title: Polyethylene glycol conjugated bovine hemoglobin containing 15% MetHb plays approving effect in exchange transfusion rabbit model.
abstract: PEG-bHb was developed by Kaizheng Biotech (Beijing, China), and pre-clinical research was completed. The objective of this study was to investigate the safe concentration of MetHb in PEG-bHb. The study was accomplished by examining the effects of PEG-bHb containing 5%, 8%, 15%, and 25% methemoglobin (MetHb), respectively, on cardiovascular system, blood chemistry, pathology of liver and kidney in rabbits following a 50% exchange transfusion. The results showed that PEG-bHb containing 5%, 8%, 15%, and 25% MetHb could keep four groups of experimental rabbits (5/5) alive until the 8th day after 50% exchange infusion as autologous whole blood did, and were superior to dextran 40 (2/5). MetHb concentration in PEG-bHb, no more than 25%, did not affect the PEG-bHb function on resuscitation of hemorrhaged rabbits by physiological measurements and blood chemistry assays. Histology study using optic and electron microscopy showed that there were slight pathological changes in hepatocytes and renal tubule epithelia in rabbits, which were infused by PEG-bHb containing 5%, 8%, and 15% MetHb. Partial organelles collapse was observed in rabbits resuscitated by PEG-bHb containing 25% MetHb. In conclusion, PEG-bHb is safe and effective when the MetHb concentration is at or below 15%.
authors.affiliation: Beijing Kaizheng Biotech Developing Ltd., Beijing, PR China.
authors.forename: Xue Ying
authors.initials: XY
authors.lastname: He
authors.forename: Bo
authors.initials: B
authors.lastname: Guan
authors.forename: Xiao Wei
authors.initials: XW
authors.lastname: Zhang
authors.forename: Ke
authors.initials: K
authors.lastname: Xu
authors.forename: Yong Hai
authors.initials: YH
authors.lastname: Yu
authors.forename: Jian Shi
authors.initials: JS
authors.lastname: Bai
authors.forename: Qian
authors.initials: Q
authors.lastname: Liu
mesh_terms: D000818:Animals; D001802:Blood Substitutes / Q000737:chemistry / Q000493:pharmacokinetics / Q000494:pharmacology*; D004195:Disease Models, Animal; D004305:Dose-Response Relationship, Drug; D005078:Exchange Transfusion, Whole Blood / Q000379:methods; D006454:Hemoglobins / Q000737:chemistry / Q000493:pharmacokinetics / Q000494:pharmacology*; D022781:Hepatocytes / Q000473:pathology; D008099:Liver / Q000473:pathology; D008297:Male; D008706:Methemoglobin / Q000009:adverse effects / Q000493:pharmacokinetics*; D011092:Polyethylene Glycols / Q000737:chemistry / Q000493:pharmacokinetics / Q000494:pharmacology*; D011817:Rabbits; D012151:Resuscitation
chemical_list: D001802:Blood Substitutes; D006454:Hemoglobins; C109960:PEG-hemoglobin; D011092:Polyethylene Glycols; D008706:Methemoglobin