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1.
J Med Chem ; 43(21): 3867-77, 2000 Oct 19.
Article in English | MEDLINE | ID: mdl-11052792

ABSTRACT

Literature data on compounds both well- and poorly-absorbed in humans were used to build a statistical pattern recognition model of passive intestinal absorption. Robust outlier detection was utilized to analyze the well-absorbed compounds, some of which were intermingled with the poorly-absorbed compounds in the model space. Outliers were identified as being actively transported. The descriptors chosen for inclusion in the model were PSA and AlogP98, based on consideration of the physical processes involved in membrane permeability and the interrelationships and redundancies between available descriptors. These descriptors are quite straightforward for a medicinal chemist to interpret, enhancing the utility of the model. Molecular weight, while often used in passive absorption models, was shown to be superfluous, as it is already a component of both PSA and AlogP98. Extensive validation of the model on hundreds of known orally delivered drugs, "drug-like" molecules, and Pharmacopeia, Inc. compounds, which had been assayed for Caco-2 cell permeability, demonstrated a good rate of successful predictions (74-92%, depending on the dataset and exact criterion used).


Subject(s)
Intestinal Absorption , Pharmaceutical Preparations/metabolism , Biological Transport , Caco-2 Cells , Cell Membrane Permeability , Humans , Models, Biological , Multivariate Analysis , Reproducibility of Results
2.
Proc Natl Acad Sci U S A ; 97(4): 1506-11, 2000 Feb 15.
Article in English | MEDLINE | ID: mdl-10677491

ABSTRACT

Potent and selective inhibitors of inducible nitric oxide synthase (iNOS) (EC ) were identified in an encoded combinatorial chemical library that blocked human iNOS dimerization, and thereby NO production. In a cell-based iNOS assay (A-172 astrocytoma cells) the inhibitors had low-nanomolar IC(50) values and thus were >1,000-fold more potent than the substrate-based direct iNOS inhibitors 1400W and N-methyl-l-arginine. Biochemical studies confirmed that inhibitors caused accumulation of iNOS monomers in mouse macrophage RAW 264.7 cells. High affinity (K(d) approximately 3 nM) of inhibitors for isolated iNOS monomers was confirmed by using a radioligand binding assay. Inhibitors were >1,000-fold selective for iNOS versus endothelial NOS dimerization in a cell-based assay. The crystal structure of inhibitor bound to the monomeric iNOS oxygenase domain revealed inhibitor-heme coordination and substantial perturbation of the substrate binding site and the dimerization interface, indicating that this small molecule acts by allosterically disrupting protein-protein interactions at the dimer interface. These results provide a mechanism-based approach to highly selective iNOS inhibition. Inhibitors were active in vivo, with ED(50) values of <2 mg/kg in a rat model of endotoxin-induced systemic iNOS induction. Thus, this class of dimerization inhibitors has broad therapeutic potential in iNOS-mediated pathologies.


Subject(s)
Enzyme Inhibitors/chemical synthesis , Nitric Oxide Synthase/antagonists & inhibitors , Allosteric Regulation , Animals , Binding Sites , Cell Line , Combinatorial Chemistry Techniques , Dimerization , Enzyme Inhibitors/pharmacology , Humans , Mice , Models, Molecular , Molecular Structure , Nitric Oxide/blood , Nitric Oxide Synthase Type II , Protein Binding , Rats
4.
Immunopharmacology ; 43(2-3): 169-77, 1999 Sep.
Article in English | MEDLINE | ID: mdl-10596850

ABSTRACT

Screening Pharmacopeia's encoded combinatorial libraries has led to the identification of potent, selective, competitive antagonists at the bradykinin B1 receptor. Libraries were screened using a displacement assay of [3H]-des-Arglo-kallidin ([3H]-dAK) at IMR-90 cells expressing an endogenous human B1 receptor (Bmax = 20,000 receptors/cell, K(D) = 0.5+/-0.1 nM) or against membranes from 293E cells expressing a recombinant human B1 receptor (Bmax = 8,000 receptors/cell, K(D) = 0.5 +/- 0.3 nM). Compound PS020990, an optimized, representative member from the class of compounds, inhibits specific binding of 3H-dAK at IMR-90 cells with a KI of 6 +/- 1 nM. The compound inhibits dAK-induced phosphatidyl inositol turnover (K(Bapp) = 0.4 +/- 0.2 nM) and calcium mobilization (K(Bapp) = 17 +/- 2 nM) in IMR-90 cells. Compounds from the lead series are inactive at the B2 receptor and are > 1000-fold specific for B1 vs. a variety of other receptors, ion channels and enzymes. PS020990 and other related chemotypes therefore offer an excellent opportunity to explore further the role of B1 receptors in disease models and represent a potential therapeutic avenue.


Subject(s)
Bradykinin Receptor Antagonists , Bradykinin/metabolism , Cell Line , Humans , Peptide Library , Receptor, Bradykinin B1 , Signal Transduction/drug effects , Structure-Activity Relationship
5.
Bioorg Med Chem Lett ; 8(5): 483-6, 1998 Mar 03.
Article in English | MEDLINE | ID: mdl-9871603

ABSTRACT

The synthesis and biological activity of a series of 3,6-substituted quinazolinediones and quinazolinones are described. The potent activity of these compounds as platelet aggregation inhibitors demonstrates the utility of these structures as central templates for nonpeptide RGD mimics.


Subject(s)
Platelet Glycoprotein GPIIb-IIIa Complex/antagonists & inhibitors , Quinazolines/pharmacology , Humans , In Vitro Techniques , Platelet Aggregation Inhibitors/chemistry , Platelet Aggregation Inhibitors/pharmacology , Quinazolines/chemistry , Structure-Activity Relationship
7.
J Med Chem ; 40(12): 1779-88, 1997 Jun 06.
Article in English | MEDLINE | ID: mdl-9191954

ABSTRACT

The synthesis and pharmacological evaluation of 5 (L-738, 167), a potent, selective non-peptide fibrinogen receptor antagonist is reported. Compound 5 inhibited the aggregation of human gel-filtered platelets with an IC50 value of 8 nM and was found to be > 33000-fold less effective at inhibiting the attachment of human endothelial cells to fibrinogen, fibronectin, and vitronectin than it was at inhibiting platelet aggregation. Ex vivo platelet aggregation was inhibited by > 85% 24 h after the oral administration of 5 to dogs at 100 micrograms/kg. The extended pharmacodynamic profile exhibited by 5 appears to be a consequence of its high-affinity binding to GPIIb/IIIa on circulating platelets and suggests that 5 is suitable for once-a-day dosing.


Subject(s)
Azepines/chemical synthesis , Fibrinolytic Agents/chemical synthesis , Platelet Glycoprotein GPIIb-IIIa Complex/antagonists & inhibitors , Sulfonamides/chemical synthesis , Adenosine Diphosphate/pharmacology , Animals , Azepines/metabolism , Azepines/pharmacology , Blood Platelets/drug effects , Blood Platelets/metabolism , Collagen/pharmacology , Dogs , Endothelium, Vascular/drug effects , Endothelium, Vascular/metabolism , Fibrinogen/metabolism , Fibrinolytic Agents/chemistry , Fibronectins/metabolism , Humans , Molecular Structure , Platelet Aggregation Inhibitors/chemical synthesis , Platelet Aggregation Inhibitors/pharmacology , Platelet Glycoprotein GPIIb-IIIa Complex/metabolism , Structure-Activity Relationship , Sulfonamides/metabolism , Sulfonamides/pharmacology , Vitronectin/metabolism
8.
J Pharmacol Exp Ther ; 281(2): 677-89, 1997 May.
Article in English | MEDLINE | ID: mdl-9152373

ABSTRACT

The nonpeptide platelet glycoprotein IIb/IIIa antagonist, L-738, 167, was characterized in dog and nonhuman primate. In an anesthetized canine model of coronary artery electrolytic lesion, L-738,167 elicited dose-dependent (3, 4, 4.5 and 5 micrograms/kg i.v.) decreases in incidence of occlusion, reductions in thrombus mass and elevations in bleeding time. Antithrombotic efficacy correlated with inhibition of adenosine diphosphate-induced platelet aggregation but was dissociated from marked bleeding time elevation. Similarly, suppression of platelet-dependent cyclic flow reductions with L-738,167 in the canine coronary artery (5 micrograms/kg i.v.) and African green monkey carotid artery (10 micrograms/kg i.v.) correlated with inhibition of adenosine diphosphate-induced platelet aggregation but not with inhibition of thrombin-induced platelet aggregation or significant prolongation of bleeding time. In conscious dogs and sedated chimpanzees, single dose intravenous bolus (5-20 micrograms/kg) and oral (25-200 micrograms/kg) administration of L-738,167 exhibited long duration (> or = 8 hr) inhibition of ex vivo platelet aggregation. Once daily oral administration to conscious dogs (10-30 micrograms/kg/day for 15 days) and rhesus monkeys (200-250 micrograms/kg/day for 11 days) maintained significant but submaximal (50-90% inhibition) trough levels of inhibition of adenosine diphosphate-induced ex vivo platelet aggregation. Platelet sensitivity to adenosine diphosphate after multiple days of oral dosing in dogs was similar to pretreatment sensitivity. L-738,167 showed characteristics suitable for chronic oral therapy with a glycoprotein IIb/IIIa inhibitor.


Subject(s)
Adenosine Diphosphate/antagonists & inhibitors , Azepines/pharmacology , Bleeding Time , Fibrinolytic Agents/pharmacology , Platelet Aggregation Inhibitors/pharmacology , Platelet Aggregation/drug effects , Platelet Glycoprotein GPIIb-IIIa Complex/antagonists & inhibitors , Sulfonamides/pharmacology , Adenosine Diphosphate/pharmacology , Animals , Azepines/administration & dosage , Azepines/therapeutic use , Disease Models, Animal , Dogs , Drug Administration Routes , Fibrinolytic Agents/administration & dosage , Fibrinolytic Agents/therapeutic use , Macaca mulatta , Pan troglodytes , Platelet Aggregation Inhibitors/administration & dosage , Platelet Aggregation Inhibitors/therapeutic use , Sulfonamides/administration & dosage , Sulfonamides/therapeutic use , Thrombosis/prevention & control
9.
Biomed Mater Eng ; 7(2): 99-110, 1997.
Article in English | MEDLINE | ID: mdl-9262823

ABSTRACT

Large deformation non-linear finite element models of T, V, L and B (Baldwin) orthodontic springs were developed and experimentally validated. Spring stiffnesses and moment/force ratios were computed. Compared to the T loop, under horizontal activation, the V loop was half as stiff, the L loop was equal, and the B spring was 10% as stiff. The moment/force ratio was 30% higher in the V configuration, while the B spring was less by 95%. The asymmetric L loop exerted a moment/force ratio that was 30% on the one side, but 180% in the opposite direction on the other side. With vertical activation, also compared to the T spring, the horizontal stiffnesses were 500% (V), 150% (L), and 30% (B). The concomitant vertical stiffnesses were 100%, 50% and 25%. The vertically activated moment/force ratios were nearly equal in the four springs. Experiments validated these FEM calculations.


Subject(s)
Nonlinear Dynamics , Orthodontic Appliance Design , Orthodontic Appliances , Tooth Movement Techniques/instrumentation , Algorithms , Elasticity , Stress, Mechanical
10.
Mol Divers ; 2(1-2): 81-8, 1996 Oct.
Article in English | MEDLINE | ID: mdl-9238637

ABSTRACT

With the advent of combinatorial chemistry a new paradigm is evolving in the field of drug discovery. The approach is based on an integration of chemistry, high-throughput screening and automation engineering. The chemistry arm is usually based on solid-phase synthesis technology as the preferred approach to library construction. One of the most powerful of the solid-phase methods is encoded split synthesis, in which the reaction history experience by each polymeric bead is unambiguously recorded. This split-and-pool approach, employing chemically robust tags, was used to construct a 85,000-membered dihydrobenzopyran library.


Subject(s)
Chemistry, Pharmaceutical/methods , Drug Design , Pharmaceutical Preparations/chemical synthesis , Benzopyrans/chemical synthesis , Carbonic Anhydrase Inhibitors/chemical synthesis , Cross-Linking Reagents , Solutions
12.
J Med Chem ; 38(12): 2061-9, 1995 Jun 09.
Article in English | MEDLINE | ID: mdl-7783137

ABSTRACT

An analysis of the free energy perturbation (FEP) method is presented that attempts to evaluate the efficacy of the FEP method in the drug discovery process. To accomplish this we have evaluated whether the FEP technique can accurately predict energetic and structural quantities relating to the inhibition of human carbonic anhydrase II (HCAII) by sulfonamides. Three well-characterized (both structurally and energetically) sulfonamide inhibitors of HCAII were examined in this study, 1a, 1b, and 1c. Results from FEP simulations on these compounds indicate that the FEP method can predict energetic trends reasonably well; however, the FEP method was less successful in reproducing detailed structural data. In particular, an expected movement of His-64 when inhibitor 1c was bound did not occur. We conclude that the FEP method can be used to determine relative free energies of binding but cannot be relied upon to reproduce subtle geometric changes.


Subject(s)
Carbonic Anhydrase Inhibitors/chemistry , Carbonic Anhydrases/metabolism , Carbonic Anhydrase Inhibitors/pharmacology , Humans , Molecular Structure , Thermodynamics
13.
Proc Natl Acad Sci U S A ; 92(13): 6027-31, 1995 Jun 20.
Article in English | MEDLINE | ID: mdl-7597074

ABSTRACT

Very large combinatorial libraries of small molecules on solid supports can now be synthesized and each library element can be identified after synthesis by using chemical tags. These tag-encoded libraries are potentially useful in drug discovery, and, to test this utility directly, we have targeted carbonic anhydrase (carbonate dehydratase; carbonate hydro-lyase, EC 4.2.1.1) as a model. Two libraries consisting of a total of 7870 members were synthesized, and structure-activity relationships based on the structures predicted by the tags were derived. Subsequently, an active representative of each library was resynthesized (2-[N-(4-sulfamoylbenzoyl)-4'-aminocyclohexanespiro]-4-oxo-7 -hydroxy- 2,3-dihydrobenzopyran and [N-(4-sulfamoylbenzoyl)-L-leucyl]piperidine-3-carboxylic acid) and these compounds were shown to have nanomolar dissociation constants (15 and 4 nM, respectively). In addition, a focused sublibrary of 217 sulfamoylbenzamides was synthesized and revealed a clear, testable structure-activity relationship describing isozyme-selective carbonic anhydrase inhibitors.


Subject(s)
Carbonic Anhydrase Inhibitors/chemistry , Databases, Factual , Drug Design , Pharmacology/methods , Benzopyrans/chemical synthesis , Benzopyrans/chemistry , Benzopyrans/pharmacology , Carbonic Anhydrase Inhibitors/chemical synthesis , Carbonic Anhydrase Inhibitors/pharmacology , Isoenzymes/antagonists & inhibitors , Kinetics , Leucine/analogs & derivatives , Leucine/chemical synthesis , Leucine/chemistry , Leucine/pharmacology , Molecular Structure , Piperidines/chemical synthesis , Piperidines/chemistry , Piperidines/pharmacology , Spiro Compounds/chemical synthesis , Spiro Compounds/chemistry , Spiro Compounds/pharmacology , Structure-Activity Relationship
14.
Biochemistry ; 33(33): 10109-19, 1994 Aug 23.
Article in English | MEDLINE | ID: mdl-7914744

ABSTRACT

The physiologic role of several transglutaminases could be more precisely defined with the development of specific inhibitors for these enzymes. In addition, specific plasma transglutaminase (fXIIIa) inhibitors may have therapeutic utility in the treatment of thrombosis. For these purposes, the inactivation of fXIIIa and human erythrocyte transglutaminase (HET) by 2-[(2-oxopropyl)thio]imidazolium derivatives, which comprise a novel class of transglutaminase inactivators, was studied. As a specific example, 1,3,4,5-tetramethyl-2-[(2-oxopropyl)thio]imidazolium chloride (III) inactivated fXIIIa with an apparent second-order rate constant (specificity constant of inactivation) of 6.3 x 10(4) M-1 s-1, corresponding to a rate 4 x 10(7) times greater than its reaction rate with glutathione (GSH). The mechanism of fXIIIa inactivation by this class of compounds was investigated utilizing two [14C]-isotopic regioisomers of 1,3-dimethyl-2-[(2-oxopropyl)thio]imidazolium iodide (II). Structural analyses demonstrated that acetonylation of the active site cysteinyl residue of fXIIIa occurred along with the stoichiometric release of the complementary fragment of the inactivator as the corresponding thione. Kinetic analysis of the inactivation of fXIIIa by nonquarternary analogs of II and III indicated the formation of a reversible complex between the inactivator and fXIIIa prior to irreversible modification of the enzyme. At 1 mM, III displayed no detectable levels of inhibition or inactivation with several serine proteases and thiol reagent-sensitive enzymes. 2-[(2-Oxopropyl)thio]imidazolium derivatives and the related molecule 2-(1-acetonylthio)-5-methylthiazolo-[2,3]-1,3,4-thiadiazo lium perchlorate (I), when present at the time of clot formation at 1-10 microM, enhanced the rates of tissue plasminogen activator catalyzed clot lysis in vitro. These inactivators prevented the fXIIIa-catalyzed covalent incorporation of alpha 2-antiplasmin into the alpha chain of fibrin and the formation of high molecular weight fibrin alpha chain polymers, providing the basis for the observed enhancements in clot lysis rates.


Subject(s)
Erythrocytes/enzymology , Imidazoles/pharmacology , Transglutaminases/antagonists & inhibitors , Animals , Binding Sites , Cysteine/chemistry , Dogs , Glutathione/chemistry , Humans , Hydrogen-Ion Concentration , Iodoacetamide/pharmacology , Kinetics , Magnetic Resonance Spectroscopy , Molecular Weight , Sulfhydryl Compounds/chemistry
16.
Protein Sci ; 3(1): 118-25, 1994 Jan.
Article in English | MEDLINE | ID: mdl-8142888

ABSTRACT

The 3-dimensional structure of human carbonic anhydrase II (HCAII; EC 4.2.1.1) complexed with 3 structurally related inhibitors, 1a, 1b, and 1c, has been determined by X-ray crystallographic methods. The 3 inhibitors (1a = C8H12N2O4S3) vary only in the length of the substituent on the 4-amino group: 1a, proton; 1b, methyl; and 1c, ethyl. The binding constants (Ki's) for 1a, 1b, and 1c to HCAII are 1.52, 1.88, and 0.37 nM, respectively. These structures were solved to learn if any structural cause could be found for the difference in binding. In the complex with inhibitors 1a and 1b, electron density can be observed for His-64 and a bound water molecule in the native positions. When inhibitor 1c is bound, the side chain attached to the 4-amino group is positioned so that His-64 can only occupy the alternate position and the bound water is absent. While a variety of factors contribute to the observed binding constants, the major reason 1c binds tighter to HCAII than does 1a or 1b appears to be entropy: the increase in entropy when the bound water molecule is released contributes to the increase in binding and overcomes the small penalty for putting the His-64 side chain in a higher energy state.


Subject(s)
Carbonic Anhydrase Inhibitors/metabolism , Carbonic Anhydrases/chemistry , Histidine/chemistry , Water/chemistry , Carbonic Anhydrase Inhibitors/chemistry , Carbonic Anhydrases/metabolism , Crystallography, X-Ray , Humans , Molecular Structure , Protein Conformation , Thermodynamics , Water/metabolism
17.
Thromb Res ; 70(2): 173-90, 1993 Apr 15.
Article in English | MEDLINE | ID: mdl-8322286

ABSTRACT

Cyclotheonamide A (CA), a cyclic peptide isolated from the marine sponge of the genus Theonella was shown to be a slow-binding inhibitor of several trypsin-like serine proteinases. Values of 4.6 x 10(4), 4.8 x 10(4), 9.3 x 10(3), 2.1 x 10(3) and 2.7 x 10(2) M-1 s-1 were determined for the second-order rate constants for formation of CA complexes with thrombin, trypsin, plasmin, 2-chain t-PA and factor Xa, respectively. The equilibrium constant (Ki) was measured for dissociation of CA from the CA complex with human thrombin (Ki = 1.0 nM), bovine trypsin (Ki = 0.2 nM), human plasmin (Ki = 12 nM), human factor Xa (Ki = 50 nM) and human 2-chain tissue plasminogen activator (t-PA) (Ki = 40 nM). CA produces dose dependent increases in clotting time assays. The clotting time in the thrombin time, activated partial thromboplastin time and prothrombin time assays, were doubled by 1.5, 0.9 and 48 microM CA, respectively. A model for the binding of CA to the active site of thrombin is proposed.


Subject(s)
Peptides, Cyclic/pharmacology , Serine Proteinase Inhibitors/pharmacology , Thrombin/antagonists & inhibitors , Binding Sites , Blood Coagulation Tests , Factor Xa Inhibitors , Fibrinolysin/antagonists & inhibitors , Humans , Kinetics , Models, Biological , Models, Molecular , Molecular Structure , Protein Binding , Tissue Plasminogen Activator/antagonists & inhibitors , Trypsin Inhibitors/pharmacology
19.
Curr Eye Res ; 9(6): 607-15, 1990 Jun.
Article in English | MEDLINE | ID: mdl-2117519

ABSTRACT

L-671,152 is a water-soluble, carbonic anhydrase inhibitor structurally similar to MK-927, a carbonic anhydrase inhibitor that, on topical administration, lowers the intraocular pressure (IOP) of experimental animals and humans. L-671,152 was more potent than MK-927 at inhibiting purified, human erythrocyte carbonic anhydrase II in vitro, as reflected in their respective IC50 values of 0.16 nM and 1.19 nM. Both compounds were compared for topical, ocular hypotensive activity in pigmented rabbits and cynomolgus monkeys. Ocular hypertension was induced in the latter by argon laser photocoagulation of the trabecular meshwork. A 2% solution of L-671,152 was more potent than 2% MK-927 in lowering the IOP of ocular hypertensive monkeys, the maximum reductions being 13.8 mm Hg (37%) and 9.6 mm Hg (27%) at 5 hr and 4 hr, respectively. Moreover, the duration of action of L-671,152 was superior to that of MK-927. The ocular hypotensive effect of L-671,152 was greater than that of MK-927 over a range of concentrations (0.5%-2%) in pigmented rabbits whose IOP was inherently elevated. The peak declines in the IOP of these rabbits after the instillation of 2% solutions of L-671,152 and MK-927 were 6.1 mm Hg and 4.8 mm Hg, respectively. L-671,152 was very effective in lowering the elevated IOP of alpha-chymotrypsinized rabbits and the unilateral instillation of 0.5% L-671,152 into the contralateral eye failed to decrease the elevated IOP of the alpha-chymotrypsinized eye. This finding indicates that the site of action of topically applied L-671,152 is local. The enhancement in the potency of L-671,152 over MK-927 is attributed to a greater inhibition of carbonic anhydrase activity.


Subject(s)
Carbonic Anhydrase Inhibitors/pharmacology , Ocular Hypotension/drug therapy , Sulfonamides/pharmacology , Thiophenes/pharmacology , Administration, Topical , Animals , Carbonic Anhydrase Inhibitors/administration & dosage , Carbonic Anhydrases/metabolism , Chymotrypsin , Ciliary Body/drug effects , Ciliary Body/enzymology , Erythrocytes/drug effects , Erythrocytes/enzymology , Female , In Vitro Techniques , Iris/drug effects , Iris/enzymology , Light Coagulation , Macaca fascicularis , Male , Ocular Hypertension/chemically induced , Ocular Hypertension/drug therapy , Rabbits , Sulfonamides/administration & dosage , Thiophenes/administration & dosage , Trabeculectomy
20.
Blood ; 75(7): 1455-9, 1990 Apr 01.
Article in English | MEDLINE | ID: mdl-1969293

ABSTRACT

The effect of inhibition of factor XIIIa with 2-(l-acetonylthio)-5-methylthiazolo[2,3-b]1,3,4-thiadiazo lium perchlorate (L-722,151) on coronary thrombolysis and reocclusion was studied in an acute dog model of electrically induced coronary thrombosis. L-722,151 (0.1 mg/kg/min intravenously [IV] or placebo was administered 15 minutes before current initiation (150 microA) and for the duration of the experiment (270 minutes). Fifteen minutes after thrombus formation, heparin (300 U/kg, IV) was administered, followed 45 minutes later by recombinant tissue-type plasminogen activator (tPA) (10 micrograms/kg/min, IV for 90 minutes). Placebo-treated animals thrombosed at 48.9 +/- 8.1 minutes (mean +/- SEM) and reperfused in response to tPA at 49.1 +/- 9.3 minutes. L-722,151 pretreated animals thrombosed at 44.4 +/- 9.7 minutes and reperfused in response to tPA at 16.4 +/- 2.8 minutes (P less than .05 v vehicle). Furthermore, residual thrombus mass was reduced by L-722,151 from 6.9 +/- 1.9 mg in placebo-treated animals to 1.7 +/- 0.6 mg (P less than .05 v vehicle). Acute reocclusion occurred in 86% of placebo and in 75% of L-722,151-treated animals. The incidence of tPA-induced reperfusion in L-722,151-treated dogs was 100% (8 of 8), whereas only 70% (7 of 10) of placebo-treated dogs reperfused. These results demonstrate that pretreatment with L-722,151 hastens reperfusion time threefold and reduces residual thrombus mass. These effects occurred with no change in systemic blood pressure in response to L-722,151. When L-722,151 was administered 15 minutes after thrombus formation in a separate group of dogs (n = 5), no beneficial effect on thrombolysis time or thrombus mass was observed. Thus, the specific factor XIIIa catalyzed crosslinking reaction(s), which may determine(s) resistance to plasmin-mediated fibrin degradation, occur(s) rapidly. Inhibition of this crosslinking by pretreatment with L-722,151 promotes tPA-induced thrombolysis.


Subject(s)
Coronary Disease/drug therapy , Coronary Thrombosis/drug therapy , Myocardial Reperfusion , Thiadiazoles/therapeutic use , Tissue Plasminogen Activator/therapeutic use , Transglutaminases/antagonists & inhibitors , Animals , Blood Pressure/drug effects , Coronary Circulation/drug effects , Coronary Thrombosis/physiopathology , Coronary Vessels/physiology , Disease Models, Animal , Dogs , Electric Stimulation , Female , Male , Recombinant Proteins/therapeutic use , Thiadiazoles/blood , Thiadiazoles/pharmacokinetics
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