Cardiotoxic Effect of Primaquine in Mammals:Histological and Ultrastructural Investigation

来源 :Journal of Medical Colleges of PLA | 被引量 : 0次 | 上传用户:scyscy2001
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It has been known that the antimalarial drugs of aminoquinolinesincluding 8-aminoquinolines may cause inhibition of heart conduction or evenAdams-Stokes syndrome,but their morphologic bases were obscure.The purposeof the present study is to define the histological and ultrastructural features ofprimaquine in mammals including dogs,monkeys and rats in the subacute toxicexperiments with the stress on the morphological alteration of the heart.In most(11/16)of the intoxicated dogs,granular degeneration,eosinophilic degeneration,coagulation necrosis,vacuolar degeneration and colliquative myocytolysis werefound in the myocardium and conduction systems.Under electron microscopicstudy,the myocardial cells of intoxicated dogs showed swelling of mitochondria,dilatation of transverse tubules and sarcoplasmic reticulum,fusion or dissolutionof myofibrils,deformity of nuclei,clumping of chromatin,and eventually cellnecrosis.The severities of lesions were dose dependent.These lesions weresupposed to be the morphologic evidence of the toxic symptoms and signs caused byprimaquine.A few rats also revealed myocardial eosinophilic degeneration.Noimportant cardiac lesions were found in the monkeys,but the pathologic changesin the liver were obvious.Different species of laboratory animals showed differentorgan sensitivities to primaquine,but the heart lesions should be considered as animportant toxic effect of primaquine. It has been known that the antimalarial drugs of aminoquinolinesincluding 8-aminoquinolines may cause inhibition of heart conduction or even Adams-Stokes syndrome, but their morphologic bases were obscure. The purpose of the present study is to define the histological and ultrastructural features of primaine in mammals including dogs , monkeys and rats in the subacute toxicexperiments with the stress on the morphological alterations of the heart. most (11/16) of the intoxicated dogs, granular degeneration, eosinophilic degeneration, coagulation necrosis, vacuolar degeneration and colliquative myocytolysis were found in the myocardium and conduction systems. Undetected electron microscopic staging, the myocardial cells of intoxicated dogs showed swelling of mitochondria, dilatation of transverse tubules and sarcoplasmic reticulum, fusion or dissolution of myofibrils, deformity of nuclei, clumping of chromatin, and eventually cellnecrosis. severities of lesions were dose dependent These lesions weresupposed to be the morphologic evidence of the toxic symptoms and signs caused by primimaquine. A few rats also showed myocardial eosinophilic degeneration. Negiortortant cardiac lesions were found in the monkeys, but the pathologic changes in the liver were obvious. Different species of laboratory animals showed different organ sensitivities to primaquine , but the heart lesions should be considered as animportant toxic effect of primaquine.
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