Trudell J R, Ardies C M, Anderson W R
Department of Anesthesia, Stanford University School of Medicine, California.
J Pharmacol Exp Ther. 1991 May;257(2):657-62.
The delayed fulminant form of halothane hepatotoxicity is thought to be triggered by an immune response to haptenic adducts formed by a metabolite, trifluoroacetyl chloride. In this study we demonstrate that antibodies purified from the sera of rabbits sensitized to a trifluoroacetyl-protein adduct will cross-react with a trifluoroacetyl-phosphatidylethanolamine adduct. Trifluoroacetyl adducts of both rabbit serum albumin (TFA-RSA) and dioleoylphosphatidylethanolamine (TFA-DOPE) were prepared. The TFA-RSA was coupled to an Affigel-10 affinity column to purify hapten-selective immunoglobulin (Ig) G antibodies (anti-TFA-RSA IgG) from the sera of rabbits given i.m. injections of TFA-RSA. The TFA-DOPE was purified by high-performance liquid chromatography and the structure confirmed with direct chemical ionization mass spectrometry. Lamellar liposomes containing a mixture of 5% TFA-DOPE, 71% DOPE and 24% dioleoyl-phosphatidylcholine, as well as hexagonal phase micelles containing 5% TFA-DOPE and 95% DOPE, were prepared by sonication. Anti-TFA-RSA IgG antibodies were added to each of these lipid mixtures for 30 min, fluorescein-conjugated goat-antirabbit IgG antibodies were added next for an additional 30 min and then binding of anti-TFA-RSA IgG antibodies to TFA-DOPE was quantified by flow cytometry. Anti-TFA-RSA IgG antibodies bound to TFA-DOPE only when it was incorporated into hexagonal phase micelles. These findings suggest that TFA-phosphatidylethanolamine adducts that reside in nonlamellar domains on the hepatocyte surface could be recognition sites for anti-TFA-adduct antibodies and potentially participate in immune-mediated hepatotoxicity.
氟烷肝毒性的迟发性暴发性形式被认为是由对代谢产物三氟乙酰氯形成的半抗原加合物的免疫反应所触发。在本研究中,我们证明从对三氟乙酰 - 蛋白质加合物致敏的兔血清中纯化的抗体将与三氟乙酰 - 磷脂酰乙醇胺加合物发生交叉反应。制备了兔血清白蛋白(TFA - RSA)和二油酰磷脂酰乙醇胺(TFA - DOPE)的三氟乙酰加合物。将TFA - RSA偶联到Affigel - 10亲和柱上,以从经肌肉注射TFA - RSA的兔血清中纯化半抗原选择性免疫球蛋白(Ig)G抗体(抗TFA - RSA IgG)。通过高效液相色谱法纯化TFA - DOPE,并用直接化学电离质谱法确认其结构。通过超声处理制备含有5%TFA - DOPE、71%DOPE和24%二油酰磷脂酰胆碱混合物的层状脂质体,以及含有5%TFA - DOPE和95%DOPE的六方相胶束。将抗TFA - RSA IgG抗体加入到每种脂质混合物中30分钟,接着加入荧光素偶联的山羊抗兔IgG抗体再孵育30分钟,然后通过流式细胞术定量抗TFA - RSA IgG抗体与TFA - DOPE的结合。抗TFA - RSA IgG抗体仅在TFA - DOPE掺入六方相胶束时才与之结合。这些发现表明,位于肝细胞表面非层状结构域的TFA - 磷脂酰乙醇胺加合物可能是抗TFA - 加合物抗体的识别位点,并可能参与免疫介导的肝毒性。