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Clinical and Experimental study on the Ototoxicity of Sodium Antimonyl Tartarate (Stibunal^R)

Research Project

Project/Area Number 01570949
Research Category

Grant-in-Aid for General Scientific Research (C)

Allocation TypeSingle-year Grants
Research Field Otorhinolaryngology
Research InstitutionYamanashi Medical college

Principal Investigator

IMAMURA Mayumi  Department of Otorhinolarygology, Yamanashi Medical college (Assistant), 医学部, 助手 (00203331)

Co-Investigator(Kenkyū-buntansha) IMAMURA Shunishi  Department of Otorhinolarygology, Yamanashi Medical college (Assistant), 医学部, 助手 (20232613)
OGINO Jun  Department of Otorhinolarygology, Yamanashi Medical college (Assistant), 医学部, 助手 (00177156)
NOZAWA Izuru  Department of Otorhinolarygology, Yamanashi Medical college (Lecture), 医学部, 講師 (40172788)
須藤 洋子  山梨医科大学, 医学部, 助手 (90216482)
Project Period (FY) 1989 – 1991
Project Status Completed (Fiscal Year 1991)
Budget Amount *help
¥2,300,000 (Direct Cost: ¥2,300,000)
Fiscal Year 1991: ¥500,000 (Direct Cost: ¥500,000)
Fiscal Year 1990: ¥700,000 (Direct Cost: ¥700,000)
Fiscal Year 1989: ¥1,100,000 (Direct Cost: ¥1,100,000)
KeywordsSodium antimonyl tartarate / auditory systems / Auditory Brain-stem Response / Histopathological examination / 形態学的研究 / 電気生理学的研究 / 副作用 / 日本住血吸虫症 / 臨床調査 / 動物実験 / 側頭骨病理所見
Research Abstract

Schistosomiasis Japonica was a serious endemic disease which was highly prevalent in the prefectural district of Yamanashi in Japan and sodium antimonyl tartarate (Stibunal^R) was formerly used as on only effective drug in the treatment of this lethal fluke inferction. This drug, however, was known to have rather severe side effects on the aerodigestive, skeletal and central nervous systems. Some reports also pointed out that otologic symptoms such as hearing loss, tinnitus and vertigo could occasionally be induced by administration of this agent and in clinical practice, although rare, we have seen such patients who claimed to have had these symptoms after having received stibunal therapy for schistosomiasis more than three decades before.
We, therefore conducted a clinical and an experimental investigation to determine whether or not this antimonyl compound could induce toxic effect on the auditory systems of humans and experimental animals.
A detailed audiological analysis of three pa … More tients with some hearing losses who had received stibunal treatment in the past was first carried out. There were, however, no uniform audiometric patterns nor other common characteristic findings in the auditory functions of theses patients and it was thus concluded that there appeared to be no clear causal relationship between the drug administration and the hearing losses in human subjicts examined.
An experimental study using guinea pigs was then undertaken in order to elucidate functional and morphological changes in the auditory systems following administration of stibunal. The drug was given to the animals systemically (via either intravenous or intraperitoneal route) and topically (directly into the middle ear bullae). Auditory function was evaluated by means of evoked auditory brain-stem response (ABR) and morphological alteration of the auditory organs was assessed by light microscopy.
Although elevation of ABR thresholds was frequently observed in some of animals treated, this finding was not always consistent nor does-dependent. Histological examination showed that there was a marked retention of eosinophilic precipitates in the apicla half of the cochlear duct, which appeared to be only pathological feature in almost all animals traated with this drug. There were no abnormal finding in the sensorineural structures and the stria vascularis of the cochleae. Vestibular endorgans and other structures of the auditory system appeared normal. Less

Report

(4 results)
  • 1991 Annual Research Report   Final Research Report Summary
  • 1990 Annual Research Report
  • 1989 Annual Research Report
  • Research Products

    (31 results)

All Other

All Publications (31 results)

  • [Publications] 今村 まゆみ,野沢 出: "聴性脳幹反応検査の臨床的研究" 山梨医大誌. 5. 201-208 (1990)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1991 Final Research Report Summary
  • [Publications] 今村 まゆみ,野沢 出: "ミトコンドリア脳筋症における聴力障害について" 臨床耳科. 17. 269 (1990)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1991 Final Research Report Summary
  • [Publications] 今村 まゆみ,野沢 出: "ミトコンドリア脳筋症における聴力障害について" 耳鼻咽喉科臨床. (1991)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1991 Final Research Report Summary
  • [Publications] 今村 まゆみ,野沢 出: "Kokayne症候群における聴力障害について" 耳鼻咽喉科臨床. (1991)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1991 Final Research Report Summary
  • [Publications] 今村 俊一,今村 まゆみ: "びまん性転移性髄膜癌腫症の側頭骨病理所見" 耳鼻咽喉科臨床. 83. 855-861 (1990)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1991 Final Research Report Summary
  • [Publications] 野沢 出,今村 まゆみ: "モルモットにおける聴性脳幹電気反応(ABR)の検討" 山梨医大誌. (1991)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1991 Final Research Report Summary
  • [Publications] 今村 俊一,村上 嘉彦: "2次性側頭骨悪性腫瘍とその側頭骨病理" 日耳鼻会報. 94. 924-937 (1991)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1991 Final Research Report Summary
  • [Publications] 今村 俊一,野沢 出: "多彩な脳神経症状を呈した側頭骨軟骨肉腫症例" 臨床耳科. 17. 80-86 (1990)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1991 Final Research Report Summary
  • [Publications] Mayumi Imamura, Izuru Nozawa: "The Clinical study of Auditory Brain-stem Response (ABR)" Yamanashi Medical Journal. 5. 201-208 (1990)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1991 Final Research Report Summary
  • [Publications] Mayumi Imamura, Izuru Nozawa: "Evaluation of Hearing loss in 5 cases with Mitochondrial Encephalomyopathy" Clinical Otology Japan. 17. 269 (1990)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1991 Final Research Report Summary
  • [Publications] Mayumi Imamura, Izuru Nozawa: "Evaluation of Hearing loss in 5 cases with Mitochondrial Encephalomyopathy" Practica Otologica.

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1991 Final Research Report Summary
  • [Publications] Mayumi Imamura, Izuru Nozawa: "Evaluation of Hearing loss in Cockayne's syndrome" Practica Otologica.

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1991 Final Research Report Summary
  • [Publications] Shunichi Imamura, Mayumi Imamura: "Temporal Bone Histopathology in a Patent with Diffuse Metastatic Leptomeningeal Carcinomatosis (DMCL)" Practica Otologica. 83. 855-861 (1990)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1991 Final Research Report Summary
  • [Publications] Izuru Nozawa, Mayumi Imamura: "Evaluation of Auditory Brainstem Response in Normal guinea Pigs" Yamanashi Medicla Journal.

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1991 Final Research Report Summary
  • [Publications] Shunichi Imamura, Yoshihiko Murakami: "Secondary malignant tumors of the temporal bone a histopathologic study and review of the world literature" Journal of Otolaryngology of Japan. 94. 924-937 (1991)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1991 Final Research Report Summary
  • [Publications] Shunichi Imamura, Izuru Nozawa: "Chondrosarcoma of the temporal bone" Clinical Otology Japan. 17. 80-86 (1990)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1991 Final Research Report Summary
  • [Publications] 今村 まゆみ,野沢 出: "聴性脳幹反応検査の臨床的研究" 山梨医大誌. 5. 201-208 (1990)

    • Related Report
      1991 Annual Research Report
  • [Publications] 今村 まゆみ,野沢 出: "ミトコンドリア脳筋症における聴力障害について" 臨床耳科. 17. 269 (1990)

    • Related Report
      1991 Annual Research Report
  • [Publications] 今村 まゆみ,野沢 出: "ミトコンドリア脳筋症における聴力障害について" 耳鼻咽喉科臨床. (1991)

    • Related Report
      1991 Annual Research Report
  • [Publications] 今村 まゆみ,野沢 出: "Kokayne症候群における聴力障害について" 耳鼻咽喉科臨床. (1991)

    • Related Report
      1991 Annual Research Report
  • [Publications] 今村 俊一,今村 まゆみ: "びまん性転移性骨髄膜腫症の側頭骨病理所見" 耳鼻咽喉科臨床. 83. 855-861 (1990)

    • Related Report
      1991 Annual Research Report
  • [Publications] 野沢 出,今村 まゆみ: "モルモットにおける聴性脳幹電気反応(ABR)の検討" 山梨医大誌. (1991)

    • Related Report
      1991 Annual Research Report
  • [Publications] 今村 俊一,村上 嘉彦: "2次性側頭骨悪性腫瘍とその側頭骨病理" 日耳鼻会報. 94. 924-937 (1991)

    • Related Report
      1991 Annual Research Report
  • [Publications] 今村 俊一,野沢 出: "多彩な脳神経症状を呈した側頭骨軟骨肉瘍症例" 臨床耳科. 17. 80-86 (1990)

    • Related Report
      1991 Annual Research Report
  • [Publications] 今村 俊一、今村 まゆみ 他: "びまん性転移性髄膜癌腫症の側頭骨病理所見" 耳鼻咽喉科臨床学会会誌. 83. 855-861 (1990)

    • Related Report
      1990 Annual Research Report
  • [Publications] 今村 まゆみ、今村 俊一: "ミトコンドリア脳筋症における聴力障害について" 臨床耳科. 17. 269 (1990)

    • Related Report
      1990 Annual Research Report
  • [Publications] 今村 まゆみ、野沢 出: "聴性脳幹反応検査の臨床的研究" 山梨医大誌. 5. 201-208 (1990)

    • Related Report
      1990 Annual Research Report
  • [Publications] 今村 俊一、今村 まゆみ、野沢 出 他: "ヒト側頭骨の転移性腫瘍の病理組織学" Ear Research Japan. 21. 199-200 (1990)

    • Related Report
      1990 Annual Research Report
  • [Publications] 今村 俊一、今村 まゆみ: "多彩な脳神経症状を呈した側頭骨軟骨肉腫例" 臨床耳科. 17. 80-86 (1990)

    • Related Report
      1990 Annual Research Report
  • [Publications] 今村俊一、今村まゆみ 他: "びまん性転移性髄膜癌腫症の側頭骨病理所見" Ear Res Jpn. 20. 285-256 (1989)

    • Related Report
      1989 Annual Research Report
  • [Publications] 今村俊一、今村まゆみ 他: "ヒト側頭骨転移腫瘍の病理組織学" Ear Res Jpn. 21. (1990)

    • Related Report
      1989 Annual Research Report

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Published: 1989-04-01   Modified: 2016-04-21  

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