Hemoglobin
wrapped covalently with poly(2-ethyl-2-oxazoline)s
(POx-Hb)
is characterized physicochemically and physiologically as an artificial
O2 carrier for use as a red blood cell (RBC) substitute.
The POx-Hb is generated by linkage of porcine Hb surface-lysines to
a sulfhydryl terminus of the POx derivative, with the average binding
number of the polymers ascertained as 6. The POx-Hb shows moderately
higher colloid osmotic activity and O2 affinity than the
naked Hb. Human adult HbA conjugated with POx also possesses equivalent
features and O2 binding properties. The POx-Hb solution
exhibits good hemocompatibility, with no influence on the functions
of platelets, granulocytes, and monocytes. Its circulation half-life
in rats is 14 times longer than that of naked Hb. Hemorrhagic shock
in rats is relieved sufficiently by infusion of the POx-Hb solution,
as revealed by improvements of circulatory parameters. Serum biochemistry
tests and histopathological observations indicate no acute toxicity
or abnormality in the related organs. All results indicate that POx-Hb
represents an attractive alternative for RBCs and a useful O2 therapeutic reagent in transfusion medicine.