基础医学与临床 ›› 2007, Vol. 27 ›› Issue (3): 243-247.

• 研究论文 • 上一篇    下一篇

CL2MDP-明胶微粒治疗血小板减少性紫癜及其机制的实验研究

谭忠华 李培勇 朱以华   

  1. 南通大学附属医院核医学科 上海交通大学瑞金医院
  • 收稿日期:2005-12-27 修回日期:2006-07-24 出版日期:2007-03-25 发布日期:2007-03-25
  • 通讯作者: 谭忠华

Experimental study of treating thrombocytopenic purpura and the mechanism in SD rat models with CL2MDP-loaded gelatin particles

  

  • Received:2005-12-27 Revised:2006-07-24 Online:2007-03-25 Published:2007-03-25

摘要: 目的 二氯亚甲基二膦酸盐(Cl2MDP)通过明胶微粒负载靶向免疫性血小板减少性紫癜(ITP)模型的肝脾巨噬细胞,以杀伤巨噬细胞或降低其免疫活性达到治疗ITP的目的。方法 抗血小板血清150μl每24h注射1次建立SD大鼠ITP模型,其血小板计数于实验期间能维持在低于50×109L-1的病理水平。静脉注射Cl2MDP-明胶微粒,以血小板计数和出血时间为指标观察疗效,并观察药物对巨噬细胞的作用。结果 Cl2MDP-明胶微粒以剂量依赖关系迅速、有效地升高模型血小板计数到平均约180×109L-1的水平,并维持血小板计数在生理水平不再下降。电镜下可见巨噬细胞变性、坏死等病变。此外,预先注射Cl2MDP-明胶微粒的SD大鼠可避免发生抗血小板血清引起的ITP。结论 Cl2MDP-明胶微粒静脉注射后可以有效提高ITP模型的血小板数量至生理水平,这种靶向巨噬细胞的药物输送技术可为治疗ITP提供一种新的方法。

Abstract: Objective To explore whether Cl2MDP-loaded gelatin particles can induce the depletion of macrophage or can depress the immunity of macrophage in SD rat models of immune thrombocytopenic purpura (ITP) to treat the ITP rats. Methods SD rats were intravenously injected with 150 μl of anti-platelet serum once per 24 hr to induce the ITP model. The platelet counts were persistently less than 50×109/L in these models. After intravenous injection of a group dose of Cl2MDP-gelatin particles, the platelet counts of these models were examined at the time of 4 hr, 24 hr, 48 hr, 72 hr and 96 hr, respectively. The pathological changes of macrophages in spleen were observed by electron microscope. Results Cl2MDP-loaded gelatin particles can increase significantly the platelet counts of ITP models from less than 50×109/L to mean 180×109/L in 24 hr after injection, and can keep the platelet level through whole experimenting process. The pathological changes of macrophages were seen under electron microscope, such as degeneration, necrosis and so on. Furthermore, rats that were pre-treated with Cl2MDP-loaded gelatin particles can evade the decrease of platelet counts when they were injected anti-platelet serum. Conclusion Cl2MDP-loaded gelatin particles can promptly, effectively restore platelet counts of ITP models to physiologically level, in a dose dependent manner. So, the targeting therapy of drug-loaded gelatin particles offers a new approach to treat ITP, and this strategy is worthy of further studies.