Pharmacokinetic, Hemostatic, and Anticancer Properties of a Low-Anticoagulant Bovine Heparin

Roberto P. Santos, A. Tovar, Marcos R. Oliveira, Adriana A. Piquet, Nina V. M. Capillé, Stephan-Nicollas Oliveira, A. H. Correia, José N. Farias, E. Vilanova, P. Mourão
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引用次数: 1

Abstract

Heparin is a centennial anticoagulant drug broadly employed for treatment and prophylaxis of thromboembolic conditions. Although unfractionated heparin (UFH) has already been shown to have remarkable pharmacological potential for treating a variety of diseases unrelated with thromboembolism, including cancer, atherosclerosis, inflammation, and virus infections, its high anticoagulant potency makes the doses necessary to exert non-hemostatic effects unsafe due to an elevated bleeding risk. Our group recently developed a new low-anticoagulant bovine heparin (LABH) bearing the same disaccharide building blocks of the UFH gold standard sourced from porcine mucosa (HPI) but with anticoagulant potency approximately 85% lower (approximately 25 and 180 Heparin International Units [IU]/mg). In the present work, we investigated the pharmacokinetics profile, bleeding potential, and anticancer properties of LABH administered subcutaneous into mice. LABH showed pharmacokinetics profile similar to HPI but different from the low-molecular weight heparin (LMWH) enoxaparin and diminished bleeding potential, even at high doses. Subcutaneous treatment with LABH delays the early progression of Lewis lung carcinoma, improves survival, and brings beneficial health outcomes to the mice, without the advent of adverse effects (hemorrhage/mortality) seen in the animals treated with HPI. These results demonstrate that LABH is a promising candidate for prospecting new therapeutic uses for UFH.
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低抗凝血牛肝素的药代动力学、止血和抗癌特性
肝素是一种具有百年历史的抗凝药物,广泛用于治疗和预防血栓栓塞性疾病。尽管未分离肝素(UFH)已被证明在治疗多种与血栓栓塞无关的疾病(包括癌症、动脉粥样硬化、炎症和病毒感染)方面具有显著的药理潜力,但其高抗凝效力使得发挥非止血作用所需的剂量由于出血风险升高而不安全。我们的团队最近开发了一种新的低抗凝血牛肝素(LABH),它含有与猪粘膜(HPI)相同的双糖构建块,但抗凝血效能低约85%(约25和180肝素国际单位[IU]/mg)。在目前的工作中,我们研究了LABH皮下给药小鼠的药代动力学特征、出血潜力和抗癌特性。LABH表现出与HPI相似的药代动力学特征,但与低分子量肝素(LMWH)依诺肝素不同,即使在高剂量下也能降低出血潜力。LABH皮下治疗可以延缓Lewis肺癌的早期进展,提高存活率,并为小鼠带来有益的健康结果,而不会出现用HPI治疗的动物出现的不良反应(出血/死亡)。这些结果表明,LABH是一种很有前途的候选物,可以用于开发UFH的新治疗用途。
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Management of Therapeutic-intensity Unfractionated Heparin: A Narrative Review on Critical Points. Impact of Clinical Decision Support with Mandatory versus Voluntary Venous Thromboembolism Risk Assessment in Hospitalized Patients. An Intestinal Microbiome Intervention Affects Biochemical Disease Activity in Patients with Antiphospholipid Syndrome. Corrigendum: Bleeding Risk Prediction in Patients Treated with Antithrombotic Drugs According to the Anatomic Site of Bleeding, Indication for Treatment, and Time Since Treatment Initiation. Establishing Expectancy Values for Fibrin Monomer in Uncomplicated Pregnancy.
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