Summary
Previous studies have demonstrated that standard anticoagulant tests are poor indices
of the antithrombotic potential of glycosaminoglycans which are weak catalysts of
the thrombinantithrombin III reaction. In this study we investigated whether the catalysis
of thrombin inhibition by plasma could serve as a reliable index for assessing the
antithrombotic effectiveness of glycosaminoglycans. Equal volumes of 125I-thrombin and control or test plasma were incubated for up to 10 min at 37° C. Inactivation
of thrombin was then determined after 7.9% SDS-polyacrylamide gel electrophoresis
and subsequent autoradiography. Increasing concentrations of heparin (>0.066 μg/mL
or 0.01 USP units/mL) and dermatan sulfate (>0.1 μg/mL) could be readily demonstrated
in undiluted plasma by enhanced formation of complexes of thrombin with antithrombin
III and heparin cofactor II respectively. However, the detection of any catalytic
effect of the two glycosaminoglycans decreased significantly with increasing plasma
dilutions. When ex vivo plasmas obtained from rabbits that had been injected with the minimum dose of any
one of seven glycosaminoglycans required to achieve their optimal antithrombotic effect
were assessed for their ability to catalyse thrombin inhibition, there was approximately
a 2-fold increase in the amount of thrombin inactivated 30 s after the thrombin had
been added to the plasma. The enhanced inhibition of thrombin was achieved by catalysis
of antithrombin III and/or heparin cofactor II activities. These results suggest that
measurement of the catalysis of thrombin inactivation in undiluted plasma is a sensitive
and reliable index for estimating the antithrombotic potential of glycosaminoglycans
in rabbits.
Keywords
Antithrombotic - Heparin cofactor II - Antithrombin III - Thrombin inhibition
