title: A novel hirudin derivative inhibiting thrombin without bleeding for subcutaneous injection.
abstract: Currently, anticoagulants would be used to prevent thrombosis. Thrombin is an effector enzyme for haemostasis and thrombosis. We designed a direct thrombin inhibitor peptide (DTIP) using molecular simulation and homology modelling and demonstrated that the C-terminus of DTIP interacts with exosite I, and N-terminus with the activity site of thrombin, respectively. DTIP interfered with thrombin-mediated coagulation in human, rat and mouse plasma (n=10 per group) and blocked clotting in human whole blood in vitro. When administered subcutaneously, DTIP showed potent and dose-dependent extension of aPTT, PT, TT and CT in rats (n=10 per group). The antithrombotic dose of DTIP induced significantly less bleeding than bivalirudin determined by transecting distal tail assay in rats. Furthermore, DTIP reached peak blood concentration in 0.5-1 hour and did not cause increased bleeding after five days of dosing compared to dabigatran etexilate. The antithrombotic effect of DTIP was evaluated in mice using lethal pulmonary thromboembolism model and FeCl3-induced mesenteric arteriole thrombus model. DTIP (1.0 mg/kg, sc) prevented deep venous thrombosis and increased the survival rate associated with pulmonary thromboembolism from 30 % to 80 %. Intravital microscopy showed that DTIP (1.0 mg/kg, sc) decelerated mesenteric arteriole thrombosis caused by FeCl3injury. These data establish that DTIP is a novel antithrombotic agent that could be used to prevent thrombosis without conferring an increased bleeding risk.
authors.forename: Bing
authors.initials: B
authors.lastname: Zhao
authors.forename: Yanling
authors.initials: Y
authors.lastname: Zhang
authors.forename: Yinong
authors.initials: Y
authors.lastname: Huang
authors.forename: Jinchao
authors.initials: J
authors.lastname: Yu
authors.forename: Yaran
authors.initials: Y
authors.lastname: Li
authors.forename: Qi
authors.initials: Q
authors.lastname: Wang
authors.forename: Yixin
authors.initials: Y
authors.lastname: Ma
authors.forename: Hou-Yan
authors.initials: HY
authors.lastname: Song
authors.forename: Min
authors.initials: M
authors.lastname: Yu
authors.affiliation: Wei Mo, Key Laboratory of Metabolism and Molecular Medicine, Ministry of Education, Fudan University, Tel.: +86 21 54237440, Fax: +86 21 64033738, 238# P.O. Box, 138 Yixueyan Rd., Shanghai, 200032 , P. R. China, E-mail: weimo1025@shmu.edu.cn.
authors.forename: Wei
authors.initials: W
authors.lastname: Mo
mesh_terms: D000818:Animals; D000991:Antithrombins / Q000008:administration & dosage* / Q000633:toxicity; D001777:Blood Coagulation / Q000187:drug effects*; D001780:Blood Coagulation Tests; D002712:Chlorides; D003094:Collagen; D000069604:Dabigatran / Q000008:administration & dosage / Q000633:toxicity; D004195:Disease Models, Animal; D004305:Dose-Response Relationship, Drug; D004837:Epinephrine; D005290:Ferric Compounds; D006470:Hemorrhage / Q000139:chemically induced; D006629:Hirudins / Q000008:administration & dosage* / Q000633:toxicity; D006801:Humans; D007279:Injections, Subcutaneous; D008297:Male; D008641:Mesenteric Vascular Occlusion / Q000097:blood / Q000139:chemically induced / Q000517:prevention & control*; D008810:Mice, Inbred C57BL; D010446:Peptide Fragments / Q000008:administration & dosage / Q000633:toxicity; D011655:Pulmonary Embolism / Q000097:blood / Q000139:chemically induced / Q000517:prevention & control*; D017207:Rats, Sprague-Dawley; D011994:Recombinant Proteins / Q000008:administration & dosage / Q000633:toxicity; D012307:Risk Factors; D013917:Thrombin / Q000037:antagonists & inhibitors* / Q000378:metabolism; D013997:Time Factors; D020246:Venous Thrombosis / Q000097:blood / Q000139:chemically induced / Q000517:prevention & control*
chemical_list: D000991:Antithrombins; D002712:Chlorides; D005290:Ferric Compounds; D006629:Hirudins; D010446:Peptide Fragments; D011994:Recombinant Proteins; D003094:Collagen; D013917:Thrombin; D000069604:Dabigatran; C074619:bivalirudin; C024555:ferric chloride; D004837:Epinephrine
keywords: Thrombin; direct thrombin inhibitor peptide (DTIP); r-RGD-hirudin; subcutaneous injection; thrombosis