Selective and Sustained Inhibition of Surface-bound Thrombin Activity by Intimatan/Heparin Cofactor II and Its Relevance to Assessing Systemic Anticoagulation In Vivo, Ex Vivo and In Vitro

Michael R. Buchanan; Glenn A. Maclean; Stephanie J. Brister

doi:10.1055/s-0037-1616149

Thrombosis and Haemostasis, Table of Contents

Thromb Haemost 2001; 86(03): 909-913
DOI: 10.1055/s-0037-1616149

Review Articles

Schattauer GmbH

Selective and Sustained Inhibition of Surface-bound Thrombin Activity by Intimatan/Heparin Cofactor II and Its Relevance to Assessing Systemic Anticoagulation In Vivo, Ex Vivo and In Vitro

Authors

Michael R. Buchanan

¹Department of Pathology and Molecular Medicine, McMaster University, Hamilton
Glenn A. Maclean^*

¹Department of Pathology and Molecular Medicine, McMaster University, Hamilton
Stephanie J. Brister

²University of Toronto, The Toronto Hospital, Cardiovascular Surgery, Toronto, Ontario, Canada

Abstract

Summary

We compare the relative activities of surface-bound and fluid-phase thrombin and their inhibition by heparin and Intimatan, a novel heparin cofactor II (HCII) agonist. In vitro, we compared the observed amidolytic activities of fluid-phase and surface-bound thrombin with the expected activities based upon ¹²⁵I-specific activity. In vivo, we compared the inhibitory effects of heparin and Intimatan on thrombin activity bound to injured vessel walls. In vitro, the correlations between observed and expected activities of fluid-phase and surface-bound thrombin, were: r = 0.9974, p < 0.001; and r = 0.9678, p < 0.001; respectively. In vivo, injured vessel wall surface-bound thrombin activity persisted for > 24 h. This activity was not inhibited by heparin, but was inhibited by Intimatan, p < 0.001.

We conclude that surface-bound thrombin is as active as fluid-phase thrombin and remains protected from inhibition by heparin, thereby contributing to vessel wall thrombogenicity following injury. In contrast, surface-bound thrombin is inhibited by Intimatan, thereby effectively decreasing vessel wall thrombogenicity following injury in vivo.

Keywords

Surface-bound thrombin - heparin - Intimatan

Full Text

References

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