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氯氟烃替代物2,2-二氯-1,1,1-三氟乙烷引起的组织酰化作用。

Tissue acylation by the chlorofluorocarbon substitute 2,2-dichloro-1,1,1-trifluoroethane.

作者信息

Harris J W, Pohl L R, Martin J L, Anders M W

机构信息

Department of Pharmacology, University of Rochester, NY 14642.

出版信息

Proc Natl Acad Sci U S A. 1991 Feb 15;88(4):1407-10. doi: 10.1073/pnas.88.4.1407.

DOI:10.1073/pnas.88.4.1407
PMID:1996342
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC51027/
Abstract

Hydrochlorofluorocarbons (HCFCs) are being developed as substitutes for ozone-depleting chlorofluorocarbons (CFCs); because widespread human exposure to HCFCs may be expected, it is important to evaluate their toxicities thoroughly. Here we report studies on the bioactivation of the CFC substitute 2,2-dichloro-1,1,1-trifluoroethane (HCFC-123) to an electrophilic intermediate that reacts covalently with liver proteins. HCFC-123 and its analog halothane (2-bromo-2-chloro-1,1,1-trifluoroethane) were studied in rats by 19F NMR spectroscopy, and we found that a trifluoroacetylated lysine adduct was formed with liver proteins. Also, the pattern of proteins immunoreactive with hapten-specific anti-trifluoroacetylprotein antibodies was identical in livers of HCFC-123- and halothane-exposed rats. Because halothane causes an idiosyncratic, and sometimes fatal, hepatitis that is associated with an immune response against several trifluoroacetylated liver proteins, the present findings raise the possibility that humans exposed to HCFC-123 or structurally related HCFCs may be at risk of developing an immunologically mediated hepatitis.

摘要

氢氯氟烃(HCFCs)正被开发用作消耗臭氧层的氯氟烃(CFCs)的替代品;由于预计人类会广泛接触HCFCs,因此全面评估它们的毒性很重要。在此,我们报告了关于CFC替代品2,2 - 二氯 - 1,1,1 - 三氟乙烷(HCFC - 123)生物活化成为与肝脏蛋白质发生共价反应的亲电中间体的研究。通过19F核磁共振光谱对大鼠体内的HCFC - 123及其类似物氟烷(2 - 溴 - 2 - 氯 - 1,1,1 - 三氟乙烷)进行了研究,我们发现肝脏蛋白质形成了三氟乙酰化赖氨酸加合物。此外,在暴露于HCFC - 123和氟烷的大鼠肝脏中,与半抗原特异性抗三氟乙酰化蛋白质抗体发生免疫反应的蛋白质模式是相同的。由于氟烷会引发一种特异质性的、有时甚至是致命的肝炎,这种肝炎与针对几种三氟乙酰化肝脏蛋白质的免疫反应有关,目前的研究结果增加了这样一种可能性,即接触HCFC - 123或结构相关的HCFCs的人类可能有发生免疫介导性肝炎的风险。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/baa6/51027/12a98691d678/pnas01054-0333-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/baa6/51027/1782d1fa18fc/pnas01054-0333-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/baa6/51027/12a98691d678/pnas01054-0333-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/baa6/51027/1782d1fa18fc/pnas01054-0333-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/baa6/51027/12a98691d678/pnas01054-0333-b.jpg

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Antibodies to the surface of halothane-altered rabbit hepatocytes in patients with severe halothane-associated hepatitis.严重氟烷相关性肝炎患者体内针对氟烷改变的兔肝细胞表面的抗体。
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Studies on irreversible binding of radioactivity from (14C)halothane to rat hepatic microsomal lipids and protein.关于(14C)氟烷放射性与大鼠肝微粒体脂质及蛋白质的不可逆结合的研究。
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Immunological studies on the mechanism of halothane-induced hepatotoxicity: immunohistochemical evidence of trifluoroacetylated hepatocytes.氟烷诱导肝毒性机制的免疫学研究:三氟乙酰化肝细胞的免疫组织化学证据
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Metabolic basis for a drug hypersensitivity: antibodies in sera from patients with halothane hepatitis recognize liver neoantigens that contain the trifluoroacetyl group derived from halothane.药物超敏反应的代谢基础:氟烷性肝炎患者血清中的抗体可识别含有源自氟烷的三氟乙酰基的肝脏新抗原。
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