A. Gough et al., QUINOLONE ARTHROPATHY IN IMMATURE RABBITS TREATED WITH THE FLUOROQUINOLONE, PD-117596, Experimental and toxicologic pathology, 48(4), 1996, pp. 225-232
To study the potential of the fluorquinolone, PD 117596 to cause arthr
opathy in experimental animals, immature rabbits were orally administe
red the drug for five days at 0, 100, 350, 500 and 750 mg/kg. Characte
rization of changes induced in major synovial joints was based on: mac
roscopic and histopathologic observations, transmission electron micro
scopic examinations and magnetic resonance imaging. Preferentially tar
geting the knee, PD 117596 produced vesicles and erosions in articular
cartilage which resembled, morphologically, those described in other
laboratory species. Lesion incidence was not clearly dose-related. In
the perivesicular region, degenerate chondrocytes were intermixed with
hypertrophic cartilage cells and chondrocyte clusters. Ultrastructura
lly, hypertrophic chondrocytes were the consequence of karyomegaly and
RER proliferation. Matrix density was reduced due to collagen and pro
teoglycan loss. Joint structures were readily visualized by magnetic r
esonance imaging which identified thickened articular cartilage, surfa
ce irregularities consistent with ruptured vesicles and separation of
opposing articular surfaces secondary to synovival effusions. The imma
ture rabbit, although less sensitive than the juvenile dog to the arth
ropathic effects of quinolones, was nonetheless a good model to study
this experimental osteoarticular disease.