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Toxicity of amphotericins on chronic administration to mongrel dogs

Insights

Amphotericin B (AMB) caused severe weight loss and kidney damage in dogs. Amphotericin B methyl ester (AME) led to liver issues and neurological changes, indicating significant toxicity for both antifungal drugs.

Area of Science:

  • Pharmacology
  • Toxicology
  • Veterinary Medicine

Background:

  • Antifungal medications are crucial for treating systemic fungal infections.
  • Amphotericin B (AMB) is a widely used antifungal agent but is associated with significant toxicity.
  • Amphotericin B methyl ester (AME) was developed as a potentially less toxic alternative.

Purpose of the Study:

  • To compare the toxicity profiles of Amphotericin B (AMB) and Amphotericin B methyl ester (AME) in a canine model.
  • To evaluate the specific organ toxicities associated with intravenous administration of AMB and AME.

Main Methods:

  • Mongrel dogs received 30 intravenous injections of either AMB (0.75 mg/kg), AME (10 mg/kg), or a 5% glucose control solution.
  • Clinical signs, body weight changes, and evidence of organ damage were monitored.
  • Histopathological examination focused on kidney, liver, and central nervous system tissues.

Main Results:

  • Amphotericin B (AMB) treatment resulted in severe body weight loss and significant nephrotoxicity.
  • Amphotericin B methyl ester (AME) administration led to hepatic dysfunction.
  • Both AME and the 5% glucose control solution were associated with astrogliosis and myelin pallor in the central nervous system.

Conclusions:

  • Intravenous Amphotericin B (AMB) exhibits significant nephrotoxic and catabolic effects in dogs.
  • Amphotericin B methyl ester (AME) demonstrates hepatotoxicity and potential neurotoxicity in the canine model.
  • Both AMB and AME present distinct toxicity profiles, necessitating careful clinical consideration.

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