Mizuno Toshihide, Tsukiya Tomonori, Takewa Yoshiaki, Tatsumi Eisuke
Department of Artificial Organs, National Cerebral and Cardiovascular Center Research Institute, Fujishiro-dai 5-7-1, Suita, Osaka, 565-8565, Japan.
J Artif Organs. 2018 Jun;21(2):138-141. doi: 10.1007/s10047-017-1003-4. Epub 2017 Nov 9.
Several species of domestic animals are used in preclinical studies evaluating the safety and feasibility of medical devices; however, the relevance of animal models to human health is often not clear. The purpose of this study was to compare the clotting parameters of animal models to determine which animals most adequately mimic human clotting parameters. The clotting parameters of the different species were assessed in whole blood by in vitro thromboelastography using the clotting activators, such as tissue factor (extrinsic clotting screening test, EXTEM) and partial thromboplastin phospholipid (intrinsic clotting screening test, IINTEM). The measurements were performed using normal blood samples from humans (n = 13), calves (n = 18), goats (n = 56) and pigs (n = 8). Extrinsic clotting time (CT) and the intrinsic CT were significantly prolonged in calves compared to humans (249.9 ± 91.3 and 376.4 ± 124.4 s vs. 63.5 ± 11.8 and 192.5 ± 29.0 s, respectively, p < 0.01). The maximum clot firmness (MCF) in domestic animals (EXTEM: 77-87 mm, IINTEM: 66-78 mm) was significantly higher than that of humans (EXTEM: 59.1 ± 6.0 mm, IINTEM: 58.8 ± 1.5 mm, p < 0.01), and calves and goats exhibited longer time to MCF (MCF-t) than did humans and pigs (p < 0.01). Our results show that there are relevant differences in the four species' extrinsic and intrinsic clotting parameters. These cross-comparisons indicate that it is necessary to clarify characteristics of clotting properties in preclinical animal studies.
几种家畜被用于评估医疗器械安全性和可行性的临床前研究;然而,动物模型与人类健康的相关性往往并不明确。本研究的目的是比较动物模型的凝血参数,以确定哪些动物最能充分模拟人类凝血参数。使用凝血激活剂,如组织因子(外源性凝血筛查试验,EXTEM)和部分凝血活酶磷脂(内源性凝血筛查试验,INTEM),通过体外血栓弹力图在全血中评估不同物种的凝血参数。测量使用来自人类(n = 13)、小牛(n = 18)、山羊(n = 56)和猪(n = 8)的正常血液样本进行。与人类相比,小牛的外源性凝血时间(CT)和内源性CT显著延长(分别为249.9±91.3和376.4±124.4秒,而人类为63.5±11.8和192.5±29.0秒,p < 0.01)。家畜的最大血凝块硬度(MCF)(EXTEM:77 - 87毫米,INTEM:66 - 78毫米)显著高于人类(EXTEM:59.1±6.0毫米,INTEM:58.8±1.5毫米,p < 0.01),并且小牛和山羊达到MCF的时间(MCF - t)比人类和猪更长(p < 0.01)。我们的结果表明,这四个物种的外源性和内源性凝血参数存在相关差异。这些交叉比较表明,在临床前动物研究中明确凝血特性的特征是必要的。