Blood Substitutes

血液替代品
  • 文章类型: Journal Article
    背景:益生元被定义为一种不可消化的饲料物质,通过选择性刺激大肠中一种或有限数量的细菌的生长和/或活性而有益地影响宿主,从而改善宿主的健康和产品。
    目的:本研究旨在确定在Hy-LineW-36蛋鸡日粮中添加益生元低聚果糖(FOS)的效果。
    方法:总共168只Hy-LineW-36蛋鸡被分配到四个日粮水平的FOS(0、1.0、2.0、3.0g/kg日粮),在63-74期间6个重复,每个7只鸟。使用完全随机设计进行实验。
    结果:生产性能没有受到FOS补充的显著影响。体重增加随着饮食中FOS水平的增加而线性降低(p<0.01)。然而,蛋壳强度,壳厚度和Ca和P百分比没有显着影响,就像抗绵羊红细胞滴度一样,血液参数和血液代谢产物。在实验的第一阶段(63-65周),与对照组相比,3.0g/kg剂量的FOS的形状指数和Haugh单位显着增加和减少,分别为(p<0.05)。在第三和第四个时期(69-71和72-74周龄),FOS对鸡蛋内部品质性状无显著影响。此外,FOS在大多数饱和脂肪酸(SFAs)中呈线性下降,包括妄语,棕榈,脂肪酸和硬脂酸;一些单非SFA(MUFA;棕榈油酸和银杏酸),和多不饱和脂肪酸(γ-亚麻酸和二十碳三烯酸)。
    结论:在商品蛋鸡的日粮中添加不同水平的FOS对蛋鸡的表现没有显着影响,免疫反应和血液参数,而对某些内部蛋品质性状和蛋黄脂肪酸含量有显着影响。
    BACKGROUND: A prebiotic is defined as an indigestible feed substance that beneficially affects the host by selectively stimulating the growth and/or activity of one or a limited number of bacteria in the large intestine, thereby improving host health and products.
    OBJECTIVE: This study was conducted to determine the effects of supplementing prebiotic fructooligosaccharide (FOS) to the diets of Hy-Line W-36 laying hens.
    METHODS: A total of 168 Hy-Line W-36 laying hens were allocated to four dietary levels of FOS (0, 1.0, 2.0, 3.0 g/kg diet), 6 replicates of 7 birds each during 63-74. The experiment was performed using a completely randomized design.
    RESULTS: Productive performance was not significantly affected by the FOS supplementation. Body weight gain was linearly decreased with increasing FOS levels in the diet (p < 0.01). However, eggshell strength, shell thickness and Ca and p percentages were not significantly affected, as were anti-sheep red blood cell titres, blood parameters and blood metabolites. In the first period of the experiment (63-65 weeks), shape index and Haugh unit at the dose of 3.0 g/kg FOS were significantly increased and decreased in comparison with control, respectively (p < 0.05). In the third and fourth periods (69-71 and 72-74 weeks of age), the FOS had no significant effect on the internal egg quality traits. Furthermore, FOS had a linear decrease in the most saturated fatty acids (SFAs), including myristic, palmitic, margaric and stearic fatty acids; some of the mono-un-SFA (MUFA; palmitoleic and ginkgolic acids), and poly-unsaturated fatty acids (γ-linolenic and eicosatrienoic).
    CONCLUSIONS: Supplementing different levels of FOS to the diet of commercial laying hens had no significant effect on the layers\' performance, immune response and blood parameters, whereas there was a significant effect on some of the internal egg quality traits and egg yolk fatty acid contents.
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  • 文章类型: Journal Article
    氧气是生命所必需的,在维持正常生理功能和治疗疾病中起着关键的作用。已经研究并开发了基于血红蛋白的氧载体(HBOC),因为它们具有相似的携氧能力,可以替代氧气运输中的红细胞(RBC)。然而,HBOCs的应用受到血管活性的阻碍,氧化毒性,和相对较短的循环半衰期。随着纳米技术的进步,Hb封装,吸收,生物缀合,诱捕,和附着到纳米材料已被用于制备纳米材料相关的HBOCs,以解决这些挑战,并在一些生物医学和治疗环境中的应用。本文就该类纳米材料相关HBOCs在失血性休克领域的研究进展作一综述。缺血性卒中,癌症,伤口愈合,并对未来的研究方向进行了推测。与纳米材料相关的HBOCs的进步有望在血液替代品方面取得重大突破,使其广泛用于临床疾病的治疗。
    Oxygen is necessary for life and plays a key pivotal in maintaining normal physiological functions and treat of diseases. Hemoglobin-based oxygen carriers (HBOCs) have been studied and developed as a replacement for red blood cells (RBCs) in oxygen transport due to their similar oxygen-carrying capacities. However, applications of HBOCs are hindered by vasoactivity, oxidative toxicity, and a relatively short circulatory half-life. With advancements in nanotechnology, Hb encapsulation, absorption, bioconjugation, entrapment, and attachment to nanomaterials have been used to prepare nanomaterial-related HBOCs to address these challenges and pend their application in several biomedical and therapeutic contexts. This review focuses on the progress of this class of nanomaterial-related HBOCs in the fields of hemorrhagic shock, ischemic stroke, cancer, and wound healing, and speculates on future research directions. The advancements in nanomaterial-related HBOCs are expected to lead significant breakthroughs in blood substitutes, enabling their widespread use in the treatment of clinical diseases.
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  • 文章类型: Journal Article
    出血性休克是世界范围内死亡的主要原因。输血可用于治疗严重失血的患者,但捐献的红细胞(RBC)有一些限制,限制了其可用性和使用。为了解决与捐赠的红细胞相关的问题,已经开发了几种基于血红蛋白的无细胞氧载体(HBOC)来恢复血液最重要的功能:氧转运。一种有前途的HBOC是天麻(LtEc)的天然细胞外血红蛋白(即赤霉素)。这项研究的目的是通过冻干LtEc,然后在高温下测试其稳定性,从而最大程度地提高LtEc的便携性。为了防止氧化,筛选了几种冷冻保护剂,以确定冻干的最佳配方,该配方可以最大程度地减少血红素铁的氧化并最大程度地提高回收率。此外,样品在储存前也脱氧以减少自动氧化,而在含有抗坏血酸的溶液中的再悬浮显示部分还原在储存期间已氧化的LtEc(例如从42%Fe3+至11%Fe3+)。对重新悬浮的LtEc的氧平衡和大小的分析表明,storage,和再悬浮过程不影响氧传输性质或LtEc的结构,甚至在40℃下储存6个月后。总之,这些努力产生了一种货架稳定的LtEc粉末,可以在高温下长时间储存,但是,未来的动物研究将有必要证明重新悬浮的产品是体内安全有效的氧转运蛋白。
    Haemorrhagic shock is a leading cause of death worldwide. Blood transfusions can be used to treat patients suffering severe blood loss but donated red blood cells (RBCs) have several limitations that limit their availability and use. To solve the problems associated with donated RBCs, several acellular haemoglobin-based oxygen carriers (HBOCs) have been developed to restore the most important function of blood: oxygen transport. One promising HBOC is the naturally extracellular haemoglobin (i.e. erythrocruorin) of Lumbricus terrestris (LtEc). The goal of this study was to maximise the portability of LtEc by lyophilising it and then testing its stability at elevated temperatures. To prevent oxidation, several cryoprotectants were screened to determine the optimum formulation for lyophilisation that could minimise oxidation of the haem iron and maximise recovery. Furthermore, samples were also deoxygenated prior to storage to decrease auto-oxidation, while resuspension in a solution containing ascorbic acid was shown to partially reduce LtEc that had oxidised during storage (e.g. from 42% Fe3+ to 11% Fe3+). Analysis of the oxygen equilibria and size of the resuspended LtEc showed that the lyophilisation, storage, and resuspension processes did not affect the oxygen transport properties or the structure of the LtEc, even after 6 months of storage at 40 °C. Altogether, these efforts have yielded a shelf-stable LtEc powder that can be stored for long periods at high temperatures, but future animal studies will be necessary to prove that the resuspended product is a safe and effective oxygen transporter in vivo.
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  • 文章类型: Journal Article
    背景:本研究旨在阐明采用人工血管的主动脉弓包合技术治疗急性A型主动脉夹层(ATAAD)的方法学和疗效评估。
    方法:我们对18例患者(男11例,女7例,平均年龄:56.2±8.6岁),在2020年6月至2022年10月期间,诊断为ATAAD,并使用人工血管“纳入物”进行了全主动脉弓置换术(TAAR)。在操作过程中,采用深低温停循环(DHCA)和右腋窝动脉选择性顺行脑灌注(ACP)进行脑保护。进行了“包含”全主动脉弓置换和支架象鼻(SET)手术。
    结果:研究期间有4名患者接受了Bentall手术,另外一名患者由于右冠孔严重受累而需要冠状动脉旁路移植术(CABG)。3例患者在术后住院期间死亡。其他值得注意的并发症包括2例术后肾功能衰竭,需要连续肾脏替代疗法(CRRT)。术后双下肢截瘫1例,1例脑梗塞导致左上肢单侧损伤。术后三个月至一年,对11例患者进行了主动脉计算机断层扫描血管造影(CTA)检查。CTA结果显示7例患者主动脉弓支架周围的假腔血栓形成,8例患者降主动脉支架周围的假腔完全血栓形成。一名患者在降主动脉支架周围的假腔部分血栓形成,随访一年后,另一名患者的胸主动脉和腹主动脉假腔完全消退。
    结论:在主动脉弓置换中合并血管移植物可简化手术并产生有希望的短期结果。它使用四分支假体移植物实现了全足弓置换的目的。然而,广泛的采样和彻底的,长期随访观察对于全面评估长期结果至关重要.
    BACKGROUND: This study aimed to elucidate the methodology and assess the efficacy of the aortic arch inclusion technique using an artificial blood vessel in managing acute type A aortic dissection (ATAAD).
    METHODS: We conducted a retrospective review of 18 patients (11 males and 7 females, average age: 56.2 ± 8.6 years) diagnosed with ATAAD who underwent total aortic arch replacement (TAAR) using an artificial vascular \"inclusion\" between June 2020 and October 2022. During the operation, deep hypothermic circulatory arrest (DHCA) and selective antegrade cerebral perfusion (ACP) of the right axillary artery were employed for brain protection. The \'inclusion\' total aortic arch replacement and stented elephant trunk (SET) surgery were performed.
    RESULTS: Four patients underwent the Bentall procedure during the study, with one additional patient requiring coronary artery bypass grafting (CABG) due to significant involvement of the right coronary orifice. Three patients died during postoperative hospitalization. Other notable complications included two cases of postoperative renal failure necessitating continuous renal replacement therapy (CRRT), one case of postoperative double lower limb paraplegia, and one case of cerebral infarction resulting in unilateral impairment of the left upper limb. Eleven patients underwent computed tomography angiography (CTA) examinations of the aorta three months to one-year post-operation. The CTA results revealed thrombosis in the false lumen surrounding the aortic arch stent in seven patients and complete thrombosis of the false lumen around the descending aortic stent in eight patients. One patient had partial thrombosis of the false lumen around the descending aortic stent, and another patient\'s false lumen in the thoracic and abdominal aorta completely resolved after one year of follow-up.
    CONCLUSIONS: Incorporating vascular graft in aortic arch replacement simplifies the procedure and yields promising short-term outcomes. It achieves the aim of total arch replacement using a four-branch prosthetic graft. However, extensive sampling and thorough, prolonged follow-up observations are essential to fully evaluate the long-term results.
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  • 文章类型: Journal Article
    常温离体肺灌注(EVLP)可以使边缘肺同种异体移植物复苏,以增加可用于移植的器官。在常温灌注期间,与亚常温灌注相比,细胞代谢更活跃,在灌注液中需要氧气(O2)载体。作为O2载体,红细胞(RBC)是一种稀缺资源,在灌注回路中容易发生溶血,从而释放出无细胞血红蛋白(Hb),可以渗入组织空间,从而促进一氧化氮(NO)的清除和氧化组织损伤。幸运的是,聚合人Hb(PolyhHb)代表合成O2载体,与Hb相比具有更大的分子直径,防止外渗,限制不良反应。在这项研究中,在大鼠EVLP模型中,将下一代PolyhHb灌注液与RBC和无血灌注液进行了比较.在EVLP期间,在灌注红细胞的肺中,肺动脉压和肺血管阻力均显着较高,这与红细胞溶血一致。灌注有PolyhHb的肺显示出比灌注有红细胞的肺更大的氧合。后EVLP分析显示,PolyhHb灌注液引起的细胞损伤较小,外渗,铁组织沉积,和水肿比红细胞或胶体对照。这些结果表明,下一代PolyhHb有望在整个EVLP中保持肺功能。
    Normothermic ex vivo lung perfusion (EVLP) can resuscitate marginal lung allografts to increase organs available for transplantation. During normothermic perfusion, cellular metabolism is more active compared with subnormothermic perfusion, creating a need for an oxygen (O 2 ) carrier in the perfusate. As an O 2 carrier, red blood cells (RBCs) are a scarce resource and are susceptible to hemolysis in perfusion circuits, thus releasing cell-free hemoglobin (Hb), which can extravasate into the tissue space, thus promoting scavenging of nitric oxide (NO) and oxidative tissue damage. Fortunately, polymerized human Hb (PolyhHb) represents a synthetic O 2 carrier with a larger molecular diameter compared with Hb, preventing extravasation, and limiting adverse reactions. In this study, a next-generation PolyhHb-based perfusate was compared to both RBC and asanguinous perfusates in a rat EVLP model. During EVLP, the pulmonary arterial pressure and pulmonary vascular resistance were both significantly higher in lungs perfused with RBCs, which is consistent with RBC hemolysis. Lungs perfused with PolyhHb demonstrated greater oxygenation than those perfused with RBCs. Post-EVLP analysis revealed that the PolyhHb perfusate elicited less cellular damage, extravasation, iron tissue deposition, and edema than either RBCs or colloid control. These results show promise for a next-generation PolyhHb to maintain lung function throughout EVLP.
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  • 文章类型: Journal Article
    能够在流体浸没环境中有效执行任务的软机器人在各种应用中具有广阔的前景。然而,它仍然具有挑战性,以实现机器人化,依靠动态水下粘附和变形能力。在这里,我们建议使用设计师的蛋白质材料构建此类机器人。首先,Resilin样蛋白质与多金属氧酸盐阴离子络合形成水凝胶,可在含水环境中响应小的温度变化而在软粘性和硬非粘性状态之间快速切换。为了实现动态粘附和变形的远程控制,然后将Fe3O4纳米颗粒整合到水凝胶中以形成具有光热和磁响应性的软机器人。这些机器人被证明可以承担复杂的任务,包括修复人造血管,在红外光和磁场的协同控制下,在水中捕获和交付多个货物。这些发现为创建具有按需功能的基于蛋白质的水下机器人铺平了道路。
    Soft robots capable of efficiently implementing tasks in fluid-immersed environments hold great promise for diverse applications. However, it remains challenging to achieve robotization that relies on dynamic underwater adhesion and morphing capability. Here we propose the construction of such robots with designer protein materials. Firstly, a resilin-like protein is complexed with polyoxometalate anions to form hydrogels that can rapidly switch between soft adhesive and stiff non-adhesive states in aqueous environments in response to small temperature variation. To realize remote control over dynamic adhesion and morphing, Fe3O4 nanoparticles are then integrated into the hydrogels to form soft robots with photothermal and magnetic responsiveness. These robots are demonstrated to undertake complex tasks including repairing artificial blood vessel, capturing and delivering multiple cargoes in water under cooperative control of infrared light and magnetic field. These findings pave an avenue for the creation of protein-based underwater robots with on-demand functionalities.
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  • 文章类型: Journal Article
    寻找临床上负担得起的用于输血的人类血液替代品仍然是现代社会尚未满足的需求。50多年来对基于无细胞血红蛋白(Hb)的氧载体(HBOC)的研究尚未产生能够将氧携带到出血攻击组织而不损害身体功能的单一制剂。在遇到的几个瓶颈中,由于NO清除作用,无细胞Hb与循环一氧化氮(NO)的高反应性特别难以克服,导致危及生命的副作用,如血管收缩,炎症,凝血功能障碍,和氧化还原失衡。本手稿的目的不是增加对HBOC候选制剂的评论,而是关注无细胞Hb清除NO的生化和生理事件。为此,我们检查了NO与红细胞和无细胞Hb反应的差异化学,生理和HBOC挑战情况下的NO信号通路,和预测调节NO清除作用的蛋白质工程工具。更好地理解与无细胞Hb的NO反应性相关的两种机制,亚硝基化Hb和亚硝酸盐还原酶假说,将HBOC研究重点放在临床目标上可能变得至关重要。
    The search for a clinically affordable substitute of human blood for transfusion is still an unmet need of modern society. More than 50 years of research on acellular hemoglobin (Hb)-based oxygen carriers (HBOC) have not yet produced a single formulation able to carry oxygen to hemorrhage-challenged tissues without compromising the body\'s functions. Of the several bottlenecks encountered, the high reactivity of acellular Hb with circulating nitric oxide (NO) is particularly arduous to overcome because of the NO-scavenging effect, which causes life-threatening side effects as vasoconstriction, inflammation, coagulopathies, and redox imbalance. The purpose of this manuscript is not to add a review of candidate HBOC formulations but to focus on the biochemical and physiological events that underly NO scavenging by acellular Hb. To this purpose, we examine the differential chemistry of the reaction of NO with erythrocyte and acellular Hb, the NO signaling paths in physiological and HBOC-challenged situations, and the protein engineering tools that are predicted to modulate the NO-scavenging effect. A better understanding of two mechanisms linked to the NO reactivity of acellular Hb, the nitrosylated Hb and the nitrite reductase hypotheses, may become essential to focus HBOC research toward clinical targets.
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  • 文章类型: Journal Article
    科学文献中报道了关于新型基于血红蛋白的氧载体(HBOC)的配方和临床应用的许多研究。然而,与HBOCs相关的科学计量分析较少。这里,我们使用科学计量分析方法和范围审查方法说明了最近对HBOCs的研究。我们利用前者调查了1991年至2022年对HBOCs的研究,探索了当前的热点和研究趋势,然后在关键词分析的基础上全面分析了概念之间的关系。研究领域的演变,知识结构,通过科学计量分析揭示了HBOCs所在的研究主题。类型的阐明,作用机制,潜在的临床实践,HBOCs的不利影响有助于阐明这种生物制剂的前景。科学计量学分析了该研究领域的1034种出版物,这些发现为进一步研究提供了有希望的路线图。
    Numerous studies on the formulation and clinical applications of novel hemoglobin-based oxygen carriers (HBOCs) are reported in the scientific literature. However, there are fewer scientometric analysis related to HBOCs. Here, we illustrate recent studies on HBOCs using both a scientometric analysis approach and a scope review method. We used the former to investigate research on HBOCs from 1991 to 2022, exploring the current hotspots and research trends, and then we comprehensively analyzed the relationship between concepts based on the keyword analysis. The evolution of research fields, knowledge structures, and research topics in which HBOCs located are revealed by scientometric analysis. The elucidation of type, acting mechanism, potential clinical practice, and adverse effects of HBOCs helps to clarify the prospects of this biological agent. Scientometrics analyzed 1034 publications in this research field, and these findings provide a promising roadmap for further study.
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  • 文章类型: Journal Article
    蚊媒生物学的昆虫研究,矢量能力,杀虫剂抗性,分散,和生存(使用标记重新捕获释放技术)通常依赖于实验室饲养的蚊子群落来产生大量持续饲养的蚊子,年龄,和大小的蚊子。我们开发了一种低成本的血液喂养装置,可以支持与温血动物一致的温度,使用在低资源环境中发现的常用材料。我们将我们的系统(“Caserotek”)与Hemotek和玻璃/膜喂养方法进行了比较。用埃及伊蚊(Linnaeus1762)进行了两个实验,用达林氏按蚊(Root1926)进行了一个实验(双翅目:Culicidae);每个实验重复3个。每周一次向埃及伊蚊雌性蚊子提供鸡血30分钟(实验#1)14天或1小时(实验#2)21天。一次喂养达林氏按蚊1小时(实验#3)。血液喂养率,存活率,和鸡蛋产量是通过重复计算的。Caserotek的30分钟充血率(91.1%)明显高于Hemotek(47.7%),和玻璃喂食器(29.3%),而对于1小时的喂食,Hemotek的充血率明显低于其他两种设备(78%对91%)。喂食装置的30天生存率相似,从86%到99%不等。与玻璃喂食器和Hemotek装置(每个雌性21-22个卵)相比,Caserotek喂食器的平均卵产量最高(每个雌性32个卵)。我们新的人工喂养系统的血液喂养率明显高于更昂贵的人工喂养系统,并且与其他健身参数相当。Caserotek只需要使用聚苯乙烯泡沫塑料衬垫煮沸水以维持血液温度的能力。它可以很容易地扩大到大型生产设施,并在严峻的条件下使用。
    Entomological research studies on mosquito vector biology, vector competence, insecticide resistance, dispersal, and survival (using mark-release-recapture techniques) often rely on laboratory-reared mosquito colonies to produce large numbers of consistently reared, aged, and sized mosquitoes. We developed a low-cost blood feeding apparatus that supports temperatures consistent with warm blooded animals, using commonly available materials found in low resource environments. We compare our system (\"Caserotek\") to Hemotek and glass/membrane feeding methods. Two experiments were conducted with Aedes aegypti (Linnaeus 1762) and one with Anopheles darlingi (Root 1926) (Diptera: Culicidae); 3 replicates were conducted for each experiment. Aedes aegypti female mosquitoes were provided chicken blood once per week for 30 min (Experiment #1) for 14 days or 1 hour (Experiment #2) for 21 days. Anopheles darlingi were fed once for 1 hour (Experiment #3). Blood-feeding rates, survival rates, and egg production were calculated across replicates. Caserotek had a significantly higher 30-min engorgement rate (91.1%) than Hemotek (47.7%), and the glass feeder (29.3%) whereas for 1-hour feeding, Hemotek had a significantly lower engorgement rate than either of the other two devices (78% versus 91%). Thirty-day survival was similar among the feeding devices, ranging from 86% to 99%. Mean egg production was highest for the Caserotek feeder (32 eggs per female) compared to the glass feeder and Hemotek device (21-22 eggs per female). Our new artificial feeding system had significantly higher blood feeding rates than for more expensive artificial systems and was equivalent to other fitness parameters. Caserotek only requires the ability to boil water to maintain blood temperatures using a Styrofoam liner. It can be easily scaled up to large production facilities and used under austere conditions.
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  • 文章类型: Journal Article
    捐赠血液的供应减少和成本增加促使人们对新型基于血红蛋白的氧载体(HBOC)进行研究,该载体可以用作红细胞(RBC)替代品。HBOCs是可用于治疗出血性休克的通用药剂。然而,许多以哺乳动物血红蛋白为基础的RBC替代品存在一些关键的局限性,如不稳定性和毒性.相比之下,红细胞生成素(Ecs)是其他类型的HBOCs,可能没有这些缺点。Ecs是在环节动物中发现的巨大金属蛋白,甲壳类动物,和其他一些无脊椎动物。到目前为止,Lumbricusterrestris(LtEc)和Arenicolamarina(AmEc)的Ecs是最彻底的研究。根据临床前输血研究的数据,发现这些化合物不仅能有效地运输氧气,而且具有抗炎特性,但也可以修改以进一步提高其有效性。这篇文献综述侧重于结构,属性,和ECS的应用,以及它们相对于其他HBOC的优势。开发稳定和纯化红血球素的方法可以增强对人工血液资源的获取。
    The diminishing supply and increasing costs of donated blood have motivated research into novel hemoglobin-based oxygen carriers (HBOCs) that can serve as red blood cell (RBC) substitutes. HBOCs are versatile agents that can be used in the treatment of hemorrhagic shock. However, many of the RBC substitutes that are based on mammalian hemoglobins have presented key limitations such as instability and toxicity. In contrast, erythrocruorins (Ecs) are other types of HBOCs that may not suffer these disadvantages. Ecs are giant metalloproteins found in annelids, crustaceans, and some other invertebrates. Thus far, the Ecs of Lumbricus terrestris (LtEc) and Arenicola marina (AmEc) are the most thoroughly studied. Based on data from preclinical transfusion studies, it was found that these compounds not only efficiently transport oxygen and have anti-inflammatory properties, but also can be modified to further increase their effectiveness. This literature review focuses on the structure, properties, and application of Ecs, as well as their advantages over other HBOCs. Development of methods for both the stabilization and purification of erythrocruorin could confer to enhanced access to artificial blood resources.
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