The series of studies of Bevelander and his colleagues, conveniently summarized in his letter (1963), together with the observations collected by Shils (1962), has focused attention on the potentially toxic nature of the tetracyclines particularly in embryos and in developing tissues. It was felt that a comparison should be made between older and newer, more soluble tetracyclines to try to discover whether alteration in the molecule had increased toxicity and whether any teratogenic effects could be detected.
METHODSThe design of the first experiment was based as closely as possible on the blind trial. Solutions of tetracycline, oxytetracycline, chlortetracycline, demethylchlortetracycline, lemecycline and chlormethylencycline were made up in Dulbecco's phosphate-buffered saline (Oxoid), pH 7.3, the buffer itself being introduced as one control, a second being provided by the remainder of the batch which was not injected or manipulated in any way. The concentrations used were those commonly found in the blood during therapy, about 2.5 /Ag/ml. (125 ug contained in 0.2 ml. of buffer for each 50 g of egg). As the concentration in cord blood is half that in the mother, even this level would be higher than that to which an infant would be exposed (Charles, 1954; Gibbons & Richelderfer, 1960). We have ourselves tested paired maternal and cord bloods and have obtained concordant results.A hatchery made available a batch of eggs from chickens with high fertility. On the 4th day of incubation these were candled and infertile eggs were discarded. Twenty eggs were placed in each group, the injection site marked, waxed and perforated. Volumes of 0.2 ml. of the drug were injected and the shells were resealed by melting the wax. Injections were made into the allantoic cavity through the corion.In a second series using ten-times the previous level of drug, the tetracyclines were prepared as before, but more stringent sterility tests of the solutions were made. The drugs were dissolved and diluted for use within 2 hr of being injected to avoid as far as possible any loss of potency while in solution. They were not however refrigerated during transportation.The concentrations of the drugs were on a simple weight basis and allowances were not made for differences in molecular weights.The assessment of the health of the chicks was made by the hatchery. The nature of the drugs administered was not known, the groups being identified only by batch letter. Chicks killed by gassing and unhatched eggs were then forwarded for further work. The unhatched embryos were dissected and examined for any abnormality. Representative bones were selected for histology after examination for fluorescence. These were compared with those of the survivors from the respective