The additive into the blood as an energy supporter, Adenine phosphate (APO
4) can extend the storage life of banked blood. But the usefulness of transfusing this supplemented blood depends on safety of the chemical. Thus the toxicity of APO
4 was studied experimentally in dogs. The animals receiving 10mg/kg APO
4 intravenously showed no difference from the control group injected with normal saline. A dose of 30mg/kg produced slight rise of GPT and BUN, as well as mild or moderate histological changes, which returned to normal range after the stop of the medication. On the other hand, the dogs taking 90mg/kg of APO
4 suffered from severe renal and hepatic failure, with marked elevation of GPT and BUN values, liver parenchymatous degeneration, necrosis and casts in urine. These disorders persisted and some pathological changes were present also in spleen and thymus suggesting depression on immunity. In conclusion, the dose of 10mg/kg can be considered probably the safety threshold for man. This has been proved clinically by pratical transfusion in recent years. Nevertheless, the potential toxicity of APO
4 is still worthy on further investigation.
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