Sd. Shefer et al., EXTRACORPOREAL ENZYMATIC REMOVAL OF LOW-DENSITY LIPOPROTEINS IN RABBITS - EFFICACY AND SAFETY, International journal of artificial organs, 16(4), 1993, pp. 218-228
An extracorporeal circuit incorporating a plasma separator reactor (PS
R) was designed to modify low density lipoproteins (LDL). The PSR was
tested in vivo with hypercholesterolemic New Zealand White rabbits. Th
e bioreactor enzymatically converts LDL to a form that can be removed
by the body at an enhanced rate. The physiological response of hyperch
olesterolemic New Zealand White rabbits to 90 minute extracorporeal tr
eatments was monitored. The total plasma cholesterol concentration in
the treated rabbits fell sharply (up to 40% decrease) during and follo
wing the treatment. Results of safety tests indicate no significant en
zyme leaching from the device, no disruption or damage to erythrocytes
, no increase in white blood cell count and no liver damage as indicat
ed by five enzyme assays. All safety measurements suggest that the tre
atment is safe.