared a striking increase of metal excretion into the urine, amounted to about 6 times for 125Sb, 2 times for 90Sr, 11 times for 204Tl and 12 times for 147pm as compared to the control mice. The radioactivities in blood and tissues decreased.These results indicate the benefits of DMSA per os in the treatment of intoxications by certain metallic compounds. DMSA is very stable and may be administered orally with little toxicity. Further studies on DMSA is warranted.

     

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