Biomedical Engineering Reference
In-Depth Information
TABLE 18.1
Anticoagulant Activities of Heparins and Covalent Antithrombin-Heparin Complexes
Activity
Antifactor Xa Catalytic Activity
(U mg -1 )
Antithrombin Catalytic Activity
(U mg -1 )
APTT of Mod.
Heparin (%
Start. Heparin)
FXa
Reaction Rate
(M 1 s 1 )
ATH
+
Start.
Heparin
Start.
Heparin
Mod.
Heparin
Start.
Heparin
Mod.
Heparin
Thrombin
Reaction Rate (M 1 s 1 )
ATH
+
Methods
ATH
ATH
1
High-afi nity
UFH
65 ± 5
250
191 ± 28
2
High-afi nity
UFH
56 ± 7
250
153 ± 34
270
2.1 × 10 6
6.7 × 10 8
3
UFH modii ed
to LMWH
170
(UFH)
140 (LMWH)
5.2
170 (UFH)
0 (LMWH)
0
4
UFH
168
Low
168
Low
6.7 × 10 7
5
UFH
100
209
209
861
198
198
754
3.8 × 10 6
3.1 × 10 9
Start. heparin, Initial source of heparin used for studies; APTT, activated partial thromboplastin time; Mod. heparin, activated heparin used for conjugation with antithrombin; ATH,
covalent antithrombin-heparin complex; UFH, unfractionated heparin; LMWH, low molecular weight heparin. Methods : (1) ATH prepared by tolylene-2,4-diisothiocyanate linkage of
N-desulfated high-afi nity heparin to antithrombin; 231 (2) ATH prepared by tolylene-2,4-diisothiocyanate linkage of hexyl-amino substituted high-afi nity heparin to antithrombin; 231,246,272
(3) ATH prepared by reduction by NaBH 3 CN of Schiff base between aldehyde on high-afi nity anhydromannose-terminating heparin and amino on antithrombin; 247,249 (4) ATH prepared by
reaction of CNBr-activated heparin and antithrombin; 250,251 and (5) ATH prepared by Amadori rearrangement of Schiff base between aldehyde on aldose-terminating unfractionated heparin
and amino on antithrombin. 141,261,264
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