麻醉大鼠补体激活相关病理生理变化:假性过敏症状和介质的激活剂依赖性变化。
Complement Activation-Related Pathophysiological Changes in Anesthetized Rats: Activator-Dependent Variations of Symptoms and Mediators of Pseudoallergy.
机构信息
Nanomedicine Research and Education Center, Institute of Translational Medicine, Semmelweis University, 1089 Budapest, Hungary.
SeroScience LCC., Cambridge, MA 02138, USA and 1089 Budapest, Hungary.
出版信息
Molecules. 2019 Sep 9;24(18):3283. doi: 10.3390/molecules24183283.
Complement (C) activation can underlie the infusion reactions to liposomes and other nanoparticle-based medicines, a hypersensitivity syndrome that can be partially reproduced in animal models. However, the sensitivities and manifestations substantially differ in different species, and C activation may not be the only cause of pathophysiological changes. In order to map the species variation of C-dependent and -independent pseudoallergy (CARPA/CIPA), here we used known C activators and C activator liposomes to compare their acute hemodynamic, hematological, and biochemical effects in rats. These C activators were cobra venom factor (CVF), zymosan, AmBisome (at 2 doses), its amphotericin B-free vehicle (AmBisombo), and a PEGylated cholesterol-containing liposome (PEG-2000-chol), all having different powers to activate C in rat blood. The pathophysiological endpoints measured were blood pressure, leukocyte and platelet counts, and plasma thromboxane B2, while C activation was assessed by C3 consumption using the Pan-Specific C3 assay. The results showed strong linear correlation between C activation and systemic hypotension, pointing to a causal role of C activation in the hemodynamic changes. The observed thrombocytopenia and leukopenia followed by leukocytosis also correlated with C3 conversion in case of C activators, but not necessarily with C activation by liposomes. These findings are consistent with the double hit hypothesis of hypersensitivity reactions (HSRs), inasmuch as strong C activation can fully account for all symptoms of HSRs, but in case of no-, or weak C activators, the pathophysiological response, if any, is likely to involve other activation pathways.
补体 (C) 激活可能是脂质体和其他基于纳米颗粒的药物输注反应的基础,这是一种超敏反应综合征,在动物模型中可以部分重现。然而,不同物种的敏感性和表现有很大差异,C 激活可能不是病理生理变化的唯一原因。为了绘制 C 依赖性和非依赖性假性过敏(CARPA/CIPA)的物种变异图谱,我们在这里使用已知的 C 激活剂和 C 激活脂质体来比较它们在大鼠中的急性血液动力学、血液学和生化效应。这些 C 激活剂是眼镜蛇毒液因子 (CVF)、酵母聚糖、AmBisome(两种剂量)、其不含两性霉素 B 的载体 (AmBisombo) 和含有聚乙二醇化胆固醇的脂质体 (PEG-2000-chol),它们在大鼠血液中激活 C 的能力不同。测量的病理生理终点是血压、白细胞和血小板计数以及血浆血栓素 B2,而 C 激活则使用 Pan-Specific C3 测定通过 C3 消耗来评估。结果表明,C 激活与全身低血压之间存在强烈的线性相关性,这表明 C 激活在血液动力学变化中起因果作用。观察到的血小板减少症和白细胞减少症随后出现白细胞增多症也与 C 激活剂的 C3 转化相关,但与脂质体的 C 激活不一定相关。这些发现与超敏反应 (HSR) 的双打击假说一致,因为强烈的 C 激活可以完全解释 HSR 的所有症状,但在没有或弱 C 激活剂的情况下,如果存在病理生理反应,则可能涉及其他激活途径。