Foster A L, Coleman J W
Department of Pharmacology and Therapeutics, University of Liverpool, UK.
Clin Exp Immunol. 1989 Jan;75(1):161-5.
Following chronic administration of the protein-reactive sulphydryl drug captopril (CP) to rats, an IgG antibody response to CP-derived antigen was detected by ELISA in rats administered the free drug at doses of 270 mumol/kg (i.p. and i.m.) and 27 mumol/kg (i.p.). The antibody response was slow to develop, requiring three series of four daily injections at one-monthly intervals before CP-specific serum IgG was apparent. The IgG antibody recognized CP-ovalbumin but not ovalbumin, and was inhibited by CP in protein-conjugated form, and by free CP and CP-disulphide, thus confirming specificity for a CP-derived antigenic determinant. A drug-induced non-drug-specific IgG response directed against human serum albumin was also observed after chronic high dose CP treatment. No IgG anti-DNA, IgM anti-CP nor IgM anti-HSA responses were seen following chronic drug administration. These studies show that CP, like the model reactive metabolite dinitrofluorobenzene, but unlike other protein-reactive drugs such as D-penicillamine and benzylpenicillin, is immunogenic in the rat. The findings also suggest the possibility that anti-CP antibodies reported in man may be drug-induced, rather than naturally occurring.
给大鼠长期服用蛋白质反应性巯基药物卡托普利(CP)后,通过酶联免疫吸附测定法(ELISA)在以270 μmol/kg(腹腔注射和肌肉注射)和27 μmol/kg(腹腔注射)剂量给予游离药物的大鼠中检测到对CP衍生抗原的IgG抗体反应。抗体反应发展缓慢,在CP特异性血清IgG出现之前,需要每隔一个月进行三轮,每轮连续四天注射。IgG抗体识别CP - 卵清蛋白而非卵清蛋白,并且被蛋白质偶联形式的CP、游离CP和CP - 二硫化物抑制,从而证实了对CP衍生抗原决定簇的特异性。在长期高剂量CP治疗后,还观察到针对人血清白蛋白的药物诱导的非药物特异性IgG反应。长期给药后未观察到IgG抗DNA、IgM抗CP或IgM抗HSA反应。这些研究表明,CP与模型反应性代谢物二硝基氟苯一样,但与其他蛋白质反应性药物如D - 青霉胺和苄青霉素不同,在大鼠中具有免疫原性。研究结果还表明,人类中报道的抗CP抗体可能是药物诱导的,而非天然存在的。