Russia_Guidelines for Abuse Liability Evaluation
Transcription
Russia_Guidelines for Abuse Liability Evaluation
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Pe KOMeHn:yeTc!'! con:ep)l(aTh )I(l1BOTHhIX npl1 I1HBepTl1pOBaHHoM pe%MMe OCBellle Hl1!1 (12-QaCOBOM UI1KJI TeMHoTa/cBeT) D:JIJI aKTI1BaUl111 nOBen:eHl1!1 BO BpeM5I 3KCrrepl1MeHTOB B TeMHOBOM <pa3e. 3KCrrepl1MeHThI Ha'J:I1HalOT rrpl1MepHo Qepe3 qac rrOCJIe HaqaJIa TeMHOBoro UI1KJIa. ITpen:Bapl1TeJIhHO <P 0 PMI1PYJOTC!'! rpyrrrrhI (He MeHee 8 %MBOTHhIX B rpyrrrre) M5I 113yqeHl1!1 3<p<p e KTa Ka)l(LJ:OH: n:03hI rrperra paTa 11 paCTBOpI1TeM. 3KCnepl1MeHTaJIhHaR YCTaHOBKa 06hIqHO COCTOI1T 113 n:Byx l1JI11 60JIee KaMep pa3JII1QHOH: <POPMhI 11 pa3Mepa, KOTophIe OTJII1QalOTC!'! no TeKcrype nOJIa, OKpa CKe CTeHOK 11 T. n., QTO n03BOMeT )I(l1BOTHhIM n:11<p<pepeHUl1pOBaTh pa3HhIe Ka MephI. Ba)I(Ho, QT06hI npl1 CB060.!lHOM I1CCJIen:OBaHI1I1 KaMep. B rpynrre KphIC He npO!'!BJI5IJIOCh rrpen:nO'J:TeHI1!1 On:HOH: 113 HI1X. )KeJIaTeJIhHa aBTOMaTI1QeCKa!'! pe rl1cTpaUl1!1 C rrOMOlllhlO MeXaHI1QeCKI1X I1JII1 OrrTI1QeCKJ1X n:aTQI1KOB BpeMeHI1 Ha XO)I(LJ:eHI15I )I(l1BOTHhIX B OTceKax yCTaHOBKI1 11 KOJII1QeCTBa nepexon:OB. - 326 OlllICAHIIE METO)l;A ITpOTOKOJI I1CCJIen:OBaHl1!1 rrpen:ycMaTpl1BaeT rrepl1on:hI 06YCJl06JllUJQHUJI 11 mecmUp06QHUfl. IIepI1on: <papMaKOJIOmqeCKOrO 06yCJIOBJII1BaHl1!1 rrpon:OJI)l(aeTCH 4 n:H!1. Ka)l(LJ:hIM n:eHh rrpOBOD:!1T .!lBe ceccl1l1 BhIpa60TKl1 yc.iroBHoro pe<pJIeKCa Ha MecTO. TIepBaR ceCCl1!1 !'!BMeTC5I n:11<p<pepeHUl1pOBOQHOM. TIepe.!l rrOMellleHl1eM B on:I1H 113 OTceKOB (OTCeKl1 KaMephI pa3n:eJIeHhI rreperopon:KOH:) Ha 20-45 MI1H (B 38.BI1CI1MOCTI1 OT CpOKOB n:eH:CTBl1!1 rrperrapaTa) %MBOTHhIM BBOn:!'!T paCTBOpl1 reJIh. Bo BpeM5I BTOPOH: CeCCl111 BBOD:!1T I1cCJIen:yeMoe coen:I1HeHl1e (B KOHTpOJIh HOH: rpyrrrre paCTBOpI1TeJIh) rrepen: rrOMellleHl1eM )I(l1BOTHOro B npOTI1BOrrO JIO)I(HhIH: OTceK Ha 20-45 MI1H. Pa3MellleHI1e )I(l1BOTHhlX rrOCJIe I1HbeKUl111 B TOM MJII1 I1HOM OTceKe np0I13Bon:!'!T B CJIy<IaH:HOM rrOp!1.!lKe TaKl1M 06pa30M, qTO rro irOBI1Hy rpynnhI pa3MelllalOT B .n:aHHOM OTceKe rrOCJIe I1HbeKUl111 rrperrapaTa, a .!lPyrylO rrOJIOBI1HY nOCJIe BBe.!leHl1!1 paCTBOpI1TeM. TIoCJIe Ka)l(LJ:Oro OrrhITa KaMephI 06pa6aThIBalOT 3 % pacTBopoM rrepeKl1Cll BOn:OpOn:a. 3aK.JIK)qHTeJIhHOe TeCTl1pOBaHl1e BhIpa60TKl1 yCJIOBHOro pe<pJIeKCa Ha MecTO lJPOBOD:!1T qepe3 72 Q rrocn"e nOCJIen:Hero 06yCJIOBJII1BaHI1!'!. l-b KaMephI BhIHI1Ma eTC!'! rreperopon:Ka Me)I(LJ:y OTCeKaMI1, 11 B TeqeHl1e 15 MI1H KphIChI CB060.!lHO I1C CJIen:YJOT 3KCnepl1MeHTaJIhHYJO KaMepy. Perl1CTpl1pYlOT BpeM!'! HaxO)I(LJ:eHI1!1 B oTceKax 11 KOJIxqeCTBO rrepexon:OB 113 on: HOro OTceKa B n:pyroH:. BpeM!'!, rrpOBon:l1MOe B OTceKe, aCCOUl1l1pOBaHHOM C n:eH: CTBl1eM nperrapaTa, CpaBHI1BalOT CO BpeMeHeM HaxO)I(LJ:eHI1!1 B OTceKe, aCCOUI1I1PO BaRHOM C paCTBOpI1TeJIeM. TIOJIO)J(J1TeJIhHOe 3HaQeHl1e pa3Hocrn n:Byx BeJIl1ql1H YKa3hIBaeT Ha BhIpa60TKY YPIIM, a OTpl1uaTeJIhHOe Ha YPI1M. B KaQeCTBe aJIh repHaTI1BHOrO (KBaHTOBoro) rrOKa3aTeM I1CrrOJIh3YJOT KOJIHqeCTBO )I(I1BOTHhIX B rpynrre C BhIpa60TaHHOH: YPIIM l1JI11 YPI1M. 3a Kpl1Tepl1H: npen:rrOQTeHI1!1 YC JIOBHO rrpl1HI1MaeTC!'! BpeM!'! HaxO)I(LJ:eHI1!1 B n:aHHOM OTceKe 60JIee (60JIee 600 c) l1JI11, COOTBeTCTBeHHO MeHee (300 c) OT 06111ero BpeMeHI1 TeCTa (900 c). 3TOT Kpl1Tepl1M npl1MepHO COOTBeTCTByer n:l1arra30HY .!lOBepI1TeJIhHhIX rpaHI1U D:JI!1 )I(\1BOTHhIX KOHTpOJIhHOH: rpynrrhI, rrOJIyqalOIIIl1X 1130ToHxqeCKl1H: paCTBop. 2/3 1/3 3C1>C1>EKTIIBHOCTb IICIIOJIb30BAHI1JI METO)l;A IIOJIO)l(I1TeJIhHhIH: YCJIOBHhIH: pe<pJIeKC Ha MeCTO, aCCOUl1l1pOBaHHoe C <pap MaKOJIOmQeCKI1M 3<p<peKTOM, OueHI1BaeTC5I KaK KOCBeHHoe CB\1D:eTeJIhCTBO no JIO)l(l1TeJIhHhIX MOTl1BaUl10HHhIX CBOH:CTB 113yqaeMoro coen:I1HeHI1!'!. MeTon: BhI pa60TKI1 YPIIM B paCCMOTpeHHOH: MOn:I1<pI1KaUI1I1 n:OCTaTOQHO QYBCTBI1TeJIeH 11 rr03BOMeT BhI!'!BHTh an:D:I1KTI1BHhIH: rrOTeHUl1aJI KaK "60JIhIIII1X" (KOKaHH, MOp <pI1H), TaK H MaJIhIX (KO<peI1H, HI1KOTI1H, 3TaHOJI) an:D:I1KTI1BHhIX cpen:CTB. OH TaK)l(e cneUI1<pI1QeH H He BhI!1BJI!'!eT rrOJIO)l(l1TeJIhHOrO yCJIOBHOrO pe<pJIeKCa Ha MeCTO rrpI1 COQeTaHl111 C 3TaJIOHHhIMl1 BellleCTBaMI1, He HMelOIUI1MI1 an:D:I1KTI1B Horo rrOTeHUl1aJIa (HeHapKOTI1QeCKl1e aHaJIhreTI1KI1, HeH:pOJIenTI1KI1 11 n:p.), T. e. He n:aeT JIO:>KHOrrOJIO)l(I1TeJIhHhIX peaKUI1H:. BMecTe C TeM BhIpa60TKa YPIIM, ac COUl1l1pOBaHHoro C <papMaKOJIOmQeCKI1M 3<p<peKTOM, rrpl1 OTcyrcTBl111 rrpe.!lnoQ TeHI1!1 KaKOrO-JII160 113 OTceKOB 3KCrrepI1MeHTaJIhHOH: KaMephI B KOHTpOJIhHOH: rpyrrrre (unbiased procedure) He rr03BOMeT C yBepeHHOCThlO KOJII1QeCTBeHHO pa3n:eJII1Th HCCJIen:yeMhIe BellleCTBa rro 3<p<peKTHBHOCTI1 (MaKCI1MYMY) non:Kpen MlOlllero 3<p<peKTa, a TaK)l(e rrOJIy<II1Th cTa6l1JIhHhIe 11 BOCrrp0I13Bon:I1MhIe KpH Bhle 3aBl1Cl1MOCTl1 "n:03a-3<p<peKT". LJ:JI5I cpaBHeHI1!1 an:D:I1KTI1BHOrO rrOTeHUl1aJIa coen:I1HeHI1H: MO)l(HO I1CrrOJIh30 BaTh Bapl1aHT BhIpa60TKI1 YPIIM, rrpl1 KOTOpOM rrOMellleHl1e B On:I1H OTceK Ka MephI COQeTaeTC5I C n:eH:CTBl1eM 3TaJIOHHOrO HapKOTI1Ka (HarrpI1Mep, KOKaI1Ha), a - 327 B .1lpyroH - C lleticTBl1eM I1CCJIellyeMOro cOelli1HemLlI. B 3TI1X YCJIOBI1HX MO)KHo Bl1lleTh, 'iTO )KI1BOTHhIe np ellrrO'iI1TalOT OTCeK, aCCOUl1l1pOBaHHhlti C I1HbeKIJ:11eH KOKal1Ha rro CpaBHeHl110 C MeCTOM, rue BBO.1lI1JII1Ch, Hanpl1Mep, Ko<peI1H, Hl1KO TI1H l1JI11 3TaHOJI. C .llpyroi1 CTOpOHhI, )KI1BOTHhIe He OTllaJOT HBHoro npellrrO'1Te HI1H OTceKy, aCCOUl1l1pOBaHHOMY C KO<peI1HOM, rrepell MeCTOM, r.n:e OHI1 I1CI1hI ThIBaJIl1 lleticTBl1e HI1KOTI1Ha l1JI11 3TaHOJIa. OCHOBHhIe Tpe60BaHM K yCTaHoBKe MH Bhlpa60TI<J1 YPDM y MhIWeH aiIa JIOr11'iHhI TaKOBhIM MH KphIC. Do cpaBHeHl110 C KphICaMI1 MhIWI1, KaK rrpaBWIo, rrpO${BAAIOT 60JIee BhICOKyIO .n: Bl1raTeJIhHYIO aKTI1BHOCTh B KaMepe, 11 BpeMeHHaJI aCI1MMeTpM BhIpa)KeHa cJIa6ee l1JI11 OTCYTcTByeT. D03TOMY rrpoToKoJr I1CCJIe.n:o BaHI1${ MO)KeT rrp e.n:ycMaTpI1BaTh rrpeTeCThI .n:JI${ OueHKI1 I1CXo.n:Horo rrpe.n:rrO'1Te HM OTceKOB KaMephI )f(J1BOTHhIMI1, 11 3<p<peKT rrperrapara MO)KHO OueHl1BaTh no 113MeHeHI1IO (npl1pocTy B CJIyqae YPDM) BpeMeHI1 npe6hlBaHIDr )I(J1BOTHOf9 B .n:aHROM OTCe:Ke nOCJIe nepl1o.n:a <p apMaKOJIOrl1'1eCKOrO 06YCJIOBJII1BaHI1${. I1ccJIe .n:OBaHl1e MO)KeT rrpOBo.n:I1ThC${ TaK)Ke 11 rro cxeMe, 113JIO)KeHHoti BhIwe lLlffi Bhlpa 60TKI1 yCJIOBHoti peaKIJ:1111 Ha MeCTO y KphIC. METO,IJ:ll, PEKOMEH,nYEMbIE M.H BTOPOM cDA3bI lICCJIE,IJ:OBAHIDI (METO,IJ:bI "YTJIYEJIEHHorO CKPlIHlIHrA") 3. lIHHUHao;lUI H nOMep:lKaHHe peaKD;H11 BHYTPHBeHHoro caMOBBe.ueHH${ (PBC) y KpbIC MATEPlIAJIbHO-TEXHWIECKOE OBECllE'lJEHlIE METOM 3KCrrepl1MeHTaJIhHhIe 180-200 rp. )K[i!.!lOTHhIe. KPhIchI-caMUhI JII1H1111 Wistar MaCCOH YCTaHoBKa. KaMephI, B KOTophIe nOMerualOT )KI1BOTHhIX, I1MelOT pa3Mep 30 x 30 x 30 CM 11 cHa6)KeHhI .n:ByM${ rre.n:aAAMI1. O.n:Ha 113 HI1X rrpl1 3aMhIKaHI111 KOHTaKTOB BKJIlO'1aeT I1HbeKTOp, a BTOpa${He06xo.n:I1Ma lLlffi KOHTpOM HeCrreUI1 <pl1'1eCKoti orrepaHTHoti aKTI1BHOCTI1 )KI1BOTHoro. B03MO)KH0 I1CnOJIh30BaHI1e KaMep, cHa6)KeHHhIX He rre.n:aAAMI1, a .n:BYM$i OTBepCTI1${M11 .n: l1 aMeTpoM 1,5 CM Ha BhlCOTe 2,0 CM OT rrOJIa 11 Ha paCCTO${HI1I1 15 CM .n:pyr OT .n:pyra. B 06a oTBepCTI1${ BMOHTl1pOBaHhI I1H<ppaKpacHhIe .n:aH11KI1, CB${3aHHhIe '1epe3 I1HTep<p Mc C KOM e rrhlOTepOM Tl1rra PC, rrpl1'1eM O.n:HO 113 OTBepCTl1ti ${BAAeTC${ "aKTI1BHhIM" 11 BhI rAA)lhlBaHl1e B Hero Be.n:eT K I1H<PY31111 I1CCJIe.n:yeMoro paCTBopa. OrrepaHTHhIl1 OTBeT Tl1na BhIrJI${.QhIBaHI1${ ${BAAeTC${ 60JIee eCTeCTBeHHhIM lLlffi KphIC, '1eM Ha )KaT11e Ha rre.n:aJIh, 11 BhIpa6aThIBaeTC${ 6hICTpee. ,lJ,JUf I1H<PY31111 BerueCTB I1CnOJIh3YIOT MI1Kpo.n:03aTophI C peryJIl1pyeMhIMI1 CKO Po.CThlO rro.n:a'1l1 paCTBopOB (OT .n:OJIeti ceKyH.QhI .n:o 10-20 c) 11 06beMoM pa30 BhIX 11H<PY3I1ti (OT 10 110 400 MKJI/Kr). OITTI1MaJIhHbIe napaMeTphI (06'heM pa30 Boti I1H<PY31111 11 60JIIOCHa${ .1l03a) rro.n:6I1paIOTC${ I1H.n:I1Bl1llya'lbHO lLlffi Ka)KIlOro nperrapaTa. I1H<PY3111O cO'1eTalOT co CBeTOBhIM pa3.n:pa)KJ1TeJIeM, Cl1rHaJIl13l1pylO rueM 0 <papMaKOJIOrl1'1eCKOM no.n:KpeIIJIeHI1I1 I1HCTpYMeHTaJIhHOH peaKUI1I1. I1H <PY31111 rrp0I13BOMTC${ aBTOMaTl1'1eCKI1 B OTBer Ha BhIrAA)lhIBaHl1e B O.n:HO 113 OT BepCTl1ti 11JII1 B OTBeT Ha Ha)KaTl1e Ha COOTBeTCTBYlO/UYlO ne.n:aJIh. COOTBeTCTBeH HO, orrepaHTHhIe peaKUl111 Ha rrpOT${)KeHI1I1 cpa6aThIBaHI1${ I1HbeKTopa (OT 2 .n:o 13 C B 3aBI1CI1MOCTI1 OT MapKl1 11 Tl1rra MI1Kpo.n:03aTopa) <P 11KCI1 PYIOTC${, o.n:HaKO He Be.n:YT K aKTI1BaUl111 I1HbeKTOpa. ,lJ,JI${ 06eCrre'1eHl1${ CBo60.n:hI nepeMerueHM )KI1BOTHhIX B 3KCrrepl1MeHTe rrpl1 MeH${IOT WapHl1pHOe coe.n:I1HI1TeJIbHOe yCTpOticTBo ("swivel joint"), rrpe.n:yrrpe)K .n:alOruee rrepeKpY'1l1BaHl1e coe.n:I1HI1TeJIhHhIX Tpy60K OT KaTeTepa K I1HbeKTopy. OllHCAHHE METOJ(A KphIcaM rrOll o6rueti aHecTe311eti '1epe3 Hapy:lKHylO ${peMHylO. BeHy B yuIKO ,npaBoro rrpe.n:cep.n:l1${ I1MIIJIaHTI1PYlOT Cl1JIl1KOHOBhIe KaTeTepbI, KOTophIe <pI1K cUPYIOT Ha 'ieperre )KI1BOTHOro aKpl1JIOBhIM ueMeHTOM. Qepe3 3-4 CYT rrOCJIe orrepaUl111 KpbIC rrepeBo.n:${T B BI1Bapl1ti C I1HBepTl1pOBaHHhIM CBeTOBhIM pe)Kl1 MOM 11 11M orpaHI1'iI1BaIOT rrl1rueBoti paUI10H C ueJIhlO CHJ1)KeHI1${ MaCCbI Ha lO IS % OT I1CXO.n:HOti. Qepe3 3 .n:H$i rrOCJIe 3Toro rrpl1cTyrralOT K BhIpa60TKe PBC. tlepe.n: Ha'1aJIOM TeCTl1pOBaHI1${ rrpoBepHIOTrrpoxo.n:I1MOCTh KaTeTepa rrYTeM BBe lleHM 0,1-0,2 MJI 1130TOHI1'1eCKOrO COJIeBOrO pacTBopa. ITpOTOKOJI OnhITa rrpe.n:ycMaTpI1BaeT rroBTopHbI'e e)Ke.n:HeBHbIe rrOCMKI1 )KJ1 BOTH oro B 3KCrrepI1MeHTa.mSHYlO KaMepy 11 perl1CTpaUl11O KOJII1'ieCTBa orrepaHT HbIX peaKUl1ti 3a BpeM$i 3KCrrep11MeHTa. ITpaKTl1'1eCKI1 y.n:06Hee I1CrrOJIb30BaTb 'orpaHl1'1eHHylO BO BpeMeHI1 ceCC1110 PBC (1-3 '1). 3a.n:a'1l1 I1CCJIe.n:OBaHM orr pe.n:eMIOT rrOBTopHOCTb 11 peryAApHoCTh ceccl1ti. ITPI1 BbIpa60TKe PBC 06bl'iHO K lI$iToti ceCC1111 BhffiCH5feTC${, crroco6HO JII1 )KI1BOTHOe o6yql1TbCH PBC rrpl1 113 6paHHoti pa30Boti .n:03e I1CCJIe.n:yeMoro coe.n:I1HeHM. PeKOMeH.n:YeTC${ I1ccJIe.n:o BaTb HeCKOJIbKO pa30BblX .n:03 (He MeHee 4-5)113yqaeMOrO coe.n:I1HeHM. 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