免疫抑制剂在绵羊模型中输血过程中的药理动力学
Bettina Leber1, Uwe Liebchen2, Lisa Rohrhofer1
1General, Visceral and Transplant Surgery, Department of Surgery, Medical University of Graz, Graz, Austria.
Frontiers in medicine
|November 6, 2023
概括
在羊模型中,CytoSorb血 perfusion 对免疫抑制药物水平的影响很小. 这表明,当与这些关键药物一起使用这种血吸疗法时,药物动力学变化有限.
科学领域:
- 药理学 药理学是指药理学的学科.
- 医疗器械 医疗器械
- 移植医学 移植医学
背景情况:
- 血液吸收显示了器官保存和肺移植后器官移植的潜力.
- 血液输血对免疫抑制药物 (ID) 药理学的影响在很大程度上仍未被描述.
研究的目的:
- 评估CytoSorb输血对各种免疫抑制药物的药理学的影响.
- 评估CytoSorb在体外循环期间改变药物水平的潜力.
主要方法:
- 一个干预性研究在健康的绵羊 (n=5) 使用CytoSorb输血和假电路 (n=3).
- 七种不同的免疫抑制药物 (塔克罗利木斯,环素A,美酸莫菲蒂尔,埃弗罗利木斯,巴西利克西马布,甲基普雷迪尼索隆,普雷迪尼索隆) 的联合使用.
- 在6个小时内进行连续血液采样和人口药动力学建模 (NONMEM® 7.5),以分析药物度.
主要成果:
- 对于普雷迪尼索隆和巴西利克西马布,观察到微不足道的吸附.
- 和性吸附对其他药物来说是最好的描述度,吸附效应线性下降.
- 最大吸附量很低,占所有研究物质每日剂量的5%以下.
结论:
- 在大型动物模型中,CytoSorb输血对测试免疫抑制药物的清除产生了有限的影响.
- 这些发现表明,CytoSorb可能不会显著改变这些特定免疫抑制剂的药理学.
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