Chang M C, Huang T F
Pharmacological Institute, College of Medicine, National Taiwan University.
J Lab Clin Med. 1995 Apr;125(4):508-16.
Ancrod, a thrombin-like enzyme purified from the venom of Calloselasma rhodostoma, was administered to rabbits intravenously, and blood samples were obtained at 1, 3, 6, 10, and 24 hours after infusion. Ancrod caused a rapid and sustained defibrinogenation within the first 6 hours, with production of fibrinogen degradation products (FDPs) peaking at 1 hour and declining to background level at 6 hours. No significant changes in platelet count, white cell count, or hematocrit was observed. Citrated PRP prepared 1, 3, and 6 hours after ancrod infusion showed diminished aggregation, adenosine triphosphate (ATP) release, and thromboxane B2 formation on the addition of collagen. Although platelet suspension prepared from defibrinogenated platelet-rich plasma (PRP) at 3 hours showed no significant change in aggregation and ATP-releasing activity, the latent period of platelet aggregation was prolonged. When the remaining platelet-poor plasma obtained from defibrinogenated PRP at 3 hours was used to suspend the normal washed platelets prepared from PRP before ancrod infusion, the platelets showed a similar defect in aggregation and release action. Addition of fibrinogen (200 micrograms/ml to 2 mg/ml) to the above preparation partially restored aggregation but not capacity for secretion and thromboxane formation. When normal washed platelets were suspended with the defibrinogenated plasma, prepared by mixing ancrod with normal plasma in vitro and removing the formed fibrin, the platelet suspension showed impaired platelet aggregability, and the aggregability could be restored to the normal level by the addition of exogenous fibrinogen to this preparation.(ABSTRACT TRUNCATED AT 250 WORDS)
从红口蝰蛇毒液中纯化得到的类凝血酶安克洛酶静脉注射给家兔,并在输注后1、3、6、10和24小时采集血样。安克洛酶在最初6小时内引起快速且持续的纤维蛋白原减少,纤维蛋白原降解产物(FDPs)的产生在1小时达到峰值,6小时降至基线水平。未观察到血小板计数、白细胞计数或血细胞比容有显著变化。在安克洛酶输注后1、3和6小时制备的枸橼酸化富血小板血浆(PRP),加入胶原后显示聚集、三磷酸腺苷(ATP)释放和血栓素B2形成减少。尽管在3小时从去纤维蛋白的富血小板血浆(PRP)制备的血小板悬液在聚集和ATP释放活性方面无显著变化,但血小板聚集的潜伏期延长。当将3小时从去纤维蛋白的PRP获得的剩余少血小板血浆用于悬浮输注安克洛酶前从PRP制备的正常洗涤血小板时,血小板在聚集和释放作用方面表现出类似缺陷。向上述制剂中加入纤维蛋白原(200微克/毫升至2毫克/毫升)可部分恢复聚集,但不能恢复分泌和血栓素形成能力。当用体外将安克洛酶与正常血浆混合并去除形成的纤维蛋白制备的去纤维蛋白血浆悬浮正常洗涤血小板时,血小板悬液显示血小板聚集性受损,通过向该制剂中加入外源性纤维蛋白原可将聚集性恢复至正常水平。(摘要截短于250字)