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Related Experiment Videos

Amiodarone-associated changes in human neutrophils.

P Somani, V A Simon, P N Temesy-Armos

    The American Journal of Cardiology
    |March 1, 1986
    PubMed
    Summary

    White blood cell (WBC) concentrations of amiodarone and its metabolite, desethylamiodarone, correlate with tissue levels and may help monitor patients. Electron microscopy revealed inclusion bodies in neutrophils of patients on amiodarone therapy.

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    Area of Science:

    • Pharmacology
    • Cell Biology
    • Clinical Medicine

    Background:

    • Amiodarone is an antiarrhythmic drug with a long half-life.
    • Its distribution and accumulation in tissues are not fully understood.
    • Monitoring drug levels in accessible cells like white blood cells (WBCs) could offer insights.

    Purpose of the Study:

    • To measure amiodarone and desethylamiodarone concentrations in plasma and blood cells (WBCs, RBCs) of patients on chronic therapy.
    • To investigate the correlation between plasma and cellular drug levels.
    • To examine ultrastructural changes in neutrophils and relate them to drug accumulation.

    Main Methods:

    • Plasma, WBC, and RBC samples were collected from 14 patients on amiodarone.
    • Drug concentrations were quantified using unspecified methods.

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  • Neutrophils underwent electron microscopic examination.
  • Tissue samples from one patient with neuropathy were analyzed.
  • Main Results:

    • Mean plasma concentrations of amiodarone and desethylamiodarone were 2.4 and 1.6 µg/ml, respectively.
    • WBC concentrations of amiodarone and desethylamiodarone were significantly higher during maintenance than loading phases.
    • No linear correlation was found between WBC and plasma drug levels.
    • High amiodarone and desethylamiodarone concentrations were found in nerve and muscle tissue of a patient with neuropathy.
    • All patients' neutrophils exhibited characteristic 'onionoid bodies' on electron microscopy.

    Conclusions:

    • WBC drug concentrations may reflect tissue drug levels.
    • Electron microscopic changes in neutrophils could serve as a biomarker for amiodarone accumulation.
    • These findings suggest potential methods for monitoring amiodarone therapy and patient outcomes.