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Reduced oxygen carriers and their use for the treatment of carboxyhemoglobinemia

A hemoglobin and oxygen carrier technology, applied in the field of carboxyhemoglobinemia, can solve the problem of carbon monoxide scavenging rate in general and unusable

Pending Publication Date: 2019-03-15
UNIVERSITY OF PITTSBURGH
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  • Summary
  • Abstract
  • Description
  • Claims
  • Application Information

AI Technical Summary

Problems solved by technology

However, this therapy has modest effects on carbon monoxide clearance, and due to the complexity of hyperbaric oxygen facilities, this therapy is not available on-site and is often associated with significant treatment delays and transportation costs

Method used

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  • Reduced oxygen carriers and their use for the treatment of carboxyhemoglobinemia
  • Reduced oxygen carriers and their use for the treatment of carboxyhemoglobinemia
  • Reduced oxygen carriers and their use for the treatment of carboxyhemoglobinemia

Examples

Experimental program
Comparison scheme
Effect test

Embodiment 1

[0171] Example 1: Carbon Monoxide (CO) Scavenging Rapid In Vivo Removal of Carboxyhemoglobin (HbCO) in CO Intoxicated Mice

[0172] It has been previously shown that exposing mice to air containing 1500 ppm CO gas for an average of 50 minutes increases HbCO levels to 64% + / - 1% (PCT Publication No. WO2014 / 150413). Prior to exposure, mice were surgically placed with femoral artery and venous catheters for blood pressure monitoring, blood sampling and infusion with recombinant neuroglobin (rNgb), another type of CO-scavenging globulin, or PBS as a control. Using a Harvard infusion pump, inject 250 μL of 8-12 mM rNgb or PBS into the mice within 4 minutes. Immediately after infusion and every 5 minutes 5 μL of blood was collected for HbCO measurement. Such as figure 1 As shown, rNgb infusion can rapidly reduce HbCO levels compared with PBS control. Specifically, 5 minutes after returning to normal air, HbCO levels in the group that received rNgb decreased by an average of 32.8%...

Embodiment 2

[0173] Example 2: Materials and methods

[0174] This example describes the methods and experimental procedures used for the studies described in Examples 3-8.

[0175] Kinetics of carboxylated RBC mixed with myoglobin

[0176] Red blood cells were obtained by washing 50-100 μL of blood 5-7 times with PBS and centrifuging at 1000 x g for 5-10 min. Dilute washed RBCs in 1-2 ml of PBS. The RBCs were then deoxygenated on ice for 1 h by a stream of argon with slow stirring. For anaerobic experiments, argon was briefly passed through and an excess of sodium dithionite relative to Hb was added to the RBC. Dilute the carboxylated erythrocyte solution at least 4:1 to obtain carboxylated erythrocyte-encapsulated Hb. RBCs were washed twice with degassed PBS (5-10 mM dithionite for anaerobic experiments) and centrifuged at 1000 x g for 5 min in a degassed, septum-covered 15 mL centrifuge tube to remove excess CO. After washing, resuspend the RBCs to a final concentration of 100-200 ...

Embodiment 3

[0186] Example 3: In Vitro Model of CO Intoxication

[0187] Oxygen carriers will scavenge CO from CO-poisoned HbCO complexes. In an in vitro model of this clearance process, 100% HbCO was placed in solution under anaerobic conditions. The concentration of HbCO measured by spectroscopy did not change when PBS was added. When 100% deoxymyoglobin was added to this solution at a ratio of 1:1, more than half of the HbCO was reduced and CO was bound by myoglobin. When insufficient amounts were added to HbCO (110.8 μM HbCO vs 85.3 μM deoxymyoglobin), the HbCO concentration was reduced by one-third (Fig. 4).

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Abstract

In vitro and in vivo methods of removing carbon monoxide from hemoglobin in blood or animal tissue are described. Methods of treating carboxyhemoglobinemia (carbon monoxide poisoning) in a subject arealso described. The methods include administering natural or artificial oxygen carriers that are in their reduced form. Methods of producing a reduced oxygen carrier are further described. Methods oftreating cyanide poisoning or hydrogen sulfide poisoning with oxygen carriers are also described.

Description

[0001] Cross References to Related Applications [0002] This application claims the benefit of US Provisional Patent Application No. 62 / 338,870, filed May 19, 2016, which is hereby incorporated by reference in its entirety. field of invention [0003] The present invention relates to methods of treating carboxyhemoglobinaemia using reduced forms of natural or artificial oxygen carriers. The present invention also relates to methods of producing reduced globulins useful as oxygen carriers. The invention also relates to methods of treating cyanide poisoning and hydrogen sulfide poisoning using oxygen carriers. [0004] Confirmation of government support [0005] This invention was made with government support under grant numbers HL12586, HL110849, HL007563 and HL103455 issued by the National Health Service. The government has certain ownership rights in this invention. Background of the invention [0006] Inhalational exposure to carbon monoxide is a major cause of enviro...

Claims

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Application Information

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IPC IPC(8): A61K31/02A61K35/14A61K38/42A61P39/02C01B32/40C01C3/08C07K14/795
CPCA61K38/42A61K31/409A61K35/14C01C3/08C07K14/795A61K38/063A61P39/02A61K9/127A61K33/00
Inventor J·J·罗斯Q·徐M·T·格拉德温J·特赫罗布拉沃
Owner UNIVERSITY OF PITTSBURGH