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Embryotoxic effects of L-691,121, a class III antiarrhythmic agent, in rats.

Abstract
L-691,121 is a class III antiarrhythmic agent which blocks potassium currents, leading to prolongation of cardiac potential and prevention of cardiac arrhythmia. In a developmental toxicity study in rats, there was a dose-dependent decrease in embryonic/fetal survival, and death of the entire litter was seen at an oral dose of 0.8 mg/kg per day. The critical period for embryolethality was determined as gestational days (GD) 10-13. In a study where females received 1 mg/kg on a critical day (GD 10 or 12) and were killed at 24-h intervals, a high embryonic mortality was seen at 72 h (GD 10 treatment) or 48 h (GD 12 treatment) after dosing. The surviving embryos had morphological abnormalities such as enlarged cardiac tube and pericardium, generalized edema, and hematoma. In order to investigate a possible mechanism for the embryolethality, GD 11 embryos were dissected from females at 4 h after dosing of 1 mg/kg and incubated for 5 h in vitro. The embryonic heart rates were decreased for the first 2 h after incubation but tended to recover to control levels thereafter. When GD 11 embryos were incubated for 4 h with the drug, there were decreases in the heart rates during the entire observation period. In a washout study where the embryos were transferred to drug-free medium after 1-h exposure, decreased heart rates recovered to control levels.(ABSTRACT TRUNCATED AT 250 WORDS)
AuthorsY Ban, R Konishi, K Kawana, T Nakatsuka, T Fujii, J M Manson
JournalArchives of toxicology (Arch Toxicol) Vol. 69 Issue 1 Pg. 65-71 ( 1994) ISSN: 0340-5761 [Print] Germany
PMID7717857 (Publication Type: Journal Article)
Chemical References
  • Anti-Arrhythmia Agents
  • Piperidones
  • Spiro Compounds
  • L 691121
Topics
  • Administration, Oral
  • Animals
  • Anti-Arrhythmia Agents (administration & dosage, toxicity)
  • Cardiomegaly (chemically induced)
  • Dose-Response Relationship, Drug
  • Edema (chemically induced)
  • Embryo, Mammalian (abnormalities, drug effects, pathology)
  • Embryonic and Fetal Development (drug effects)
  • Female
  • Fetal Diseases (chemically induced, mortality)
  • Gestational Age
  • Heart Rate, Fetal (drug effects)
  • Hematoma (chemically induced)
  • Male
  • Pericardium (drug effects, pathology)
  • Piperidones (administration & dosage, toxicity)
  • Pregnancy
  • Rats
  • Rats, Sprague-Dawley
  • Spiro Compounds (administration & dosage, toxicity)

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