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阿尔布格拉宁是一种与重组人白蛋白基因融合的重组人粒细胞集落刺激因子(G-CSF),可在小鼠和猴子中诱导持久的骨髓造血效应。

Albugranin, a recombinant human granulocyte colony stimulating factor (G-CSF) genetically fused to recombinant human albumin induces prolonged myelopoietic effects in mice and monkeys.

作者信息

Halpern Wendy, Riccobene Todd A, Agostini Heidi, Baker Kevin, Stolow David, Gu Mi-Li, Hirsch Jonathan, Mahoney Angela, Carrell Jeffrey, Boyd Ernest, Grzegorzewski Krzysztof J

机构信息

Human Genome Sciences, Inc., 9410 Key West Avenue, Rockville, Maryland 20850, USA.

出版信息

Pharm Res. 2002 Nov;19(11):1720-9. doi: 10.1023/a:1020917732218.

Abstract

PURPOSE

Albugranin fusion protein is recombinant granulocyte colony stimulating factor (rG-CSF) genetically fused at its N-terminus to the C-terminus of recombinant serum human albumin and is expected to have a relatively long half-life compared with rG-CSF alone. In this study, the pharmacodynamics and pharmacokinetics of Albugranin were evaluated in BDF1 mice and cynomolgus monkeys.

METHODS

Single doses of Albugranin (0.25-5 mg/kg) or Filgrastim (methionyl rG-CSF, 0.25, or 1.25 mg/kg) were administered subcutaneously (SC) to mice and multiple doses of Albugranin (25-100 microg/kg every 4 or 7 days) or Filgrastim (5 microg/kg daily) were administered SC for 14 days to monkeys for hematologic evaluation. For pharmacokinetics studies, mice were injected intravenously (IV) or SC with single doses of Albugranin (0.25-1.25 mg/kg) or Filgrastim (0.25 mg/ kg) and monkeys were injected SC with multiple doses of Albugranin (100-1,000 microg/kg once weekly for 5 weeks). Plasma levels of Albugranin and Filgrastim were measured by enzyme-linked immunosorbent assay.

RESULTS

In mice, administration of Albugranin effectively increased the number of peripheral granulocytes and mobilized hematopoietic progenitor cells for up to 5 days. The magnitude and duration of this effect were dose-dependent. In contrast, administration of Filgrastim resulted in a small increase in both cell types on day 1 only. Albugranin administered to cynomolgus monkeys caused an increase in peripheral neutrophils, with a less prominent increase in peripheral monocytes. Albugranin-induced neutrophilia peaked 24 h following each dose administration. Administration of Filgrastim daily in monkeys resulted in moderate increases in neutrophils that were maximal on days 8-12 during the course of treatment. Compared with Filgrastim, Albugranin had a longer terminal half-life (t(1/2,term)) and mean residence time (MRT), and slower clearance (CL/F) in mice. The t(1/2,term), MRT, and CL/F of Albugranin following SC administration to BDF1 mice were 5.6-5.7 h, 16.7-20.7 h, and 6.37-12.2 mL/h/kg, respectively, compared with 2.54 h, 4.9 h, and 164 mL/h/kg, respectively for Filgrastim. In cynomolgus monkeys, the corresponding values of t(1/2,term), MRT, and CL/F for Albugranin were 7.73-133 h, 19.4-27.3 h, and 7.90-27.5 mL/h/kg, respectively, for doses of 100-1000 microg/kg. An exposure-response relationship that could be empirically described with a simple Emax model with baseline was found between day 15 absolute neutrophil count and area under the curve following the first dose in cynomolgus monkeys.

CONCLUSION

The sustained activity of Albugranin in mice and monkeys demonstrated in these studies suggests that this agent could be given less frequently than Filgrastim to achieve similar therapeutic effects in patients.

摘要

目的

白蛋白融合蛋白是一种重组粒细胞集落刺激因子(rG-CSF),其N端与重组血清人白蛋白的C端通过基因融合,预计与单独的rG-CSF相比具有相对较长的半衰期。在本研究中,对BDF1小鼠和食蟹猴评估了白蛋白融合蛋白的药效学和药代动力学。

方法

对小鼠皮下注射单剂量的白蛋白融合蛋白(0.25 - 5 mg/kg)或非格司亭(甲硫氨酰rG-CSF,0.25或1.25 mg/kg),对猴皮下注射多剂量的白蛋白融合蛋白(每4或7天25 - 100 μg/kg)或非格司亭(每天5 μg/kg),持续14天以进行血液学评估。对于药代动力学研究,对小鼠静脉注射或皮下注射单剂量的白蛋白融合蛋白(0.25 - 1.25 mg/kg)或非格司亭(0.25 mg/kg),对猴皮下注射多剂量的白蛋白融合蛋白(每周一次100 - 1000 μg/kg,共5周)。通过酶联免疫吸附测定法测量血浆中白蛋白融合蛋白和非格司亭的水平。

结果

在小鼠中,给予白蛋白融合蛋白可有效增加外周粒细胞数量,并动员造血祖细胞长达5天。这种作用的幅度和持续时间呈剂量依赖性。相比之下,给予非格司亭仅在第1天导致两种细胞类型均有少量增加。给食蟹猴注射白蛋白融合蛋白导致外周中性粒细胞增加,外周单核细胞增加不明显。白蛋白融合蛋白诱导的中性粒细胞增多在每次给药后24小时达到峰值。在猴中每天给予非格司亭导致中性粒细胞适度增加,在治疗过程中第8 - 12天达到最大值。与非格司亭相比,白蛋白融合蛋白在小鼠中具有更长的末端半衰期(t(1/2,term))和平均驻留时间(MRT),以及更慢的清除率(CL/F)。对BDF1小鼠皮下注射后,白蛋白融合蛋白的t(1/2,term)、MRT和CL/F分别为5.6 - 5.7小时、16.7 - 20.7小时和6.37 - 12.2 mL/h/kg,而非格司亭分别为2.54小时、4.9小时和164 mL/h/kg。在食蟹猴中,对于100 - 1000 μg/kg剂量的白蛋白融合蛋白,t(1/2,term)、MRT和CL/F的相应值分别为7.73 - 133小时、19.4 - 27.3小时和7.90 - 27.5 mL/h/kg。在食蟹猴中,发现第15天绝对中性粒细胞计数与首次给药后曲线下面积之间存在一种可用具有基线的简单Emax模型经验性描述的暴露 - 反应关系。

结论

这些研究中白蛋白融合蛋白在小鼠和猴中的持续活性表明,与非格司亭相比,该药物在患者中给药频率可更低以达到相似的治疗效果。

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