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健康犬重复输注类血小板纳米颗粒的安全性特征。

Safety profile of repeated infusion of platelet-like nanoparticles in healthy dogs.

机构信息

Department of Clinical Sciences, College of Biomedical and Veterinary Sciences, Colorado State University, Fort Collins, CO.

Department of Clinical Sciences, College of Veterinary Medicine, The Ohio State University, Columbus, OH.

出版信息

Am J Vet Res. 2022 Jul 23;83(10):ajvr.22.04.0069. doi: 10.2460/ajvr.22.04.0069.

Abstract

OBJECTIVE

To assess the safety and efficacy of the platelet-like nanoparticle (PLN), and to assess its safety in repeated administration.

ANIMALS

6 purpose-bred dogs.

PROCEDURES

The PLN was administered IV at 3 different doses using a randomized crossover design. Each dog received a full dose of 8 X 1010 particles/10 kg, half dose, and 10 times the dose, with a 14-day washout period between doses. Biochemical, prothrombin time, partial thromboplastin time, and fibrinogen analyses were performed at baseline and 96 hours postinfusion. A CBC, kaolin-activated thromboelastography, platelet function assay closure time, and buccal mucosal bleeding time were performed at baseline and 1, 6, 24, 48, 72, and 96 hours postinfusion.

RESULTS

No significant changes were observed over time in the thromboelastography parameters, closure time, and buccal mucosal bleeding time. After the administration of the half dose, hematocrit levels decreased significantly at 1, 6, 24, 48, and 96 hours, with all values within the reference range. The platelet count was decreased significantly at hours 1, 6, 24, 48, and 72 after administration of the half dose, with values less than the reference range at all hours but hour 72. No significant changes in serum biochemistry, coagulation panel, and fibrinogen were observed for all doses. No adverse events were noted during the first infusion. Three dogs experienced transient sedation and nausea after repeat infusion.

CLINICAL RELEVANCE

The PLN resulted in a dilution of hematocrit and platelets, and did not significantly alter hemostasis negatively. The safety of repeated doses should be investigated further in dogs.

摘要

目的

评估血小板样纳米颗粒(PLN)的安全性和有效性,并评估其重复给药的安全性。

动物

6 只专门饲养的狗。

程序

PLN 通过随机交叉设计以 3 种不同剂量静脉内给药。每只狗接受全剂量 8×1010 个颗粒/10kg、半剂量和 10 倍剂量,剂量之间有 14 天的洗脱期。在输注前和输注后 96 小时进行生化、凝血酶原时间、部分凝血活酶时间和纤维蛋白原分析。在输注前和输注后 1、6、24、48、72 和 96 小时进行全血细胞计数、高岭土激活的血栓弹性图、血小板功能测定关闭时间和颊黏膜出血时间。

结果

在血栓弹性图参数、关闭时间和颊黏膜出血时间方面,未观察到随时间的显著变化。在给予半剂量后,在输注后 1、6、24、48 和 96 小时,血细胞比容水平显著下降,所有值均在参考范围内。在给予半剂量后,血小板计数在 1、6、24、48 和 72 小时显著下降,所有时间均低于参考范围,但在 72 小时除外。在所有剂量下,血清生化、凝血谱和纤维蛋白原均无显著变化。在第一次输注期间未观察到不良反应。在重复输注后,有 3 只狗出现短暂的镇静和恶心。

临床相关性

PLN 导致血细胞比容和血小板稀释,并且不会显著改变止血功能。应进一步在狗中研究重复剂量的安全性。

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