Paschen K, Bautz W, Bohner J
Arzneimittelforschung. 1976;26(12):2137-41.
Only the free and not the protein-bound fraction of a drug shows pharmacologic activity. Therefore the rates of drug-binding to serum proteins are of great importance for clinical and pharmacological purposes. A basis prerequisite for accurate measurements are experimental designs giving the possibility of keeping the most important factors influencing the protein-binding rate within physiological ranges. In vivo these factors are, among others, the concentration of albumin, the absorption of different exogenous and endogenous substances to albumin, the type and the amount of ions present, the total ionic strength, the pH-value and hence the pCO2 as well as the temperature. An experimental set-up was described giving the possibility of keeping all these factors absolutely constant under in vivo conditions by means of a newly developed and simply to handle ultrafiltration device. From withdrawing the blood sample from the vein to the complete separation of the protein-bound fraction the blood sample can be processed under strictly anaerobic conditions (to prevent loss of CO2!). Compared to common methods generally used for the determination of protein-binding rates, such as equilibrium dialysis, column chromatography and ultracentrifugation, this new procedure saves a considerable amount of time. Within 1 h up to 8 samples can be processed in a single device. Besides short filtration times there is no need for any additional sample preparation such as buffering or adding antibacterial substances, etc.
只有药物的游离部分而非与蛋白质结合的部分才具有药理活性。因此,药物与血清蛋白的结合率对于临床和药理学目的而言非常重要。准确测量的一个基本前提是实验设计,要能将影响蛋白质结合率的最重要因素维持在生理范围内。在体内,这些因素包括白蛋白浓度、不同外源性和内源性物质对白蛋白的吸附、存在的离子类型和数量、总离子强度、pH值以及因此的pCO2,还有温度。描述了一种实验装置,借助新开发的且易于操作的超滤装置,能在体内条件下使所有这些因素绝对保持恒定。从从静脉采集血样到完全分离出与蛋白质结合的部分,血样可在严格厌氧条件下处理(以防止二氧化碳损失!)。与通常用于测定蛋白质结合率的常见方法(如平衡透析、柱色谱法和超速离心法)相比,这种新方法节省了大量时间。在单个装置中1小时内可处理多达8个样品。除了过滤时间短之外,无需进行任何额外的样品制备,如缓冲或添加抗菌物质等。