Document Detail


Toxic effects of cholelitholytic solvents on gallbladder and liver. A piglet model study.
MedLine Citation:
PMID:  7851209     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We evaluated the toxic effects of four currently used chemolytic solvents--dimethyl sulfoxide (DMSO, 99%), ethyl propionate (EP, 99%), tetrasodium ethyl-dimethyl tetraacetate (4Na-EDTA, 2%, pH 11), and methyl tert-butyl ether (MTBE, purity = 99.5%) in an animal model. Each solvent was tested in nine farm piglets (Landrace), weighing between 20 and 25 kg. A solvent-resistant catheter was inserted transhepatically into the gallbladder (GB) using sonographic guidance 24 hr prior to each experiment. Seventy-five milliliters of each solvent was infused over 3 hr into the gallbladder. The following day, a laparotomy was performed in order to assess for possible damage to the liver, GB, bile ducts (BD), or intestines. The GB and liver were resected and their histology examined. The following pathologic grades were assigned to GB, BD, and liver specimens to describe the tissue damage: normal (0), mild (1), moderate (2), and severe (3). We found that DMSO had the highest score on gallbladder and bile duct injury (49, 3), followed by EP (36, 2), EDTA (14, 1) and MTBE (16, 0), respectively; the difference in gallbladder damage was statistically significant. Very mild hepatocyte damage was present in the DMSO (2) and MTBE (2) groups. The administration of EP and EDTA resulted in no liver injury at all. Piglets within each treatment group suffered from varying degrees of tissue injury. No deaths were attributed to the administered solvents. We concluded that DMSO, EP, EDTA, and MTBE do not have serious local toxic effect on the GB, BD, and intestine; nor do they lead to severe hepatotoxicity.(ABSTRACT TRUNCATED AT 250 WORDS)
Authors:
C Y Chen; K K Chang; N H Chow; T C Leow; T C Chou; X Z Lin
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Digestive diseases and sciences     Volume:  40     ISSN:  0163-2116     ISO Abbreviation:  Dig. Dis. Sci.     Publication Date:  1995 Feb 
Date Detail:
Created Date:  1995-03-16     Completed Date:  1995-03-16     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  7902782     Medline TA:  Dig Dis Sci     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  419-26     Citation Subset:  AIM; IM    
Affiliation:
Department of Internal Medicine, National Cheng Kung University, Tainan, Taiwan.
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MeSH Terms
Descriptor/Qualifier:
Animals
Cholelithiasis / pathology,  therapy*
Dimethyl Sulfoxide / therapeutic use,  toxicity
Disease Models, Animal*
Drug Evaluation, Preclinical
Edetic Acid / therapeutic use,  toxicity
Ethers / therapeutic use,  toxicity
Gallbladder / drug effects*,  pathology
Liver / drug effects*,  pathology
Methyl Ethers*
Propionates / therapeutic use,  toxicity
Solvents / therapeutic use,  toxicity*
Swine
Chemical
Reg. No./Substance:
0/Ethers; 0/Methyl Ethers; 0/Propionates; 0/Solvents; 105-37-3/ethyl propionate; 1634-04-4/methyl tert-butyl ether; 60-00-4/Edetic Acid; 67-68-5/Dimethyl Sulfoxide

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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