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)Cr "pe : : } on Deri Kf myers 13/1199 TERATOLOGY 50:15-26 (194) AR26-055% Prevention of Fluvastatin-Induced Toxicity, Mortality, and Cardiac Myopathy in Pregnant Rats by Mp evald onict Acid Supplementation `RReOgMulAatNoryV.ToHxiRcAolBo,gy,HDOrWuAg RSaDfetAy.DHepAaRrtTmeMnAt,N,SaandbosRRAesYeMarOchNDInsHi.tCeO,XS,anJdRo.z Pharmaceuticals Corporation. Ea Hanaver, Nei Jersey 41996 . thoelAaBfnoSroTcyhRmoelAeHsCtTeGr_o.lCoMbneiovrscyelntodhnesiuicsc.aceidwFhlisvcoashiporiondeu(cSteano.f o ~ rmagty ks,giaanady no(RV. 6emvidepnHacb.e uiof pteorratrogernic CactdivistyGinRrEattEos 1ai0tn hCiosr eSnozmypmoeenadndN,UheGn5ce3,50me3volopniocnascir d proo duc. mB kg/dayoT ffluvastatiancaydmi(nSiesgtemreendttoJpreg1n5aanntdraBtas oofn.lovInosrieoien s5e1p2oralaendsiu0c4iesm,g/ogo/ldocnimintoaimaettieodn finrmamatdearyna13lmpeo(rpoasycoaituosr)nteharougohrmwaeanndidngirnegsutltheed eSineghdsoiiS ceies metee Reon ofltehe aCbsecquemns eTaoldlow.Tuph. sstmuodyr.e andwamiscipmeol Rs Se amat i a TfimEe ofTporOturiN tion S ond duriT ng eTyocichiodn.eMsiicrryoo-. Evaluationrevealed theGCCUFFence ofcardiomyopathy T I P Re tes aa the a ; aniolmsbodGyw r eloe nS ) one doo nSTmcs recie a: miiar Ploersioamach e eRp ysu ReRs rpltasiisdandheyepehsrkereaatBosAisY . 5P iE T atGeE alsemariSha otnmofaoyv. YSoelreenoHuandtToobmesa rheasvueltbaasfscosvhtaotwinrrTietaetiBoeyn Tth: E Sion aSamEinie sctormaptlieotnewliythS5o0c0kemes and/or aSmaiimoe: vCaosbtdatmiinn(iRsotbriasotnieontaolf.me9v4a1lonic acid, thejmmediate 7: o IY | VfeorrsdeTmhoteem roamMroeGnlIy TsyTe.cro Cteasrdap iaocsa brstieeh rFTorvgny iddeOgo, FdTd.nr pVrIEonOdfNuoRcLtErofSaTthReeRerndzofySmaAeHTbAMiOGR-TwEChvoaAisrneindsurcstAasGeeB,-Cahaosnkbesreen. ol : / SrTerEeoroolrlowitngasegriuSriToOn s8heTda aTomTeov:e dAustLaseTBTniplSreTogrTnanVtacaDtsa,naitldhasabe.e5n shoownnsbrthiatt5es EE crRecum ea.iTniimimsea ndisof peberost.id mc emevalFoRnGi.c mnigttyligofhmdevailnmoelvianliocnaiccida,ciadhTsupRpresTsoToTeHIFeGr-aCgoeA: i ES5i3rmoendechaelehgee.ralbiosynhess. rlSenhuiailskta sbwr3h1he,B8re3ao)d.omamiidnSnniimisntcsieeirsetrduepavdrtipaoirsriontofaiIst0oai4mennonndd S4Pii7nPhiIbOitdXorI- theltuivcapsottaetnitnin(hSibaintdoorzcoofmhpydoruonxdymeXtUhy6l2g3l2u0ta)riyslacsooynn. {B3ar1p5n0EeS0CA0ldL NparogEcr tion,Ei+a TOoetnnnenpT swwhaasscSioonsnipdieare]d zyme A (HMG-Coa) reductase, the rate-limiting an Lestewith HOIG.Co roquctase miion by zRaytmheaivnaclhoalecsetae.ro5l6. bKioasytnthheasiws a3l1(s)E,AnGgResItTtarlr.Io8o8mn;| yvpaaesrtaarniaranmdmhd-etoieveelF-roeenccieroorffenmacteernmataernlal moorrtaalliltyy || o$ff5TclaTnptsurperdouvtsemianhefsaltess,tdiroeirgaessnt3ntdodtaslimeconrkheyu:onlmsstIaprOloleA.elUnowSs.SdEeTUnSo.. 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CSTT TlEabvgaasttartoinn,entoanlc.li3n8i7calDsuruidniges chwe eresafeptyesrsosrsmeemden5s ecard Geno 10 997 seeped eon 70 99 eduvcatliuvaeteptehrefoerffmeacntcoef,thainsdcotmerpaotuongedniocnit(yeirnir,atFsEPaIOn.d BexsgacuuniresnDeespusreinesness Sosruimaenskrevhrb,iRnse.pSoonTsPouxao.. :! rraebpbriotsd.uctTihveerpeerwfeorremaBmEoeadUvper1s0eChefefectshigohenst foesrteiliTtEyVaoTrS TcohstaaplrCowpaosrasnuobnmitEedifRrapuobvlea:tiNon0s7h5r%d.ly a he sine SH inmals(50 migda) andfemale (6 mek day) ouoftbr Co ort HL i | (CCEoInWyETLISS, INC 000030 20 RY.HRABETAL --_-- Grows Fis doe admission TAASBULSE LS1.eDcDouanlbdyddodoeosssisinmggisnhcisheredadsuwiloeen aposen U8 he he Br dete Lo premio Rie fi NS evaontT s c"d foE o mers DBavsnatsimnae1132pmmepergeses anpTe rhienns Sgp oem msinemerdyadnee Seevaaiomns 1s=o8d 5fo0o mmienege isM darelonoutigchaldiA aendctwTsiTtBhorlT DeudovasspttainnR SonfromSdaA yea15rof " gBekstatthie on Hemeef Bored Eh avast ) 7 W2A% M SAqn One hundMrAeTdEtwReIntAyALnfSeimAmalaNelDrsaMtsE(TChHarOlDesSRiverCD: BSprreaegduien-gDLaawbloerys-idoeireisv.edI)nco.btKaiinngesdtona,thONlewatYoorsks,Rmievreer SfSaoapompmuarelpooexsfiuwmpmapaasltlieheelosryuowsf1ae4tdshweswksisetaodhml[odeonraretaimttahnlieen.asgntOadbdrstauegorenf,vgatathnwiedhoisnftcruohdfmvye.aatgchA.he cdioneianltcuesplo(ufpgscmatTthhieengTdoalaylnodownidnawgyhmi0ocrhonfpigunepgsstwaweteisroencoobrnosridndaewyrae0sd pGeovesis.i Fidagannydaootfrewadeladynsaiysne0gig.pnoeAsdsttptoahsceiexfuerm(oapulppe)sswuwheinlrlee dm0aaytre3d1.apphpeerwtygarswoeeturhpee evirdeualmlaytiends.uAspefnderadtsitnagin,lenssiseess] wwierresbhoiooim cangdes 1wti2hniethahritabegetmhdptdweiernaragentductro1re2nasnahisnesfdtedirhanrugremdkiovfideihltta.yrracdOnowsnnoptadardraoelylnhe3ti0dppsorl.foasosCtimaearwttciiiatoighneea,ds aFuutroimnaatircodweanttehrionwg d(epveilclee)tswearnedswupaptleied(aprdoviibdieudmvni.a expLeortim2e8ntof. MPCuuvroaimstpytaowtuainsndd(seXtaUedrm6m2ii.nn3ei2ds0bt)eyrwteahdsinu-sleayderinchthrios. mlmaaactttoooggnrreaappwhhayys ((oTHbPLtLCaCi))naendtdohfibregoh$m3p+eF.lr%uo.kramDainCorcmaeemvilacilqaoulindeCcoahmrcopd. Rontkeornmkionmead, vNyY)H.PaLnCd purty was ound a be 96 % [ri daDloysiinng1s%olcuatriDbooonsssyamogefetfhlayudivcmaeislntiaiuts3iitnorsawetei(nroCenMCp)r.epMaerevdalforneishs tIaecnridedidvwdiaadiusalplyrae(snpoiarmfeaedmlafldroeesssehosntlwwyei)rceevidcaaaigllcayuvliaangtdeeediforanonimdzdesdaiywan1t3sero..f gmaellsltykagtbi(ooTdnaybtlwheerio1ug):ghhtDdorasoyem2c1dalapcyousl1at3tpoiafogrnetssutmwaaettrieaobnvaouslenudlmeodneolftih1ve0. J ery (or day 28 pe for those animals which did not de- (mldiavaestn.2rFeco1elnltolwhyinsgeddceoolnivdesrbyo(oddyaywr0eepp.)vteChronomuuaghlewreaYamesnaniinngg Coved thse separate doses: 0 LKE 514.ofderontind cwSeaantmteerrabtaiunoddnsw1e0oifmgtUhhktege/dhodesadiyunlgoefsso1la%ustiCinMonCtsh,ewadolorsseoe bgaarsossueapdyse,odnCaotnnhd,e verified four times . during the study. l7.aIdansnddiovnicddaeuidalalylyoc.limBniocddaElyaxywaasembisi1eg5nrhavtstahitwriooeonurnsgeshrwe3ce0or.reodferdperocenogrddnoeagdnscya0.t sAwueemrpretireoeacncohwrdaaesdmrmoeancoldrdadeyedlsinv0el.rye7d.d,u1r4m,ianatgnepdrne3a1lspbootrboyoFeoLnaedispsehoe0ns, S7i,gFn1os3l,,laoanwndidn2g0Sdxpeiele.irvnearly ooxfaeramcihmaitotnes,ovfiaabipliety,wactlienicvael cvoirdudaeld woeniGgah7tso0f1p vtiharboluegphu2p1s nppu.rsTrheceasrseedanodp dnoe9rs nG0b,euau1tr,lrna4e,ldt7b,euwl1pe4lr,oreseaadnerdxi1aa02m1r%isnpfeppo.dre:mPaeMulseipnnsa.tnsiDdteiaedll.erboasrdnnuyitoiarnpigrfeeopecuedennrodtarcadcdneoeanm:d:n doWauyhsliy21corpihda,canilefliGcoreledmiavimenorinrwgiebruenddnaemwcserro4epnssdeedcrpoounppstdiomcyetr7ea8pvceia.mtahOlem:s swaievaeldd,asinnseencvereuortsarlialss,ounlatrfnodrleegdxrao1mu0ipn%epdfu.oprsmPawuliegnrs.ewAiiltnlhtoiothfseeordnPsaunpadss were discarded. e Following Pionsdutctmioorntoefmdeee expamsiurngaitcailonasnesthesia ussteiehniceggtai(hox4tnialawl2aas1rsyarpvpeeecsrosfAreodllrsemdrfeod(ororosenxelsaaeacslnhigosudnuisarnvmaaitnvaidionnandgp.spdTraeForrrsemoisirmnooaatutlgewhleyfss4:.0 rseepSfrvpeeosdnetinantnaentoeiuuvtserltayilsdsbyuueilnsglpeeacdniim1me0an%lsswfoemrremeraecloidlnilsecetcetdeadnadnpdreacrpeorpmerpgolndeautncettisavenetiormfaalctsiss,swuweeersrpeseasccirmieofnisce,ldaionncncdldupiadryiesne2egr5tvhepdede.gSrNiaonvncie:d the treatment-related cardiacfindingsoccurredonly in | 00031 J : MEVALONATE AND PREGNANT RAT FLUVASTATIN TOXICITY 21 ): "ToShtaal tummhbaer PrbeotgTouraasntdsfbeemarlyes PtThraetgEodainedt dNyoinpnpgredogumrainntg D1osCeongtrrooulp 11 Mevatanic acid 500 mars onsiosdy 2. on00day Ze tac. smuosribpuoanrdtudmay 1 ppt 1(day 2p6 pio0 , 1 IV Flu"vmaesvtaaltoinnic123me300 Fluvasiatin 24 mks. marks : 2 o Lay 18700 o Lida 1950 V mFelvuvaaisotnaitcin312 5m0e0rke s 3 un Liday 4500 de.o day 18 per VI Fluvastatin 24 me 5 TL1 tidddaayyy s2130pp%epi* 3Tl0al32ya2eTmororritognd day 10 pp day agn ieSnacrteoosonacotviatcdwolee,reerlmoidnegseenv.ernati6on, aonedor mEyocaerdietisSABIBALrelEatedtw to doudeath `Pienstutblateinonaatciciodennt sbacseendt0,3 aSlhtnhiocuaghomositcvratsioopnsiainnddignrgosswoerreBincoEkucscoonpleusexvaemination. . Broken, malaligned incisors; animal in poor health. oh 26 West REE son cebut resus lnk,rs,vers dro. nord es Wpreergencaonntsiadneirmeadlss,epdaartaateflryom the nonpregnant animals Tinheutceraou.seOtohfedresadtihedofwtihtehi8natnhiemfailrssa2tdwmiknipsotstepraerdtufmlu.. )': evaBlausaetdioonns rweesruletslifmriotmedprtoevtihoeushestaurdtisesa,nmdicsrtoosmcaocphisc vcaasrtdaitoimnayotp2a4thmyg/chkagr/adcatyerwiazsedreblyatheydalointeh,egprraensuelnacre oorf fsarcormifailcledanmiomarlisb.unFdo.r tshpeonttainsseuoeuselvyalduyaitnigonorianncilmuadlesd Tvahceuoclaaursedeogfdeneeartathioonf.thaend2lorratmsyaocdamridniitsitser(eFdig.{l2u-v5a)s.- :: rToms,s alnesdiolnisv,er.lungs, trachea, thymus with mediastl- tatNiencartop1s2ymegx/akgm/idnaaytciouolfndnthoetb2eadietmersmitnheadt.died on : Statistical analysis mdaayl2f2 olf grestatfieotnusreevsealeidm thdeeaudt,emroursp,hoilnodgiiccaatlilnyg tnhoart. : meAnltlgrsotautpisstwiictahl cevoanlturaotlisoantsoP5f0d.ataancdomPp<a0r.e0d1 lterveealts- dtehaetyh.weFruertphreorbmaobrley,darluigve-rueplattoedthcelitniicmael oofbstehrevadtaimo'nss obfodsyigwneiifgichatn,ced,urwaittihonaoftgweos-ttaatiiloend, annuamlybseirs,ofMpautpesrndael wwheircehsienecnluidnedthdeecr2e4asmegd/klgociodmaoytofrluavcatsitvaittyin(oannidmaayls : livered, ive pups per litter, pup weight, and implanta- 20 and 21 pe), splayed (extended) hindlimb, tremors, (TtieAosNntOwsVaiAtse)susfweoedlrltoeoweeevdvaalbluyuaatDteuenmdnaettbetyr'nsaalnTeasfltey.rstiiFsliitsoyhfearn'vdsarrEiexapanrccoet- tdatihasexoir1ai2,enmltgaa/btkoigron/eddoanbydreaaayntihmi2an1glp,e.osnaSldiavayiti2o2snm,iplgeanciprsrwiimoelarrttieoosande,eeaanrtnih.dn : dMrauatctitoei,rvnaeaslpwetreeflromr2im3naannlceeob,noadntyaulmwbeneiergchsrtosopfswydeeeraxedamepviuanplasut,aitoaenndddbatysae.x3 clviaOnstithcaatelirn asgnirgionmsuaplssinfaclrlsouodmitenxhgheia1bt2iatxaeindad,ovarirm2ip4oauimsrgm/dekrnugtg/l-dlraoeyslsaftleuo-df . oTenset-way ANOVA followed by Duncan's Multiple Range rorighftliantgterneefdlexb,oddyecrpeoasisteidonl,ocsopmlaatyeadr.ac(teixvtietyn,dehdu)nchhiendd DrMuatgerrenlaaltemdomrtaatleirtnyalamnodraclliintiycaslcooubrseedrviantainoinmsals M'aternal bo.dy weight and food consumpti|on : oruecteoifv1i7nga12n8aondudt2o4f 1m7epkrgeigdnaayntoafni(lmuavlass,tarteisnpewchtievreely2, weNigohttregaatimnenwte.rreelnaotteedd dduifrfienrgengceesstaitniomnatdearynsal15b-o2d0y, :' dfwiiretodhmooeuratwcechroemosfpaltcehrteiisfneigcgedrdeolmuiopvsreirdybiuebndudton(hTaaddbalyefu22l)2l.-oOtfenrgemeasfnteiattumisaoelns atahfneedroirdneimlteiiavvlearlypo,enraiicotdarcainodsfi(eTnaatd,bmlisentai3ts)i.tsrDtauitcraiilonlngytsohifgenfiffliiurcvsaa7ntsttdamatayi-ns \ 00032 wig SHES SENAY EFA, (ETIETSRE Eyre] asm PLS i540 i) OpoE ARRET oa fo $3] 28k ReHEIN 2dho Ae PLA SRE Paenoly 165 ger ARE HORS ie BaaiBT as ISRREE mS 3 SEY. :FFELdRal VBSoEiIiEAiNAREe % 5a 2 rg BEST COPY AVAILABLE 060033 Nae : MEVALONATE AND PREGNANT RAT FLUVASTATIN TOXICITY 23 3: Sfr IRS S1 Ne 85 imgaklgodnady adocsde lDevuelaogf tflhuevansetsatTtinasvusppdlaemnesntTedd wpoith : 1 aOap', STOE .CgyAVTEEooHWS co2vboeonrdsalyilweerbinodggyhttwheegiarignhsttwal2sosewsviiwpdaoessntntpevianerrtatlulhmeglre(osdupsasya.sp0pH-ao1rw0ee)nv,terai.nn RE9 , SI BOE trE iAO 2-5 gon tnhoeSui2bsfyelquuvweanesttilaytt.indluogrsrionwugapssdao(byTssaeblr1ev4e-3d2)1nappl.agrsoluigphst imnactleurd.. 4- N Eas oAsH Tog soorntarvolssv.inMeapteerrinoadlawnedigishpt lrossoisdbnuoetatuonabgcrolemamtyoenr DLee iH tiFeI s A y nCurteraisteidonlaalctadtieomn,ancdomobninethdewidtahmmsorreesiulntigngesfrotofimfoeienn-d `HEaaf2nEVRgPBE4 E200 bCneoytntshsutemaptpitusiptoiscnaalonlfydeaptstpihgeronroiexfftiiomcroaaenttel,helsyasn1sb1ly1i5gt5hhwtea0sddeaeocmfvrsie.odaesAneotltidnnhuorfuiognohgd 2feSeVA Ry bWoitthhgarnodupwsitahdomuitnimsetvearleodni2c4 amcidg(Tab/loef0d.fluvaastatyin, SR Tm AE C=e o : fe . h: PRaCAA Htronhd ) B27 oFipg.t7 5.24Tmk:EdReosndStot1d4Z5.roIneT sm.ighCdoe Pse anioals yiMelE semevTiopcosdesvets Toan easoose eerenwceofdoepnreiss. ee Savaacd mo or 99 ttLpeherecnta1ilv2eblaoyn.ddy c2wo4emiprgeahgrtekdglosdtsaovof3 Body weight Joss aceareed f54l%u%vaagsnatdiant9i%ninwdcoaossnetargoprlpsoa.urpesAn,t2rie%n. in animals receiving the 24 FT Cort sm spre Ff vee wl ` mn eyFsirgeyrt 2ili2v4iSmEnA Soneiis xd3e00xSoanAsnb2 eeAbbereee delivery.SAI ntexampmlne fmiemrenlnoducomestsomrlisoLnooms ememo ofAvYy : a Fig. 3. 24 mpegre: dereeacseh eonlodavy S2s2hapebse beefnoreoaedfemlitviherssyh. aeDisvsecwerneeatssetaireospnna. ernlseFgeiwih.ena4r.eai 2i4n tmheeokem.ysoosrncaaprecdrsrsiiunmoofmroortdeis.bwusonTmdheaaelnesdsiysi31000uTpapmekCosnhpaaircmasamonwass : Semmemar l ne Se non oe ie a aniguenmTovosomes the nemcives No Freermtairliktayblaendvarrieaptrioodnuicntpirveegnpaenrcfyorramtaeonccceurred `afahmeotrneg otwhaesegrrmooiu_ptsra.ehaCotomnsesneitd.areenrliianmtgaedltshceommvealareniialtneigonngStheoafmvtoehn:eg gGarnoiumrpaslV(wIoTh(aiFbclluhuevha4)as.tdpaAnionsvlaiitag2bh4ltelmypgu/lkopwgse/rdaglye)sbtraesftli,eocntpsiptnshd.eexaanniden The mean mummPboesrtomtatlavlebloirttnerpudpastawas lower in both groups administered fluvastatin ajone (Groups V and iaVInn)cdrwe2ha4esmendyc/ioknmcgpiddaaernyecde(tlooufsvctaoisnltclautbriornrenGnpturpcosnooVtcr(ucol1usr%pr()eTadabnildnetG5h)r.eo1Au2np VGn1ryo(u2rp2e5s0m)1a,,rckHoaTm,bplaaenrdiendIcV.rtoeTaahseerraienngwieansouftne2or-eo0vi%pdoeisnntcicemopntlotarsnoultgsagtaeinsodtn Smbyatal morialiy (2. early or aie resarptions) lilSnaaSvavan)saytaohNtfreitoonhnueaagngthdralolwourepmsamo,nerievanialtglihoteinrynibcboeoffatoch1rie5d1%o2arda4mannifddtneir6s3ti6rn%maittgiiwpaotniaso(noTsbyao-f llWaioytvshasp8tsoatstatitpniastrGitrcuoamulpliysn sGVirgonaiunfpdicVaVni,tanirdnecsarpseeacestaeirvlneyolyatse(d1Ta-at4l8ed-a31y)4s PtScaaOullSplIpmyPloAsreTitmIgaeUnlnIiifDttieycidDa.nitGwn,irtGoihtruowpmuaeVpsvI.amIliVAonlni(itm2cha4olau.mcgiyhdl)ktgwhedasaoyvaelrfsalolulvsatnsaettoiansttaii-neNeovDnraiutgad-ilrbneeolbadnotytethdwe2li4ogwhmetrgsdcbugir/ritdnhagywtehfileguhvltaasscttaaattsiionwnepdleolsreiaosgdrlOwoUewpreS,er wiTthheanmdoswtitphrooumtimneevnatlonneiocnaatcaild csiumpipclaelmeonbtsaetrviaotnions WOchceurreresdevienraGlrloiuttpersV, I w(h2o4semgd/akmgsidwaeyreofadfvleuvrassetlaytianl) ; BEST COPY AVAILABLE 000034 co ee -- 2 RV.HRABETAL y TABLE 3. Percent body weight hangs and relaive food consumption compared o conirls Ey L Cont u Moab Act Flawvin + Movionveo Addv __" Puvw aatn Teper 4mop To va an mg0a, w"mWEE 00Rope 00V3 E mptgen mete Ee8ih1ing5 1::4 uiw 1i:$ 312i 1+ Bs3 o ni: ERenliatifverfood consumption: 10s 1005 4 sen - -A ae we ws Eastoa, TABLE 4Feandr reprodut ctive performance Groep Co:nt MevlouicAcid Flovawiacn + Movlonve Add vFvasasinw Tmghainr 2 mpgs Fora mado op08ie ow "S%TE woMmle 50N0m)IN igHenomaeg ) S hnC ninn 8 as2Re rB2ece fsio2n Hr e E MloemiingSealivatryo " ww is 1 1 niRiivery Gage F2i9t M283 230 A21h7 F2h P2h2 EDP perrcTenet mdaE ti iengsoenltiaSngennbepreWgnbGaancty:oennvoeeda dsohraoomdasoeiwe2hkeic0hoG4pedianl;edPoPshnt inScluode aHnimoals wh3icah pdiedd condition TABLE 5. Neonatalliesisand mortality SHSYoeeotnnnnmee ossffr Tre dneersey oBWBOOmLeOmB1 W T om m hE w e eaarCootmpaemopreay gh vening H36e MSae MSrh W0hn sTos omomv em wuHma BBhE 4S%k ahfeinctciehdt,whdeaerhdyifprouaupinsaddd,wehaiNdcehcSruoarppispnyeatrshecedaIiapaaclnieaa,ttootnnhies,orfiwpecuapkos,f NMoamcarcorsoc`soi"ppiipccaovnindetmniaccrdnooyfsciwcrnooepgsiautcnmsieemnvlatalrlyuesaltaitodnefoffects wAHeirghedcrullienmdcipdrei(inoTcraetvonaofswaeptauiipnnsianlwgsia,tehsotGurthomueipltokVhaatrvinbwsoditbVeleeIgrhinoadduitphase hw1a2esk.aennndoit2ne4gdpgroketgshieenrdtaitynha{onlfatv3ha4esntsdaai?iniogifrpoaautpnesid,marfleossrpfeercsoiomvmtealhcyeh, amich which did of were sacrificed moribund. 000035 MEVALONATE AND PREGNANT RAT FLUVASTATIN TOXICITY 25 ): sSuadr SemTAeeBncniLllE___ Fupvassaon 6. T iSmeSmaengdmeeinntcil1denlcleoowfsstre Fluvasatin at me nt-reSlatS0eedgmm0eanttereUnlanlmemvoarltoaRnlaittyee'spnplemencaion vey TORE TURE Russo HQ oEeRDEme1mg4he To3msM Tet m:L 0 sw a-wo . mesw 2 ooma i 2i78f5 ofdi yf: To ciliate malianesus resentaotfigaoan, thecontrol groupals negaive) were omied ia -- da Maicrsoshcopiacsisfaianledsil.nygTsihnceogncsaGirrsdotiueodpmVyofo1pa(altvuhavyraiswtiaaysciocfnhamar2ya4oc.-. fsa myocarditis and lesionsof myofibe hy. mptlaoatdsietvirecamtleeeassiionunrsde.emgreTenhete.s,hIyntphteehrrepelaaabspsipeaenacrreaendogtfeosdbpeefcricfooimrcremqluiaaltnditoitn-o. with greater degrees of hyperplasia seen at the higher i evneinatghrsiewssieareten tcvmoancasuipsdrieearvreidodtuersgeesanvetdrmayetniitnonplr(aoTtagebuldaenat3n,rd a emome dying fusing or aher partion. dd(a1o2ys)mecg/okfgo/fdlaumyv)a.spttoaTttahhienrrreiensdepiGodrnoadspueppessaerIteVoianbnGed rVIleos(s2uIe4lrlpmd1ge2s/gdkrgeV!e of hyperplasia/hyperkeratosis in the animals adminis- : cnommrepanertsunriitoannn,iymahacetaenlebdsayilionnlsgeswaieornaescnwdhoawrrieatdhciutncetareifdezbwemydidcahryyos. eT antuation of sated groups of myofibers ac. tIe)redcmoemvpaalroendatteoanthde 12lomwg/dkogs/edaoyf fflluuvvaassttaattiinn(Garloounpe (GHriostsolVo)g.ical evidenceof{luvastatininduced myoar- E Ee 4y % daysasanitgoh3rt.piaTmrhetaeesriJsteiisoitnoanosetdiyetpmeicaralwaeonrfdoachnheiammroaarlc.s. OE oy widespread yeoplasmic vacuolar changes in idLiniakltehwfeiibsemer,evmianultohyneastauenr-dvlsiouvrpipnilgnefGmlearnmtmeoaVdtuiaGonrpnoduwVpaIss(fInlloultvaapnsrtdeasteIVin.nt at 12 and 24 mgkg/day) animals, myocardial lesions ) : Ctnlearmtyyofdiebfeirnse,d Lreo.untdheeomspctuyrrveanccueoloefsla(rFgge. a4ndansdma5l.l were not detected. Occasionally these were accompanied by 4 sarcolem: E Tmaealernenie speontsae mTay:anogdfuitiounweifraolnsapmarofmoltatithfoeperrrmyaeytscoieevcnleatlroidifninfairltlethprmeaajtrusearspty,oi.nvwtehaincrehe:.. which had been givenlower dose poourTdthieeedsmhaaettreesriinnmaillhtaarxdiDdbcoIeseSeefnCfleeUcetvnSsecilSon,uIdnauOtnceNderdecbdonysiinfsltteuwdovoapfsrtmeaavtiteroiruen:snal mortality at delivery and durin the postpartum (12Emgd/Tkhge/sdasya)lgeosdfiaofnylsuvFawrseotrvaaetsitncaoasnlisoingdere.orAeuldpl hraaenldiamtcaeadlrsdtidoaycitlnhege. Cause of death in these animals imApeydnroeicoinadnrccdre(ieTaaoalsfbelleeeaisrnil6oi)sn.esir`lwiMlnaiicsourrtdoneesrctopoepucfiptecestadlewivmaniostdrhetoneabcloseiletlryoo,vfwesad-usugswpgoiesctsithtautine.ndog Lexie affect on the dams immediately prio to, or dur- : . aTehe onlytr`eTaewtrimmcienhnatlsraesclaecabrtvieefddice(eleocavantsitnmaotaitlnes.d oMcocsutrroefdthien 3ivn1ag.s,ta9pt0air)ntuharanivtdieoinbn.eeTpnhreesgtanubdasinoetrdpaitnnidonnolnaapncrdteagdtiinsnapgnotsriarttaisto,sn(aTonfsdefeliutn-. etSnouCrdToaTueessoeuIast(ooWff1aso1o1 r)udesesnvatafdo4c1me9Gad)rc.ohiuGntprhGoiVruc1okp(eunLIpiLVnIgo(.1u7(tmNaoeofvuae1lo2vtf).. _ cstnuarocsakenlassifcnfecglrupomvruuaelpssatsutaltit(ioeAnd.n wSicniahnswveertirahtypezieldrtol,iywssueulnelepsiv.uemblislnLiaiistnmheiedetdmewbdidratythpaol.lsaictoIelnrnetafoalefll, D ent aloinoenuorvwsittshhteactmoeinvnce aeilanlod.nuacItenedfGdrrieodsutpnsoetmIalilcnhaftnlhduiencIVck,e. stHuuosbwese.evqeFurle,unvttalhsyetaantteionmneawatasasulrdameobtreltceatlelidetviyenlosmbaisnteersrvunecadkllsiomnoingl,kpaustpoesdr parearition, aswell as during the lactation period, may en4in7g8.copicalls. the forestomach thickening was be arefleocftadiveorsne effects reltaotdefiicvieent E {chnaaralctgeE rriozuepdsbwyhheipecihthmeorlveicaaelliohvymepdeerfaplcluiavdsaissatua/pthpiylnpe,emrekinentrcaalttuiodosinin.sg mbayTtmhearetnerarelnslauallctttaoitxniidocinictaaytnetdhlaatclkouvfalsittatetricna-rienadsuciendflmuaetnecerd; No evidence of ulceration accompanied these hyper- nal and neonatal mortality cobeu coml pletd ely blocked i 000036 a -- | Rv.HRBETAL ) Frying whew erPe ol nEhnonieyxaieostt,SeTniEtrpeweRiithohisSamenvna3l4owainic aamicyidcesuoepepplmleimneeientedneydifle3audmvae2ys.n4 a1hnT2aona8mnidemcsTeyehSvleeennvodtisinpcaomsceecnsruutuurimprnCpilgnogerfnmienbluneltaaacHptrtelliggsoaeennssedtap,trVnieolvoneeanaabntntsddxnpmaotopcdpaaarorletey. S Be T omg o A aSAeTr aI HtEmeantayl mruoaesseuesswvhrcahyalwlohwas Steegveeneoif'n hhee hiap conrtate saupplpleemmeenptiaotnionrepreenveendtemd omarr ok nMoltarnedduIcVe (tfhleudviarsetcattienffaetcto1f2 falnudv2a4stmga/tkoignn/dtahye),gaisttdriidc Aloe AW. {1989EDRixoAweTrs.UiRochEemisCtIesTaEnDd bilo of ovasa- r ny oe Ee s Foe ri forestomach squamous epithelium, although the de-' Brown.M.S. snd JL. Gadseets 1980) Multivalent Keratosia is the result of directorcontactieitation by KEabrom. RG. DB Weston, FG. Kuchavais. T. Slr, 13. scree Bains ner a, flu`Tvhaestfaltuivnaostnattihen-siqnduuacmeoduesarfloyrecsatrodmiaacchleepsiiotnhselcihuamr.- | CC ian, tint eT LaitseremofmiHeMsOci.sCsoonresdtursohatnse. Emigebon:IverroomtiinbeisaSkym(s1988 Hp on rion) rition) se emble thos nr ebny peer foe, resembled those induced by isoproterenol (preg. ' "SFET SE RE Kithawala. FG. T. Scllen. RG. reATA Engstrom. DB. Sr Weinstein, H. cumalton posi lad toslrsion ofcer tis) appeared to be the resultof sarcoplasmic fluid ac. cumulation possibly related to alteration of cellular EREon inraationa Sympesion on Adbmarosmi Rome Goer Sa3, Hus ne, , e cbleeatrw.eeLnt ikpree-wiaisnidte1,spa onsottpakrntouwmnalaetsihWonhtsa,tipfoainnty,inisthneoitf _FiTempSeRtriuEn.gF5hm.1Ta5o.,t TMaecDronmay lod,f WC0y5p7e.f ripPorpir,oi0iDo n3em.niBaD.uecMm aed,.BRReYJs.. amse a mle ait FHS Several factors existed which probably contributed to the develoofpmymocearndit al damage and/or death of EMG CommymeA BEA, 55%. Grreduciase Ts. oe nbibior, Ktos. ovat to rab. ns pr J Sma ee pte ee tay nA Th Sy SE tion, the exaggerated pharmacologic actiofvliuvtasy. Jinsker. DH. JS. MacDonald. RT. Rebasso, and DL. Bokelman btaitoisny,ntih.ees.isi.nhwiabsitiaonsiogfnifmiecvaanltonfaacttoer.anHdMGc-hoCloesAterroel- a n-Sie sger nieofa Smepvet aline sodsoPhIb R otaflSs hSyodrpe3py. nd Eien :30 Aare. ;Sebo 0, for the synthesis of steroid hormones, cell membranes, cell growth, and normal cellular metabolism (Brown ices ia inhibitor. Fund. Appl. Toxicol. imanuscript: B RBSLESOL D SET e PnSL te ara y abr g% re 0060037