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1.
Dalton Trans ; 50(44): 16311-16325, 2021 Nov 16.
Artículo en Inglés | MEDLINE | ID: mdl-34730582

RESUMEN

Six different acylthiourea ligands (L1-L6) and their corresponding Ru(II)-p-cymene complexes (P1-P6) were designed to explore the structure-activity relationship of the complexes upon aliphatic chain and aromatic conjugation on the C- and N-terminals, respectively. The compounds were synthesized and adequately characterized using various analytical and spectroscopic techniques. The structures of P2-P6, solved using single crystal X-ray diffraction (XRD), confirmed the neutral monodentate coordination of the S atoms of the acylthiourea ligands to Ru(II) ions. In silico studies showed an increase of lipophilicity for the ligands with an increase in alkyl chain length or aromatic conjugation at the C- or N-terminal, respectively. Subsequently, mitogen-activated protein kinases (MAPK) were predicted as one of the primary targets for the complexes, which showed good binding affinity towards extracellular signal-regulated kinases (ERK1, ERK2 and ERK5), c-Jun N-terminal kinase (JNK) and p38 of the MAPK pathway. Henceforth, the complexes were tested for their anticancer activity in lung carcinoma (A549) and cisplatin-resistant lung carcinoma (cisA549R) cells and human umbilical vein epithelial normal cells (HUVEC). Interestingly, an increase in chain length or aromatic conjugation led to an increase in the activity of the complexes, with P5 (7.73 and 13.04 µM) and P6 (6.52 and 14.45 µM) showing the highest activity in A549 and cisA549R cells, which is better than the positive control, cisplatin (8.72 and 44.28 µM). Remarkably, we report the highest activity yet observed for complexes of the type [(η6-p-cymene)RuIICl2(S-acylthiourea)] in the tested cell lines. Aqueous solution studies showed that complexes P5 and P6 are rapidly hydrolyzed to produce solely aquated species that remained stable for 24 h. Staining assays and flow cytometric analyses of P5 and P6 in A549 cells revealed that the complexes induced apoptosis and arrested the cell cycle predominantly in the S phase. In vivo studies demonstrated the higher toxicity of cisplatin and a comparatively higher survival rate of mice injected with the most active complex P6. Histological analyses revealed that treatment with P6 at high doses of up to 8 mg kg-1 did not cause any palpable damage to the tested organs.


Asunto(s)
Antineoplásicos , Complejos de Coordinación , Cimenos , Rutenio , Tioamidas , Tiourea , Células A549 , Animales , Antineoplásicos/administración & dosificación , Antineoplásicos/química , Antineoplásicos/farmacocinética , Apoptosis/efectos de los fármacos , Disponibilidad Biológica , Supervivencia Celular/efectos de los fármacos , Complejos de Coordinación/administración & dosificación , Complejos de Coordinación/química , Complejos de Coordinación/farmacocinética , Cimenos/administración & dosificación , Cimenos/química , Cimenos/farmacocinética , Femenino , Células Endoteliales de la Vena Umbilical Humana/efectos de los fármacos , Humanos , Absorción Intestinal , Ligandos , Masculino , Ratones Endogámicos ICR , Proteínas Quinasas Activadas por Mitógenos/metabolismo , Simulación del Acoplamiento Molecular , Rutenio/administración & dosificación , Rutenio/química , Rutenio/farmacocinética , Tioamidas/administración & dosificación , Tioamidas/química , Tioamidas/farmacocinética , Tiourea/administración & dosificación , Tiourea/química , Tiourea/farmacocinética
2.
Bioorg Chem ; 88: 102941, 2019 07.
Artículo en Inglés | MEDLINE | ID: mdl-31039470

RESUMEN

Hydrogen sulfide (H2S) is a biologically important gaseous molecule that exhibits promising protective effects against a variety of pathological processes. For example, it was recognized as a blood pressure lowering agent. Aligned with the need for easily modifiable platforms for the H2S supply, we report here the preparation and the H2S release kinetics from a series of structurally diversified thioamides, thiolactams and thioureas. Three different thionation methods based on the usage of a phosphorus pentasulfide and Lawesson reagent were applied to prepare the target thioamides and thiolactams. Furthermore, obtained H2S donors were evaluated both in in vivo and in vitro studies. The kinetic parameters of the liberating H2S was determined and compared with NaHS and GYY4137 using two different detection technics i.e.; fluorescence labeling 7-azido-4-methyl-2H-chromen-2-one and 5,5'-dithiobis (2-nitrobenzoic acid), sulfhydryl probe, also known as the Ellman's reagent. We have proved that the amount of releasing H2S from these compounds is controllable through structural modifications. Finally, the present study shows a hypotensive response to an intravenous administration of the developed donors in the anesthetized rats.


Asunto(s)
Presión Sanguínea/efectos de los fármacos , Sulfuro de Hidrógeno/análisis , Lactamas/farmacología , Tioamidas/farmacología , Tiourea/farmacología , Administración Intravenosa , Animales , Cinética , Lactamas/administración & dosificación , Lactamas/química , Masculino , Ratas , Ratas Sprague-Dawley , Tioamidas/administración & dosificación , Tioamidas/química , Tiourea/administración & dosificación , Tiourea/química
3.
ACS Infect Dis ; 4(8): 1257-1263, 2018 08 10.
Artículo en Inglés | MEDLINE | ID: mdl-29750860

RESUMEN

In response to the urgent need for new antibiotic development strategies, antimicrobial peptides and their synthetic mimetics are being investigated as promising alternatives to traditional antibiotics. To facilitate their development into clinically viable candidates, we need to understand what molecular features and physicochemical properties are needed to induce cell death. Within the context of sequence-defined oligothioetheramides (oligoTEAs), we explore the impact of the cationic pendant group and backbone hydrophobicity on the potency and selectivity of antibacterial oligoTEAs. Through antibacterial, cytotoxicity, membrane destabilization, and membrane depolarization assays, we find a strong dependency on the nature of the cationic group and improved selectivity toward bacteria by tuning backbone hydrophobicity. In particular, compounds with the guanidinium headgroup are more potent than those with amines. Finally, we identify a promising oligoTEA, PDT-4G, with enhanced activity in vitro (minimum inhibitory concentration (MIC) ∼ 0.78 µM) and moderate activity in a mouse thigh infection model of methicillin-resistant Staphylococcus aureus. The studies outlined in this work provide insights into the effect of macromolecular physicochemical properties on antibacterial potency. This knowledge base will be vital for researchers engaged in the ongoing development of clinically viable antibacterial agents.


Asunto(s)
Antibacterianos/química , Antibacterianos/farmacología , Staphylococcus aureus Resistente a Meticilina/efectos de los fármacos , Tioamidas/química , Tioamidas/farmacología , Animales , Antibacterianos/administración & dosificación , Cationes/administración & dosificación , Cationes/química , Cationes/farmacología , Modelos Animales de Enfermedad , Interacciones Hidrofóbicas e Hidrofílicas , Ratones , Pruebas de Sensibilidad Microbiana , Infecciones Estafilocócicas/tratamiento farmacológico , Tioamidas/administración & dosificación , Resultado del Tratamiento
4.
PLoS One ; 10(10): e0137305, 2015.
Artículo en Inglés | MEDLINE | ID: mdl-26436670

RESUMEN

Cytokines such as TNFα can polarize microglia/macrophages into different neuroinflammatory types. Skewing of the phenotype towards a cytotoxic state is thought to impair phagocytosis and has been described in Alzheimer's Disease (AD). Neuroinflammation can be perpetuated by a cycle of increasing cytokine production and maintenance of a polarized activation state that contributes to AD progression. In this study, 3xTgAD mice, age 6 months, were treated orally with 3 doses of the TNFα modulating compound isoindolin-1,3 dithione (IDT) for 10 months. We demonstrate that IDT is a TNFα modulating compound both in vitro and in vivo. Following long-term IDT administration, mice were assessed for learning & memory and tissue and serum were collected for analysis. Results demonstrate that IDT is safe for long-term treatment and significantly improves learning and memory in the 3xTgAD mouse model. IDT significantly reduced paired helical filament tau and fibrillar amyloid accumulation. Flow cytometry of brain cell populations revealed that IDT increased the infiltrating neutrophil population while reducing TNFα expression in this population. IDT is a safe and effective TNFα and innate immune system modulator. Thus small molecule, orally bioavailable modulators are promising therapeutics for Alzheimer's disease.


Asunto(s)
Enfermedad de Alzheimer/tratamiento farmacológico , Cognición/clasificación , Isoindoles/administración & dosificación , Isoindoles/farmacología , Infiltración Neutrófila/efectos de los fármacos , Tioamidas/administración & dosificación , Tioamidas/farmacología , Tionas/administración & dosificación , Tionas/farmacología , Factor de Necrosis Tumoral alfa/metabolismo , Proteínas tau/química , Administración Oral , Enfermedad de Alzheimer/inmunología , Enfermedad de Alzheimer/metabolismo , Enfermedad de Alzheimer/patología , Animales , Disponibilidad Biológica , Encéfalo/efectos de los fármacos , Encéfalo/inmunología , Encéfalo/metabolismo , Encéfalo/patología , Línea Celular , Modelos Animales de Enfermedad , Relación Dosis-Respuesta a Droga , Femenino , Humanos , Inmunidad Innata/efectos de los fármacos , Isoindoles/efectos adversos , Isoindoles/uso terapéutico , Macrófagos/efectos de los fármacos , Macrófagos/inmunología , Masculino , Ratones , Ratones Endogámicos C57BL , Ratones Transgénicos , Microglía/efectos de los fármacos , Microglía/metabolismo , Fenotipo , Multimerización de Proteína/efectos de los fármacos , Estructura Secundaria de Proteína/efectos de los fármacos , Seguridad , Solubilidad , Tioamidas/efectos adversos , Tioamidas/uso terapéutico , Tionas/efectos adversos , Tionas/uso terapéutico , Factor de Necrosis Tumoral alfa/antagonistas & inhibidores
5.
Eur J Med Chem ; 67: 1-13, 2013 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-23831504

RESUMEN

Novel N-(benzo[d]thiazol-2-ylcarbamoyl)-2-methyl-4-oxoquinazoline-3(4H)-carbothioamide derivatives were synthesized and evaluation of their anticonvulsant effects was done using various models of experimental epilepsy. Initial anticonvulsant activities of the compounds were investigated using intraperitoneal (i.p.) maximal electroshock shock (MES), subcutaneous pentylenetetrazole (scPTZ) seizure models in mice. The quantitative assessment after oral administration in rats showed that the most active was 2-methyl-4-oxo-N-(6-(trifluoromethoxy)benzo[d]thiazol-2-ylcarbamoyl)quinazoline-3(4H)-carbothioamide (SA 24) with ED50 values of 82.5 µmol/kg (MES) and 510.5 µmol/kg (scPTZ). This molecule was more potent than phenytoin and ethosuximide which were used as reference antiepileptic drugs. To explain the possible mechanism for anticonvulsant action, some of the selected active compounds were subjected to GABA (γ-amino butyric acid) assay and AMPA ((S)-2-amino-3-(3-hydroxyl-5-methyl-4-isoxazolyl) propionic acid) induced seizure test.


Asunto(s)
Anticonvulsivantes/síntesis química , Anticonvulsivantes/farmacología , Diseño de Fármacos , Quinazolinas/farmacología , Convulsiones/tratamiento farmacológico , Tiazoles/farmacología , Tioamidas/farmacología , Animales , Anticonvulsivantes/administración & dosificación , Modelos Animales de Enfermedad , Electrochoque , Inyecciones Intraperitoneales , Ratones , Estructura Molecular , Quinazolinas/administración & dosificación , Quinazolinas/síntesis química , Ratas , Ratas Wistar , Convulsiones/inducido químicamente , Tiazoles/administración & dosificación , Tiazoles/síntesis química , Tioamidas/administración & dosificación , Tioamidas/síntesis química , Ácido alfa-Amino-3-hidroxi-5-metil-4-isoxazol Propiónico
6.
J Toxicol Sci ; 38(2): 291-9, 2013.
Artículo en Inglés | MEDLINE | ID: mdl-23535408

RESUMEN

Hypothyroidism induced by xenobiotic treatment was analyzed for possible underlying mechanism(s) on the basis of different responses of the thyroid gland and the liver, using a newly-created database of repeated-dose toxicity of 500 chemicals. Two mechanisms are proposed: direct inhibition of thyroid hormone biosynthesis in the thyroid gland, and stimulated degradation of thyroid hormone by induction of hepatic drug-metabolizing enzymes. In the database there were 10 chemicals inducing hypertrophy/hyperplasia of follicular cells in the thyroid gland and having data on thyroid glands. On the basis of the chemical structure and information available in the literature, we judged three chemicals to be typical thioamide derivatives that act directly on the thyroid gland, and the others as non-thioamide derivatives that were unlikely to have any direct action on the thyroid gland. All these chemicals were classified into two groups using the ratios of relative weight increase rate of thyroid gland versus that of the liver. These values were at least 1.7, but 3.2 or more in the most of the cases for thioamide derivatives, and 1.2 or less for non-thioamide derivatives. This background analysis suggests the feasibility of parameter-supported speculation on the possible underlying mechanism when new repeated-dose toxicity data on hypothyroidism becomes available.


Asunto(s)
Hipotiroidismo/inducido químicamente , Tioamidas/toxicidad , Animales , Relación Dosis-Respuesta a Droga , Humanos , Hiperplasia , Hígado/efectos de los fármacos , Hígado/patología , Tamaño de los Órganos/efectos de los fármacos , Tioamidas/administración & dosificación , Glándula Tiroides/efectos de los fármacos , Glándula Tiroides/patología
7.
Endocrinol Nutr ; 58(3): 121-6, 2011 Mar.
Artículo en Español | MEDLINE | ID: mdl-21367680

RESUMEN

INTRODUCTION: Amiodarone-induced thyrotoxicosis (AIT) is a common clinical disorder that may be life threatening and whose clinical manifestations and response to treatment may vary among patients. METHODS: We present three patients treated with amiodarone for atrial fibrillation who developed AIT at least 36 months after beginning the treatment. Thyrotoxicosis worsened the underlying cardiac disorders and was resistant to treatment based on the combination of dexamethasone 8-12 mg/day i.v., thioamides 45 mg/day p.o., beta blockers and potassium perchlorate at doses of 800 to 1000 mg per day p.o. Two of the patients attained sustained euthyroidism after 12 and 32 days of combined treatment, while the third required total thyroidectomy. CONCLUSION: The combination of thioamides with potassium perchlorate is an appropriate form of therapy for AIT in patients resistant to thioamides. The use of this combination should be evaluated in patients with mixed AIT or AIT of unclear etiology.


Asunto(s)
Amiodarona/efectos adversos , Percloratos/uso terapéutico , Compuestos de Potasio/uso terapéutico , Tirotoxicosis/tratamiento farmacológico , Acenocumarol/administración & dosificación , Acenocumarol/uso terapéutico , Antagonistas Adrenérgicos beta/administración & dosificación , Antagonistas Adrenérgicos beta/uso terapéutico , Anciano , Anciano de 80 o más Años , Algoritmos , Amiodarona/uso terapéutico , Fibrilación Atrial/tratamiento farmacológico , Fármacos Cardiovasculares/uso terapéutico , Comorbilidad , Dexametasona/administración & dosificación , Dexametasona/uso terapéutico , Quimioterapia Combinada , Femenino , Humanos , Masculino , Persona de Mediana Edad , Marcapaso Artificial , Percloratos/administración & dosificación , Compuestos de Potasio/administración & dosificación , Tioamidas/administración & dosificación , Tioamidas/uso terapéutico , Hormonas Tiroideas/sangre , Tiroidectomía , Tirotoxicosis/sangre , Tirotoxicosis/inducido químicamente , Tirotoxicosis/cirugía , Tirotropina/sangre
8.
Arch Pharm (Weinheim) ; 342(3): 173-81, 2009 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-19194967

RESUMEN

Various 3,5-(substituted diphenyl)-4,5-dihydro-pyrazole-1-carbothioic acid phenylamides were synthesized starting from substituted acetophenones. Structures of the compounds were confirmed on the basis of spectral data. The compounds were evaluated for their anticonvulsant and antidepressant activity. Interestingly, out of 26 compounds, four (3f, 3g, 3t, and 3u) were found to protect 100% of the animals in the MES screen at a dose of 25 mg/kg. They were also found to have appreciable anticonvulsant activity in scPTZ screen. Two compounds, 3j and 3o, significantly reduced the duration of the immobility time at 25 mg/kg dose, when compared to control.


Asunto(s)
Anticonvulsivantes/síntesis química , Antidepresivos/síntesis química , Tioamidas/síntesis química , Animales , Anticonvulsivantes/farmacología , Antidepresivos/farmacología , Evaluación Preclínica de Medicamentos , Ratones , Estructura Molecular , Síndromes de Neurotoxicidad , Pirazoles , Tioamidas/administración & dosificación , Tioamidas/efectos adversos
9.
Indian J Tuberc ; 55(1): 15-21, 2008 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-18361306

RESUMEN

AIM: To determine the clinical, radiological and drug resistance profile as well as the factors associated with treatment outcome of Multi-Drug Resistant Tuberculosis (MDR-TB). MATERIAL AND METHODS: All newly diagnosed patients with pulmonary MDR-TB from August 2002 to December 2004 enrolled at New Delhi Tuberculosis Centre, were included in the study. They were followed up clinically, radiologically and bacteriologically by sputum smear, culture and Drug Susceptibility Testing (DST) at regular intervals. According to their DST pattern and previous history of Anti-Tubercular Treatment (ATT), individualized treatment regimens were tailored for each patient. RESULTS: Out of total 27 bacteriologically proven cases of MDR-TB included in this study, 19 were males (mean age and weight 38.5 years and 52.6 kgs, respectively) and eight females (mean age and weight 34.3 years and 40.7 kgs, respectively). A majority (18) were residents of Delhi and the rest hailed from different parts of North India. All of them had a history of previous treatment ranging from six to 34 months. Cavity on chest X-rays was seen in 81%, while 44% showed extensive involvement. The patients received at least four "second line drugs" during their treatment with a mean of 6.2 anti-tubercular drugs during their intensive phase. Of the 27 patients, 13 were cured, 10 defaulted, one died, one is still on treatment and two were referred for surgery. Radiological improvement was observed in two third of cases and chest X-ray of two patients showed a complete resolution. Six predictors were identified for successful outcome of MDR-TB. They include weight gain at six months, culture conversion, radiological improvement during treatment, disease with M. tuberculosis strains exhibiting resistance to less than or up to three anti-tubercular drugs, use of less than or up to three second line drugs in treatment and no change of regimen during treatment. CONCLUSION: Default from treatment was observed to be a major challenge in the treatment of MDR-TB due to long duration and expense of ATT.


Asunto(s)
Antituberculosos/uso terapéutico , Tuberculosis Resistente a Múltiples Medicamentos/tratamiento farmacológico , Adolescente , Adulto , Aminoglicósidos/administración & dosificación , Aminoglicósidos/uso terapéutico , Ácido Aminosalicílico/administración & dosificación , Ácido Aminosalicílico/uso terapéutico , Antituberculosos/administración & dosificación , Niño , Cicloserina/administración & dosificación , Cicloserina/uso terapéutico , Etambutol/administración & dosificación , Etambutol/uso terapéutico , Femenino , Fluoroquinolonas/administración & dosificación , Fluoroquinolonas/uso terapéutico , Estudios de Seguimiento , Humanos , Masculino , Pruebas de Sensibilidad Microbiana , Persona de Mediana Edad , Pirazinamida/administración & dosificación , Pirazinamida/uso terapéutico , Radiografía , Índice de Severidad de la Enfermedad , Tioamidas/administración & dosificación , Tioamidas/uso terapéutico , Factores de Tiempo , Resultado del Tratamiento , Tuberculosis Resistente a Múltiples Medicamentos/diagnóstico por imagen
10.
Altern Lab Anim ; 29(5): 547-56, 2001.
Artículo en Inglés | MEDLINE | ID: mdl-11604098

RESUMEN

The cytotoxicity of 12 benzthioanilides substituted in the N-aromatic ring, and of two commercial preparations (imaverol and thiuram) for comparison, was studied with clone 81 cat cells, by determining the highest tolerated dose, and by using the neutral red uptake assay and the kenacid blue assay for total protein. The concentrations that induced 20%, 50% and 80% (IC20, IC50 and IC80) inhibition relative to controls were calculated from dose-response curves. For some compounds, rat LD50 values were also determined. All the benzthioanilide preparations showed in vitro toxicities lower than those of the fungicides imaverol and thiuram. It was confirmed that the cytotoxicities of the compounds depend on the type of substituent. The least toxic compound contained a CONHCH(2)CO(2)H substituent in the para position of the N-aromatic ring, and the most toxic compounds contained chloro and fluoro, or three chloro substituents in the anilide moiety. All the benzthioanilides tested showed fungistatic activity for dermatophytes; two of the compounds (compound 5 and compound 12) also inhibited the development of yeasts at concentrations lower than those which caused toxicity in vitro. The LD50 values and the cytotoxic concentrations in vitro were linearly related.


Asunto(s)
Anilidas/toxicidad , Alternativas a las Pruebas en Animales , Tioamidas/toxicidad , Pruebas de Toxicidad/métodos , Anilidas/administración & dosificación , Anilidas/química , Animales , Gatos , Línea Celular , Supervivencia Celular/efectos de los fármacos , Relación Dosis-Respuesta a Droga , Indicadores y Reactivos , Riñón , Dosificación Letal Mediana , Estructura Molecular , Rojo Neutro/metabolismo , Compuestos Orgánicos , Ratas , Relación Estructura-Actividad , Tioamidas/administración & dosificación , Tioamidas/química
12.
Toxicol Appl Pharmacol ; 111(3): 388-408, 1991 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-1746022

RESUMEN

Differences in the nature and extent of hepatic injury were examined after administration of para-substituted thiobenzamides to rats. In accordance with previous studies, the extent of hepatotoxicity varied with the electron-donating ability of the substituent. There was also a good correlation between the extent of hepatic necrosis and the amount of substituted thiobenzamide sulfoxide found in the plasma after intraperitoneal dosing. The nature of the hepatic lesion, characterized as a combination of hepatic necrosis, ballooning degeneration, and biliary dysfunction, varied qualitatively with each thiobenzamide analog. When the hepatotoxicity of thiobenzamide was compared after either intraperitoneal or oral dosing, differences in the extent of hepatic necrosis, ballooning degeneration, transaminase elevation, and biliary dysfunction were observed. Intraperitoneal dosing with thiobenzamide gave less severe necrosis and more pronounced elevations in bile acids, while oral dosing led to more severe necrosis along with impaired biliary function. The route of administration was shown to dramatically affect the pharmacokinetics of thiobenzamide and thiobenzamide sulfoxide. Intraperitoneal administration of thiobenzamide gave high plasma and liver levels of both thiobenzamide and thiobenzamide sulfoxide, whereas oral administration gave slightly lower levels of the sulfoxide but much lower levels of thiobenzamide. The reason for greater hepatic necrosis after oral administration may be due to a greater ability to further metabolize the sulfoxide to a reactive metabolite in the absence of high levels of thiobenzamide.


Asunto(s)
Enfermedad Hepática Inducida por Sustancias y Drogas , Tioamidas/toxicidad , Administración Oral , Alanina Transaminasa/sangre , Animales , Aspartato Aminotransferasas/sangre , Ácidos y Sales Biliares/sangre , Bilirrubina/sangre , Femenino , Inyecciones Intraperitoneales , Hígado/efectos de los fármacos , Hígado/metabolismo , Hígado/patología , Hepatopatías/metabolismo , Hepatopatías/patología , Masculino , Microsomas Hepáticos/metabolismo , Necrosis/inducido químicamente , Ratas , Ratas Endogámicas , Tioamidas/administración & dosificación , Tioamidas/farmacocinética , Transaminasas/sangre
15.
Int J Lepr Other Mycobact Dis ; 51(4): 461-5, 1983 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-6686970

RESUMEN

A 13% incidence of hepatitis was observed among 54 cases of multibacillary leprosy treated daily with the three-drug combination of dapsone, rifampin, and a thioamide (ethionamide or prothionamide). No hepatitis was observed among 109 cases of paucibacillary leprosy treated daily with the two-drug combination of dapsone and rifampin. Symptoms were jaundice in five cases and nausea plus vomiting associated with a significant increase of transaminase levels in two cases. In five cases, the symptoms appeared during the first two months of therapy and in two cases, later. Discontinuing treatment with rifampin and the thioamide but not dapsone resulted in recovery. When rifampin was resumed without the thioamide, the hepatitis did not recur. Viral etiology could be eliminated in six cases. Neither sex, age, weight nor the fact that the patient was a new case or a relapse case appeared to be a contributing factor. Hepatotoxicity caused by administration of a thioamide might have been potentiated by the concurrent administration of rifampin.


Asunto(s)
Amidas/efectos adversos , Enfermedad Hepática Inducida por Sustancias y Drogas/etiología , Dapsona/efectos adversos , Lepra/tratamiento farmacológico , Rifampin/efectos adversos , Tioamidas/efectos adversos , Adolescente , Adulto , Envejecimiento , Dapsona/administración & dosificación , Quimioterapia Combinada , Femenino , Humanos , Lepra/complicaciones , Masculino , Persona de Mediana Edad , Rifampin/administración & dosificación , Factores Sexuales , Tioamidas/administración & dosificación
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