In vitro and in vivo correlation of clotting protease activity: effect of heparin

Proc Natl Acad Sci U S A. 1977 Jul;74(7):3028-32. doi: 10.1073/pnas.74.7.3028.

Abstract

The thrombogenicity of three highly purified proteases (thrombin, activated Factor X, and activated Factor IX) was determined quantitatively in an animal model. The minimal amounts required to produce a standard score 4 thrombus were 1.1 nmol for thrombin, 0.12 nmol for activated Factor X, and 0.018 nmol for activated Factor IX. After the administration of heparin at 5, 10, and 20 units/kg in rabbits, the thrombogenicity of each of these proteases decreased progressively. The heparin-induced inhibition of thrombosis decreased in the order, activated Factor IX > activated Factor X > thrombin at each heparin concentration. These differences were statistically significant. These in vivo data provide support for the following hypotheses originally developed from in vitro experiments: (i) activation of the blood coagulation system, which proceeds through a cascade mechanism, incorporates biochemical amplification; (ii) the inhibition of activated Factor IX by antithrombin III in the presence of heparin is an important reaction in the prevention of thrombosis; (iii) less heparin is required to inhibit thrombosis prior to thrombin generation than afterward; (iv) an increase in the reactivity of antithrombin III reflects a decreased tendency to thrombosis while a decrease in this reactivity reflects an increased tendency to thrombosis.

Publication types

  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Animals
  • Antithrombins / pharmacology
  • Blood Coagulation / drug effects*
  • Disease Models, Animal
  • Dose-Response Relationship, Drug
  • Factor IX / antagonists & inhibitors
  • Factor IX / metabolism*
  • Factor X / antagonists & inhibitors
  • Factor X / metabolism*
  • Heparin / pharmacology*
  • Rabbits
  • Snake Venoms / pharmacology*
  • Thrombin / antagonists & inhibitors
  • Thrombin / metabolism*
  • Thrombosis / blood

Substances

  • Antithrombins
  • Snake Venoms
  • Factor IX
  • Factor X
  • Heparin
  • Thrombin