Entrapment of L-asparaginase in red blood cells. A strategy to improve treatment of acute lymphoblastic leukemia.

S. Updike
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引用次数: 8

Abstract

Autologous red blood cells were loaded with L-asparaginase and injected intravenously into monkeys. A single dose of 1850 IU/Kg suppressed plasma asparagine for 19 days compared to 10 days for the same dose injected free in solution. Rabbit antisera to asparaginase was used to passively immunize guinea-pigs. These animals were then challenged with RBC-entrapped asparaginase versus asparaginase free in solution. RBC entrapment allowed a ten fold greater dose of asparaginase before anaphylaxis became a problem. RBC entrapment prolongs the duration of action of asparaginase and offers protection against anaphylaxis. Clinical trial in patients with acute lymphoblastic leukemia is recommended.
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l -天冬酰胺酶在红细胞中的滞留。改善急性淋巴细胞白血病治疗的策略。
将携带l -天冬酰胺酶的自体红细胞静脉注射到猴子体内。单剂量1850 IU/Kg对血浆天冬酰胺的抑制作用为19天,而相同剂量的溶液游离注射对天冬酰胺的抑制作用为10天。采用兔抗天冬酰胺酶血清对豚鼠进行被动免疫。然后用红细胞包裹的天冬酰胺酶和不含天冬酰胺酶的溶液对这些动物进行攻击。在过敏反应成为问题之前,红细胞包裹允许十倍大剂量的天冬酰胺酶。红细胞包裹延长了天冬酰胺酶的作用时间,并提供了对过敏反应的保护。建议对急性淋巴细胞白血病患者进行临床试验。
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[Shock in surgery]. Entrapment of L-asparaginase in red blood cells. A strategy to improve treatment of acute lymphoblastic leukemia. The use of erythrocytes for delivery of chemotherapeutic agents to the reticuloendothelial system. Erythrocyte encapsulated thiosulfate sulfurtransferase. Erythrocytes as carrier for therapeutic enzymes--an approach towards enzyme therapy of inborn errors of metabolism.
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