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Combination of pathological, biochemical and behavioral evaluations for peripheral neurotoxicity assessment in isoniazid-treated rats 结合病理、生化和行为评估,评估异烟肼治疗大鼠的外周神经毒性
IF 1.2 4区 医学 Q4 PATHOLOGY Pub Date : 2023-12-29 DOI: 10.1293/tox.2023-0094
Akane KASHIMURA, Satomi NISHIKAWA, Yuhei OZAWA, Yui HIBINO, Takashi TATEOKA, Mao MIZUKAWA, Hironobu NISHINA, Tetsuya SAKAIRI, Takanori SHIGA, Naoyuki AIHARA, Junichi KAMIIE

In drug development, assessment of non-clinical peripheral neurotoxicity is important to ensure human safety. Clarifying the pathological features and mechanisms of toxicity enables the management of safety risks in humans by estimating the degree of risk and proposing monitoring strategies. Published guidelines for peripheral neurotoxicity assessment do not provide detailed information on which endpoints should be monitored preferentially and how the results should be integrated and discussed. To identify an optimal assessment method for the characterization of peripheral neurotoxicity, we conducted pathological, biochemical (biomaterials contributing to mechanistic considerations and biomarkers), and behavioral evaluations of isoniazid-treated rats. We found a discrepancy between the days on which marked pathological changes were noted and those on which biochemical and behavioral changes were noted, suggesting the importance of combining these evaluations. Although pathological evaluation is essential for pathological characterization, the results of biochemical and behavioral assessments at the same time points as the pathological evaluation are also important for discussion. In this study, since the measurement of serum neurofilament light chain could detect changes earlier than pathological examination, it could be useful as a biomarker for peripheral neurotoxicity. Moreover, examination of semi-thin specimens and choline acetyltransferase immunostaining were useful for characterizing morphological neurotoxicity, and image analysis of semi-thin specimens enabled us to objectively show the pathological features.

在药物开发过程中,评估非临床外周神经毒性对于确保人体安全非常重要。明确毒性的病理特征和机制有助于通过估计风险程度和提出监测策略来管理人体安全风险。已发布的外周神经毒性评估指南并未详细说明应优先监测哪些终点,以及应如何整合和讨论监测结果。为了确定表征外周神经毒性的最佳评估方法,我们对异烟肼处理过的大鼠进行了病理、生化(有助于机理考虑的生物材料和生物标志物)和行为评估。我们发现,出现明显病理变化的天数与出现生化和行为变化的天数之间存在差异,这表明将这些评估结合起来非常重要。虽然病理评估对于病理特征的确定至关重要,但在病理评估的同一时间点进行的生化和行为评估的结果对于讨论也很重要。在本研究中,由于血清神经丝轻链的测定可比病理检查更早地检测到变化,因此可作为外周神经毒性的生物标志物。此外,半薄标本检查和胆碱乙酰转移酶免疫染色法有助于确定形态学神经毒性的特征,半薄标本的图像分析使我们能够客观地显示病理特征。
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引用次数: 0
CD44 expression in renal tubular epithelial cells in the kidneys of rats with cyclosporine-induced chronic kidney disease 环孢素诱发慢性肾病大鼠肾小管上皮细胞中 CD44 的表达
IF 1.2 4区 医学 Q4 PATHOLOGY Pub Date : 2023-12-18 DOI: 10.1293/tox.2023-0111
Kohei MATSUSHITA, Takeshi TOYODA, Hirotoshi AKANE, Tomomi MORIKAWA, Kumiko OGAWA

Renal tubular epithelial cell (TEC) injury is the most common cause of drug-induced kidney injury (DIKI). Although TEC regeneration facilitates renal function and structural recovery following DIKI, maladaptive repair of TECs leads to irreversible fibrosis, resulting in chronic kidney disease (CKD). CD44 is specifically expressed in TECs during maladaptive repair in several types of rat CKD models. In this study, we investigated CD44 expression and its role in renal fibrogenesis in a cyclosporine (CyA) rat model of CKD. Seven-week-old male Sprague–Dawley rats fed a low-salt diet were subcutaneously administered CyA (0, 15, or 30 mg/kg) for 28 days. CD44 was expressed in atrophic, dilated, and hypertrophic TECs in the fibrotic lesions of the CyA groups. These TECs were collected by laser microdissection and evaluated by microarray analysis. Gene ontology analysis suggested that these TECs have a mesenchymal phenotype, and pathway analysis identified CD44 as an upstream regulator of fibrosis-related genes, including fibronectin 1 (Fn1). Immunohistochemistry revealed that epithelial and mesenchymal markers of TECs of fibrotic lesions were downregulated and upregulated, respectively, and that these TECs were surrounded by a thickened basement membrane. In situ hybridization revealed an increase in Fn1 mRNA in the cytoplasm of TECs of fibrotic lesions, whereas fibronectin protein was localized in the stroma surrounding these tubules. Enzyme-linked immunosorbent assay revealed increased serum CD44 levels in CyA-treated rats. Collectively, these findings suggest that CD44 contributes to renal fibrosis by inducing fibronectin secretion in TECs exhibiting partial epithelial-mesenchymal transition and highlight the potential of CD44 as a biomarker of renal fibrosis.

肾小管上皮细胞(TEC)损伤是药物性肾损伤(DIKI)最常见的原因。虽然 TEC 的再生有利于 DIKI 后肾功能和结构的恢复,但 TEC 的不适应性修复会导致不可逆转的纤维化,从而导致慢性肾病(CKD)。在几种类型的大鼠 CKD 模型中,CD44 在 TECs 适应性不良修复过程中特异性表达。在本研究中,我们研究了环孢素(CyA)大鼠 CKD 模型中 CD44 的表达及其在肾脏纤维化中的作用。皮下注射 CyA(0、15 或 30 mg/kg)给以低盐饮食的七周大雄性 Sprague-Dawley 大鼠,连续 28 天。CD44 在 CyA 组大鼠纤维化病变中的萎缩、扩张和肥大 TEC 中均有表达。通过激光显微切割收集了这些TEC,并进行了芯片分析评估。基因本体分析表明这些TEC具有间充质表型,通路分析确定CD44是纤维化相关基因(包括纤连蛋白1(Fn1))的上游调控因子。免疫组化显示,纤维化病变的TECs的上皮和间质标记物分别下调和上调,这些TECs被增厚的基底膜包围。原位杂交显示,纤维化病变TEC细胞质中的Fn1 mRNA增加,而纤维粘连蛋白则定位于这些小管周围的基质中。酶联免疫吸附试验显示,经 CyA 处理的大鼠血清 CD44 水平升高。总之,这些研究结果表明,CD44通过诱导表现出部分上皮-间质转化的TEC分泌纤维粘连蛋白而促进肾脏纤维化,并突出了CD44作为肾脏纤维化生物标志物的潜力。
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引用次数: 0
Drug review process advancement and required manufacturer and contract research organization responses 药品审评过程的进展和要求生产商和合同研究组织的回应
IF 1.2 4区 医学 Q4 PATHOLOGY Pub Date : 2023-11-22 DOI: 10.1293/tox.2023-0106
Takayuki ANZAI, Glenn J. MYATT, Frances HALL, Brenda FINNEY, Kenshi NAKAGAWA, Hijiri IWATA, Reo ANZAI, Anne DICKINSON, Matthew FREER, Dai NAKAE, Hiroshi ONODERA, Takaaki MATSUYAMA

The United States Senate passed the “FDA Modernization Act 2.0.” on September 29, 2022. Although the effectiveness of this Bill, which aims to eliminate the mandatory use of laboratory animals in new drug development, is limited, it represents a significant trend that will change the shape of drug applications in the United States and other countries. However, pharmaceutical companies have not taken major steps towards the complete elimination of animal testing from the standpoint of product safety, where they prioritize patient safety. Nonetheless, society is becoming increasingly opposed to animal testing, and efforts will be made to use fewer animals and conduct fewer animal tests as a natural and reasonable response. These changes eventually alter the shape of new drug applications. Based on the assumption that fewer animal tests will be conducted or fewer animals will be used in testing, this study explored bioinformatics and new technologies as alternatives to compensate for reduced information and provide a picture of how future new drug applications may look. The authors also discuss the directions that pharmaceutical companies and nonclinical contract research organizations should adopt to promote the replacement, reduction, and refinement of animals used in research, teaching, testing, and exhibitions.

美国参议院通过了“FDA现代化法案2.0”。2022年9月29日。虽然这项旨在消除在新药开发中强制使用实验动物的法案的有效性有限,但它代表了一个重要的趋势,将改变美国和其他国家药物应用的形式。然而,从产品安全的角度来看,制药公司并没有采取重大步骤来完全消除动物试验,他们优先考虑患者的安全。尽管如此,社会越来越反对动物实验,作为一种自然和合理的反应,将努力减少使用动物和进行动物实验。这些变化最终会改变新药应用的形态。基于较少的动物试验或较少的动物用于试验的假设,本研究探索了生物信息学和新技术作为替代方案,以弥补减少的信息,并提供了未来新药应用的前景。作者还讨论了制药公司和非临床合同研究组织应采取的方向,以促进在研究、教学、试验和展览中使用动物的替代、减少和改进。
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引用次数: 0
Identifying the dataset to define the optimal timing of histopathological examination for central nervous system toxicity in MPTP-induced Parkinson's disease monkey model. 确定数据集,以确定MPTP诱导的帕金森病猴模型中枢神经系统毒性的最佳组织病理学检查时间。
IF 1.2 4区 医学 Q4 PATHOLOGY Pub Date : 2023-10-01 Epub Date: 2023-05-24 DOI: 10.1293/tox.2023-0010
YasunoHironobu, MasudaYasushi, OzakiHarushige, SanoTomoya, ShinozawaTadahiro, WatanabeTakeshi

Determining the optimal timing for histopathological examination following exposure to a test article is crucial for assessing neurotoxicity. However, no study has focused on identifying an ideal dataset to define the optimal timing for histopathological examination of central nervous system (CNS) toxicity in monkeys. Therefore, this study aimed to define a predictive endpoint that would guide us in selecting the optimal timing for histopathological examination of CNS toxicity in monkeys. Four cynomolgus monkeys were administered 1-methyl-4-phenyl-1,2,3,6-tetrahydropyridine (MPTP) intravenously at a dosage of 0.6 mg/kg twice at 1-week intervals. Necropsies were performed 1 week after the final dose. The Parkinsonian rating (PR) score and temporal changes in neurofilament light chain and glial fibrillary acidic protein concentrations in the cerebrospinal fluid (CSF) and serum were evaluated and compared with the histopathological findings in the brain. The PR score of all animals administered MPTP increased from days 10 to 11, with some degree of individual variability. Microscopically, all animals showed axonal swelling and vacuolation, with or without microgliosis in the nigrostriatal bundle. However, substantial neurodegenerative findings were observed only in animals with high PR scores at necropsy. A slight increase in CSF biomarker levels at necropsy was also observed in animals with high PR scores. However, their correlation with microscopic findings in these animals was unclear. These data suggest that comprehensive clinical observations, such as PR score alone or combined with other CSF biomarkers, could be further evaluated as potential indicators for triggering anatomic CNS evaluations in monkeys following toxic insults.

确定暴露于供试品后组织病理学检查的最佳时间对于评估神经毒性至关重要。然而,没有研究集中于确定一个理想的数据集来定义猴子中枢神经系统(CNS)毒性组织病理学检查的最佳时间。因此,本研究旨在确定一个预测终点,指导我们选择猴子中枢神经系统毒性组织病理学检查的最佳时机。四只食蟹猴以0.6mg/kg的剂量静脉注射1-甲基-4-苯基-1,2,3,6-四氢吡啶(MPTP),间隔1周两次。在最后一次给药后1周进行尸检。评估帕金森病评分(PR)以及脑脊液(CSF)和血清中神经丝轻链和神经胶质原纤维酸性蛋白浓度的时间变化,并与大脑的组织病理学结果进行比较。所有给予MPTP的动物的PR评分从第10天增加到第11天,具有一定程度的个体变异性。显微镜下,所有动物均显示轴突肿胀和空泡化,黑质纹状体束中有或没有小胶质增生。然而,只有在尸检时PR评分较高的动物中才观察到实质性的神经退行性病变。尸检时,在PR评分高的动物中也观察到CSF生物标志物水平略有增加。然而,它们与这些动物的显微镜观察结果之间的相关性尚不清楚。这些数据表明,综合的临床观察,如PR评分单独或与其他CSF生物标志物联合,可以作为触发猴子中毒性损伤后中枢神经系统解剖评估的潜在指标进行进一步评估。
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引用次数: 1
Retraction: Nuclear Morphometric Analysis of Leydig Cells of Male Pubertal Rats Exposed In Utero to Di(n-butyl) Phthalate. 收缩:暴露于邻苯二甲酸二正丁酯的雄性青春期大鼠睾丸间质细胞的核形态计量学分析。
IF 1.2 4区 医学 Q4 PATHOLOGY Pub Date : 2023-10-01 Epub Date: 2023-10-06 DOI: 10.1293/tox.36.R1
Shin Wakui, Masaya Motohashi, Takemi Satoh, Masaru Shirai, Tomoko Mutou, Hiroyuki Takahashi, Michael F Wempe, Hitoshi Endou, Tomoo Inomata, Masao Asari

[This retracts the article on p. 439 in vol. 26, PMID: 24526819.].

[这收回了第26卷第439页的文章,PMID:24526819.]。
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引用次数: 0
Pathological analysis of lesions in the exocrine pancreas of rats induced by Zinc Maltol. 麦芽酚锌致大鼠外分泌胰腺损伤的病理学分析。
IF 1.2 4区 医学 Q4 PATHOLOGY Pub Date : 2023-10-01 Epub Date: 2023-07-13 DOI: 10.1293/tox.2023-0063
FujiwaraSakura, MorokiTakayasu, HitomiMasaya, SatoMakoto, TerayamaYui, YoshikawaTsuyoshi

The pancreas plays an important role in the homeostasis of zinc (Zn), a nutritionally essential metal. In several previous studies, Zn ions induced inflammatory changes in the exocrine pancreas; however, little is known about Zn complexes. In this study, we microscopically, immunohistochemically, and ultrastructurally examined pancreatic lesions in Sprague-Dawley (SD) rats induced by a 4-week repeated oral dose toxicity study of Zinc Maltol (ZM), a zinc (II) complex. ZM induces acinar atrophy and increases the number of duct-like structures. Immunohistochemistry revealed a decrease in the number of trypsin-positive cells, and an increase in the number of SOX9-positive cells. Interstitial fibrosis and macrophage infiltration also correlated with the degree of acinar atrophy. Electron microscopic evaluation revealed that the acinar cells that lost granules were surrounded by fibroblasts and collagen fibers. In conclusion, we provided a detailed description of ZM-induced pancreatic lesions in SD rats.

胰腺在锌(一种营养必需金属)的稳态中起着重要作用。在之前的几项研究中,锌离子诱导胰腺外分泌的炎症变化;然而,对锌配合物知之甚少。在本研究中,我们对Sprague-Dawley(SD)大鼠的胰腺损伤进行了显微镜、免疫组织化学和超微结构检查,该损伤是由锌(II)复合物锌麦芽酚(ZM)的4周重复口服剂量毒性研究引起的。ZM诱导腺泡萎缩并增加导管样结构的数量。免疫组织化学显示胰蛋白酶阳性细胞数量减少,SOX9阳性细胞数量增加。间质纤维化和巨噬细胞浸润也与腺泡萎缩的程度相关。电镜评估显示,失去颗粒的腺泡细胞被成纤维细胞和胶原纤维包围。总之,我们提供了ZM诱导SD大鼠胰腺病变的详细描述。
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引用次数: 0
Smooth muscle hamartoma of the lungs in a Wistar Hannover rat. 汉诺威Wistar大鼠肺平滑肌错构瘤。
IF 1.2 4区 医学 Q4 PATHOLOGY Pub Date : 2023-10-01 Epub Date: 2023-07-07 DOI: 10.1293/tox.2023-0056
MiyazakiShinya, FujiwaraChinatsu, KatohYoshitaka, ItoTsuyoshi, KoyamaAya, TakahashiNaofumi, ShigaAtsushi, HaradaTakanori

Hamartomas are tumor-like masses comprising disorganized normal tissue elements. To date, spontaneous hamartomas have been reported in several organs and tissues in rodents but not in the lungs. Here, we report the first case of a hamartoma in the lungs of a 108-week-old female Wistar Hannover rat. Grossly, a white spot, 7 mm in diameter, was observed on the costal surface of the left lung. Histopathologically, the nodular lesions adjacent to the bronchioles comprised mature smooth muscle cells. The lesion was not encapsulated and spread along the alveolar walls and ducts without compression of the surrounding tissue. In the nodules, elastic fibers enclosed small lumens lined with factor VIII-related antigen-positive endothelial cells. This structure suggested that the nodule mimicked an artery. Moreover, structural abnormalities were observed within the bronchioles and arterioles owing to the increased number of smooth muscle cells in the surrounding tissues. These features suggested that this was a case of tissue malformation rather than a neoplasm, leading to the diagnosis of a smooth muscle hamartoma of the lung.

错构瘤是由紊乱的正常组织组成的肿瘤样肿块。迄今为止,啮齿类动物的几个器官和组织中都有自发性错构瘤的报道,但肺部没有。在这里,我们报告了第一例108周龄雌性Wistar Hannover大鼠肺部的错构瘤。大体上,在左肺的肋表面观察到一个直径为7mm的白点。在组织病理学上,细支气管附近的结节性病变包括成熟的平滑肌细胞。病变没有被包裹并沿着肺泡壁和导管扩散,周围组织没有受到压迫。在结节中,弹性纤维包裹着衬有因子VIII相关抗原阳性内皮细胞的小管腔。这种结构表明结节模仿动脉。此外,由于周围组织中平滑肌细胞数量增加,细支气管和小动脉内观察到结构异常。这些特征表明,这是一例组织畸形,而不是肿瘤,从而诊断为肺部平滑肌错构瘤。
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引用次数: 0
Histopathology of fused triplet placenta in rat. 大鼠融合三联体胎盘的组织病理学。
IF 1.2 4区 医学 Q4 PATHOLOGY Pub Date : 2023-10-01 Epub Date: 2023-06-05 DOI: 10.1293/tox.2023-0026
FurukawaSatoshi, TsujiNaho, HayashiSeigo, KurodaYusuke, KimuraMasayuki, KojimaChisato, TakeuchiKazuya

A fused triplet placenta was observed in a Wistar Hannover rat on gestation day 15. Each placenta (referred to as PL-A, PL-B, and PL-C) of this fused placenta was attached to one fetus each, but their fetal weights were lower than that of the fetus attached to the only normal placenta (referred to as PL-N) in this dam. Histopathologically, thinning of the trophoblastic septa and dilatation of the maternal sinusoid in the labyrinth zone were observed in PL-B and PL-C, but not in PL-A or PL-N. The points of placental fusion were at the junctional zone derived from each side of the placenta without connective tissues, and the septum was composed of trophoblastic giant cells. Although PL-A had a solitary metrial gland, PL-B and PL-C shared one metrial gland with one spiral artery terminus branching towards each labyrinth zone.

在妊娠第15天,在Wistar Hannover大鼠中观察到融合的三联体胎盘。这种融合胎盘的每个胎盘(称为PL-A、PL-B和PL-C)分别附着在一个胎儿身上,但它们的胎儿重量低于附着在该坝中唯一正常胎盘(也称为PL-N)上的胎儿重量。在组织病理学上,在PL-B和PL-C中观察到滋养层隔膜变薄和迷路区母体血窦扩张,但在PL-A或PL-N中没有观察到。胎盘融合点位于胎盘两侧的交界区,无结缔组织,隔膜由滋养层巨细胞组成。尽管PL-A有一个单独的子宫腺,但PL-B和PL-C共用一个子宫腺,每个迷宫区有一个螺旋动脉末端分支。
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引用次数: 0
Analyses of damage-associated molecular patterns, particularly biglycan, in cisplatin-induced rat progressive renal fibrosis. 在顺铂诱导的大鼠进行性肾纤维化中,损伤相关的分子模式,特别是多糖的分析。
IF 1.2 4区 医学 Q4 PATHOLOGY Pub Date : 2023-07-01 DOI: 10.1293/tox.2022-0148
Minto Nakagawa, Takeshi Izawa, Mitsuru Kuwamura, Jyoji Yamate

Damage-associated molecular patterns (DAMPs) and their receptors (TLR-2 and -4) may play important roles in renal fibrosis, of which the pathogenesis is complicated. We used rat renal lesions induced by a single intraperitoneal injection of cisplatin at 6 mg/kg body weight; consisting of tissue damage of renal tubules on days 1 and 3, further damage and regeneration with inflammation mainly on days 5 and 7, and interstitial fibrosis on days 9, 12, 15, and 20. Microarray analyses on days 5 (the commencement of inflammation) and 9 (the commencement of interstitial fibrosis) showed that DAMPs increased by more than two-fold relative to control included common extra-cellular matrix (ECM) components such as laminin (Lamc2) and fibronectin, and heat shock protein family, as well as fibrinogen, although it was limited analysis; Lamc2, an element of basement membrane, may be regarded as an indicator for damaged renal tubules. In the real-time RT-PCR analyses, TLR-2 significantly increased transiently on day 1, whereas TLR-4 significantly increased on days 9 and 15, almost in agreement with the increased biglycan (a small leucine-rich proteoglycan as ubiquitous ECM component). As M1/M2 macrophages participated in renal lesions, such as inflammation and fibrosis, presumably, TLR-4, which may be expressed in immune cells, could play crucial roles in the formation of renal lesions in association with biglycan.

损伤相关分子模式(DAMPs)及其受体TLR-2和tlr -4可能在肾纤维化中起重要作用,其发病机制复杂。我们采用单次腹腔注射顺铂(6 mg/kg体重)引起的大鼠肾脏病变;在第1天和第3天出现肾小管组织损伤,在第5天和第7天出现以炎症为主的进一步损伤和再生,在第9、12、15和20天出现间质纤维化。第5天(炎症开始)和第9天(间质纤维化开始)的微阵列分析显示,DAMPs相对于对照组增加了两倍以上,包括常见的细胞外基质(ECM)成分,如层粘连蛋白(Lamc2)和纤维连接蛋白,热休克蛋白家族以及纤维蛋白原,尽管分析有限;Lamc2是一种基底膜元素,可作为肾小管损伤的指示物。在实时RT-PCR分析中,TLR-2在第1天瞬间显著升高,而TLR-4在第9天和第15天显著升高,几乎与高聚糖(一种富含亮氨酸的小蛋白聚糖,普遍存在于ECM成分中)的增加一致。由于M1/M2巨噬细胞参与肾脏病变,如炎症和纤维化,推测TLR-4可能在免疫细胞中表达,与biglycan相关,在肾脏病变的形成中起关键作用。
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引用次数: 0
Pretreatment with tadalafil attenuates cardiotoxicity induced by combretastatin A4 disodium phosphate in rats. 他达拉非预处理可减弱康布他汀A4磷酸二钠对大鼠的心脏毒性。
IF 1.2 4区 医学 Q4 PATHOLOGY Pub Date : 2023-07-01 DOI: 10.1293/tox.2022-0143
Yoshiyasu Nagashima, Ryota Tochinai, Shin-Ichi Sekizawa, Daiki Kato, Takayuki Nakagawa, Yoshiharu Tsuru, Yasuko Tatewaki, Tatsushi Mutoh, Yasuyuki Taki, Masayoshi Kuwahara

Combretastatin A4 disodium phosphate (CA4DP) is a prodrug of combretastatin A4 (CA4), a microtubule-disassembling agent that exhibits antitumor effects by inhibiting tumor cell proliferation and inducing morphological changes and apoptosis in vascular endothelial cells in tumors. However, cardiotoxicity induced by ischemia and hypertension is a severe adverse event. In this study, we focused on the fact that phosphodiesterase (PDE) 5 inhibitors dilate the heart and peripheral blood vessels and aimed to investigate whether co-administration of tadalafil, a PDE5 inhibitor, can attenuate cardiotoxicity without altering the antitumor effect of CA4DP. To investigate cardiotoxicity, CA4DP and/or tadalafil were administered to rats, and blood pressure, echocardiography, histopathology, and cGMP concentration in the myocardium were examined. Administration of CA4DP increased systolic blood pressure, decreased cardiac function, lowered cGMP levels in the myocardium, and led to necrosis of myocardial cells. Co-administration of tadalafil attenuated these CA4DP-induced changes. To investigate the antitumor effect, canine mammary carcinoma cell lines (CHMp-13a) and human umbilical vein endothelial cells were cultured with CA4 and/or tadalafil, and cell proliferation and endothelial vascular tube disruption were examined. CHMp-13a cells were transplanted into nude mice and treated with CA4DP and/or tadalafil. CA4-induced inhibition of cell proliferation and disruption of the endothelial vascular tube were not affected by co-treatment with tadalafil, and the antitumor effects of CA4DP in xenograft mice were not reduced by co-administration of tadalafil. These results revealed that myocardial damage induced by CA4DP was attenuated by co-administration of tadalafil while maintaining antitumor efficacy.

Combretastatin A4二钠磷酸(CA4DP)是Combretastatin A4 (CA4)的前药,CA4是一种微管解聚剂,通过抑制肿瘤细胞增殖,诱导肿瘤血管内皮细胞的形态改变和凋亡来发挥抗肿瘤作用。然而,缺血和高血压引起的心脏毒性是一种严重的不良事件。在本研究中,我们关注磷酸二酯酶(PDE) 5抑制剂扩张心脏和外周血管的事实,并旨在研究PDE5抑制剂他达拉非是否可以在不改变CA4DP抗肿瘤作用的情况下减轻心脏毒性。为了研究心脏毒性,给大鼠注射CA4DP和/或他达拉非,并检测血压、超声心动图、组织病理学和心肌cGMP浓度。CA4DP使收缩压升高,心功能下降,心肌cGMP水平降低,导致心肌细胞坏死。他达拉非联合用药可减弱这些ca4dp诱导的变化。为了研究CA4和他达拉非对犬乳腺癌细胞株(CHMp-13a)和人脐静脉内皮细胞的抗肿瘤作用,观察CA4和他达拉非对细胞增殖和内皮管破坏的影响。将CHMp-13a细胞移植到裸鼠体内,用CA4DP和/或他达拉非处理。与他达拉非联合治疗不影响ca4诱导的细胞增殖抑制和内皮血管管破坏,并且与他达拉非联合治疗不降低CA4DP对异种移植小鼠的抗肿瘤作用。结果表明,与他达拉非联用可减轻CA4DP引起的心肌损伤,同时保持抗肿瘤效果。
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引用次数: 1
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Journal of Toxicologic Pathology
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