Sk. Tandon et al., MOBILIZATION OF LEAD BY CALCIUM VERSENATE AND DIMERCAPTOSUCCINATE IN THE RAT, Clinical and experimental pharmacology and physiology, 25(9), 1998, pp. 686-692
1. Calcium disodium ethylenediaminetetraacetate (CaNa2 EDTA) and meso-
2,3-dimercaptosuccinic acid (DMSA) individually and in permutation-com
bination in various doses (0.1, 0.2 and 0.4 mmol/kg bodyweight) were i
nvestigated for their efficacy to mobilize lead from vital tissues int
o urine and faeces and to restore the lead-sensitive biochemical param
eters in lead pre-exposed rats with a view to develop the most accepta
ble treatment regimen for lead poisoning with a minimal loss of endoge
nous essential elements. 2. The combined therapy was more effective th
an a single chelator treatment. 3. The combination of 0.2 mmol/kg CaNa
(2)EDTA + 0.4 mmol/kg DMSA caused a lower depletion of zinc, calcium a
nd iron but possessed almost equal capability to that of 0,4 mmol/kg C
aNa(2)EDTA + 0.4 mmol/kg DMSA to produce urinary as well as faecal exc
retion of lead, to reduce the tissue burden of lead, including that of
the brain, and to reverse lead-induced biochemical alterations. 4. Th
e combination of 0.2 mmol/kg CaNa(2)EDTA + 0,4 mmol/kg DMSA has shown
a definite improvement over previously reported combinations in terms
of removal of lead from tissues, particularly the brain, restoration o
f urinary delta-aminolevulinic acid levels and a decrease in the loss
of body zinc and is, therefore, recommended for the treatment of lead
intoxication.