Thromb Haemost 1995; 74(03): 879-885
DOI: 10.1055/s-0038-1649841
Original Article
Coagulation
Schattauer GmbH Stuttgart

Antithrombotic Action of Endogenous Porcine Protein C Activated with a Latent Porcine Thrombin Preparation

Robert D McBane
1   The Division of Cardiovascular Diseases and Internal Medicine, Rochester, MN, USA
2   The Section of Hematology Research, Rochester, MN, USA
,
Waldemar E Wysokinski
1   The Division of Cardiovascular Diseases and Internal Medicine, Rochester, MN, USA
2   The Section of Hematology Research, Rochester, MN, USA
,
James H Chesebro
1   The Division of Cardiovascular Diseases and Internal Medicine, Rochester, MN, USA
,
Whyte G Owen
2   The Section of Hematology Research, Rochester, MN, USA
3   The Departments of Biochemistry and Molecular Biology, Mayo Foundation for Education and Research, Rochester, MN, USA
› Author Affiliations
Further Information

Publication History

Received 09 February 1995

Accepted after resubmission 23 May 1995

Publication Date:
09 July 2018 (online)

Summary

Endogenously activated protein C is evaluated for antithrombotic activity in porcine carotid arteries subjected to mechanical trauma. Protein C is activated by intravenous administration of guanidinobenzoyl- thrombin, which binds to thrombomodulin and there deacylates to yield thrombin. The bound, transiently active thrombin yields a peak of anticoagulant activity between 5 and 10 min after infusion of the latent thrombin. Inhibition of thrombin binding in vivo by co-infusing an active-site-blocked thrombin preparation elicits acute and lethal systemic thrombosis. Nearly occlusive platelet thrombosis, which occurs within 30 min of crushing 1 cm segments of carotid arteries with a standard hemostat, is blocked by endogenous protein C activation initiated 2 min before the crush injury. It is concluded that activated protein C blocks thrombosis in deeply injured musculo-elastic arteries, and that activation of latent thrombin bound to thrombomodulin in vivo is a practical means for delivery of pharmacologically effective concentrations of activated protein C.

 
  • References

  • 1 Esmon CT, Esmon NL. Protein C activation. Sem Thromb Haemost 1984; 10: 122-130
  • 2 Marlar RA, Mastovich S. Hereditary protein C deficiency: a review of the genetics, clinical presentation, diagnosis and treatment. Blood Coag Fibrinolysis 1990; 1: 319-330
  • 3 Walker FJ. Regulation of bovine activated protein C by protein S: the role of the cofactor protein in species specificity. Thromb Res 1981; 22: 321-327
  • 4 Gruber A, Hanson SR, Kelly AB, Yan BS, Bang N, Griffin JH, Harker LA. Inhibition of thrombosis formation by activated recombinant protein C in a primate model of arterial thrombosis. Circ 1990; 82: 578-585
  • 5 Hanson SR, Griffin JH, Harker LA, Kelly AB, Esmon CT, Gruber A. Antithrombotic effects of thrombin-induced activation of protein C in primates. J Clin Invest 1993; 92: 2003-2012
  • 6 Comp PC, Jacocks RM, Ferrell G, Esmon CT. Activation of protein C in vivo. J Clin Invest 1982; 70: 127-133
  • 7 Markwardt F, Nowak G, Meerbach W, Rudiger KD. Studies in experimental animals on disseminated intravascular coagulation (DIC). Thromb Diath Haemorrh 1975; 34: 513-521
  • 8 Chase Jr T, Shaw E. Comparison of the esterase activities of trypsin, plasmin, and thrombin on guanidinobenzoate esters. Titration of the enzymes Biochemistry 1969; 8: 2212-2224
  • 9 Owen WG, Goeken JA, Lollar P. Thrombin-endothelium interactions. In: Vascular Endothelium in Hemostasis and Thrombosis. Gimbrone MA. ed Edinburgh: Churchill-Livingston: 1986. pp 57-69
  • 10 Lollar P, Knutson GJ, Fass DN. Stabilization of thrombin-activated porcine factor VIII:C by factor IXa and phospholipid. Blood 1984; 63: 1303-1308
  • 11 Walker FJ, Sexton PW, Esmon CT. The inhibition ol’blood coagulation by aetivated Protein C through the seleelive inactivation of activated Factor V. Biochim Biophys Acta 1979; 517: 333-342
  • 12 Dewanjce MK, Rao SA, Didisheim P. Indium-111tropolone, a new high-affinity label: preparation and evaluation of labelling parameters. J Nuel Med 1981; 22: 981-987
  • 13 Langdell RD, Wagner RH, Brinkhous KM. Effect of antihemophilic factor on one-stage clotting tests. J Lab Clin Med 1953; 41: 637-647
  • 14 Morrison PK. Preparation and properties of serum and plasma proteins. XV. Some faetors influencing the quantitative determination of fibrinogen J Am Chem Soc 1947; 69: 2723-2731
  • 15 Francis Jr RB, Seyfert U. Rapid amidolylie assay of protein C in whole plasma using an activator from the venom of Agkistrodoncontortrix. Am .J Clin Path 1987; 87: 619-625
  • 15 Moore WJ. Physical Chemistry Prentice Hall; Englewood Cliffs N.J: 1962. p 267
  • 16 Macintosh S, Owen WG. Regulation of the clearance and inhibition of intravascular thrombin. Bulletin of the Sanol’i Thrombosis Research Foundation 1988; 1: 8-18
  • 17 Lollar P, Owen WG. Clearance of thrombin from circulation in rabbits by high-affinity binding sites on endothelium. Possible role in the inactivation of thrombin by antithrombin III J Clin Invest 1980; 66: 1222-1230
  • 18 Butler KD, Amber J, Dolan S, Giddings J, Talbot MD, Wallis KB. A nonocclusive model of arterial thrombus formation in the rat and its modification by inhibitors of platelet function or thrombin aetivitiy. Blood Coag Pibrinol 1992 3: 155-165
  • 19 Heras M, Chesebro JH, Penny WJ, Bailey KR, Badimon L, Fuster V. Effects of thrombin inhibition on the development of acute platelet-thrombus deposition during angioplasty in pigs: heparin versus recombinant hirudin, a specific thrombin inhibitor. Circulation 1989; 79: 657-665
  • 20 Schwartz L, Bourassa MG, Lesperance J, Aldridge HE, Kazim F, Salvatori VA, Henderson M, Bonan R, David PR. Aspirin and dipyridamole in the prevention of restenosis after percutaneous transluminal coronary angioplasty. N Engl J Med 1988; 318: 1714-1719
  • 21 Baumgartner HR. Effects of acetylsalicylic acid, sulfinpyrazone and dipyri- dimole on platelet adhesion and aggregation in flowing native and anticoagulated blood. Hemostasis 1979; 8: 340-352
  • 22 Second Report of the Sixty Plus Reinfarction Study Research Group. Risks of long-term oral anticoagulant therapy in elderly patients after myocardial infarction. Lancet 1982; 1: 64-68
  • 23 Zoklhelyi P, Webster MW I, Fuster V, Grill DE, Gaspar DL, Edwards SI, Cabot CF, Chesebro JH. Recombinant hirudin in patients with chronic, stable coronary disease: safety, half-life and effect on coagulation parameters. Circ 1993; 88: 2015-2022
  • 24 Markwardt F. Hirudin as an inhibitor of thrombin. Methods Enzymol 1970; 19: 924-932
  • 25 Gast A, Tschopp TB, Baumgartner HR. Thrombin plays a key role in late platelet thrombus growth and/or stability. Arterioscler Thromb 1994; 14: 1466-1474
  • 26 Smirnov MD, Pyzh MW, Borovikov DV, Atorozhilova AH, Dobrovolski AB. Low doses of aetivated protein C delay arterial thrombosis in rats. Thromb Res 1990; 57: 645-650
  • 27 Araki H, Nishi K. Inhibitory effects of activated protein C and heparin on thrombotic arterial occlusion in rat mesenteric arteries. Thromb Res 1991; 62: 209-216
  • 28 Kogan AE, Bashkov GV, Bobrushkin ID, Romanova EP, Makorov VA, Strukova SM. Protein C activator from the venom of Agkistrodon blowhoffi ussHriensis retards thrombus formation in arteriovenous shunts in rats. Thromb Res 1993; 70: 385-393
  • 29 Esmon CT, Owen WG. Identification of an endothelial cell cofactor for thrombin-catalyzed activation of protein C. Proc Nat Acad Sci USA 1981; 78: 2249-2252
  • 30 Lundblad RL. Observations on the hydrolysis of p-nitrophenyl acylatcs by purified bovine thrombin. Thromb Diath Haemorrh 1973; 30: 248-254
  • 31 Heeb MJ, Gruber A, Griffin JH. Identification and divalent metal ion- dependent inhibition of activated protein C by α2-macroglobulin and α2- antiplasmin in blood and comparisons to inhibition of factor Xa, thrombin and plasmin. J Biol Chem 1981; 266: 17606-17612