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Pegylated albumin is a modified human serum albumin (HSA) therapeutic designed to act as a high-oncotic plasma volume expander and microvascular perfusion enhancer. Developed by Prolong Pharmaceuticals (specifically as the candidate PP-007), the drug consists of HSA molecules covalently conjugated with polyethylene glycol (PEG) chains. This PEGylation increases the effective molecular size and oncotic pressure of the albumin while significantly extending its circulatory half-life and reducing its ability to leak through compromised vascular endothelium. The primary clinical focus for pegylated albumin is the treatment of subarachnoid hemorrhage (SAH) and the prevention of delayed cerebral ischemia. By increasing plasma oncotic pressure and viscosity, it facilitates the dilation of microvessels and improves blood flow and oxygen delivery to ischemic brain tissue, thereby mitigating secondary neuronal injury.
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