Effects of heparin oligosaccharides with high affinity for antithrombin III in experimental venous thrombosis

Thromb Haemost. 1982 Jun 28;47(3):244-8.

Abstract

The in vitro and in vivo characteristics of two oligosaccharide heparin fragments have been compared to those of unfractionated mucosal heparin. A decasaccharide fragment had essentially no activity by APTT or calcium thrombin time assays in vitro, but possessed very high specific activity by anti-Factor Xa assays. When injected into rabbits at doses of up to 80 microgram/kg, this fragment was relatively ineffective in impairing stasis thrombosis despite producing high blood levels by anti-Xa assays. A 16-18 monosaccharide fragment had even higher specific activity (almost 2000 iu/mg) by chromogenic substrate anti-Xa assay, with minimal activity by APTT. When injected in vivo, this fragment gave low blood levels by APTT, very high anti-Xa levels, and was more effective in preventing thrombosis than the decasaccharide fragment. However, in comparison with unfractionated heparin, the 16-18 monosaccharide fragment was only partially effective in preventing thrombosis, despite producing much higher blood levels by anti-Xa assays. It is concluded that the high-affinity binding of a heparin fragment to antithrombin III does not by itself impair venous thrombogenesis, and that the anti-Factor Xa activity of heparin is only a partial expression of its therapeutic potential.

MeSH terms

  • Animals
  • Antithrombin III / metabolism*
  • Dose-Response Relationship, Drug
  • Factor X / antagonists & inhibitors
  • Factor Xa
  • Heparin / blood
  • Heparin / therapeutic use*
  • Humans
  • Oligosaccharides / therapeutic use*
  • Partial Thromboplastin Time
  • Rabbits
  • Thrombin Time
  • Thrombophlebitis / blood
  • Thrombophlebitis / diagnosis
  • Thrombophlebitis / drug therapy*

Substances

  • Oligosaccharides
  • Antithrombin III
  • Factor X
  • Heparin
  • Factor Xa