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1.
Electron. j. biotechnol ; 19(4): 81-89, July 2016. ilus
Artigo em Inglês | LILACS | ID: lil-793957

RESUMO

Background: Antithrombin III (ATIII) is a protein that inhibits abnormal blood clots (or coagulation) by breaking down thrombin and factor Xa. ATIII helps to keep a healthy balance between hemorrhage and coagulation. The present work demonstrated the production, purification and characterization of recombinant human antithrombin (rhAT) from yeast Saccharomyces cerevisiae BY4741 was demonstrated. After expression of rhAT by S. cerevisiae, the biomass and rhAT concentration were analyzed through fed-batch fermentation process. Results: In fed-batch fermentation, the biomass (maximum cell dry weight of 11.2 g/L) and rhAT concentration (312 mg/L) of the expressed rhAT were achieved at 84 h of cultivation time. The maximum cell lysis efficiency (99.89%) was found at 8 s sonication pulse and 7 mL lysis buffer volume. The rhAT protein solution was concentrated and partially purified using cross-flow filtration with the recovery yield and purity of 95 and 94%, respectively. The concentrated solution was further purified by the single step ion exchange chromatography with the recovery yield and purity of 55 and >98%, respectively. The purified rhAT was characterized by various analytical techniques, such as RP-HPLC, FT-IR, CD, SDS-PAGE, western blotting, and Liquid chromatography mass spectrometry (LC-MS) analysis. The biological activity of rhAT was analyzed as heparin cofactor to meet the therapeutic grade applications. Conclusions: The simple, cost-effective and economically viable nature of the process used in the present study for the production of rhAT will be highly beneficial for the healthcare sector. This may also be used to produce other value-added therapeutic recombinant proteins expressed in S. cerevisiae, with greater effectiveness and ease.


Assuntos
Saccharomyces cerevisiae/metabolismo , Proteínas Recombinantes/isolamento & purificação , Proteínas Recombinantes/biossíntese , Antitrombina III/isolamento & purificação , Antitrombina III/biossíntese , Western Blotting , Cromatografia Líquida de Alta Pressão , Reatores Biológicos , Fermentação , Filtração
2.
Electrophoresis ; 37(12): 1696-703, 2016 07.
Artigo em Inglês | MEDLINE | ID: mdl-26989842

RESUMO

Antithrombin (AT) is a human plasma glycoprotein that possesses anticoagulant and anti-inflammatory properties. However, the native (active) form of AT is unstable and undergoes conformational changes, leading to latent, cleaved, and heterodimeric forms. The presence of these alternative forms mostly inactive can highly impact the quality and therapeutic activity of pharmaceutical AT preparations. We developed a capillary zone electrophoresis method, based on a neutral polyethylene oxide-coated capillary and a buffer close to physiological conditions, enabling the separation of more than eight forms of AT. Several peaks were identified as native, latent, and heterodimeric forms. The CZE method was reproducible with intraday relative standard deviations less than 0.5 and 2% for migration times and peak areas, respectively. The method was applied to the comparison of AT preparations produced by five competitive pharmaceutical companies, and statistical tests were performed. Important differences in the proportion of each form were highlighted. In particular, one AT preparation was shown to contain a high quantity of heterodimer, and two preparations contained high quantities of latent form. In addition, one AT preparation exhibited additional forms, not yet identified.


Assuntos
Antitrombina III/isolamento & purificação , Eletroforese Capilar/métodos , Soluções Tampão , Dimerização , Composição de Medicamentos , Eletroforese Capilar/instrumentação , Polietilenoglicóis , Conformação Proteica , Isoformas de Proteínas/isolamento & purificação
3.
Methods Enzymol ; 501: 63-87, 2011.
Artigo em Inglês | MEDLINE | ID: mdl-22078531

RESUMO

The serpin superfamily of protease inhibitors undergoes a remarkable conformational change to inhibit target proteases. To date, over 80 different serpin crystal structures have been determined. These data reveal that the serpin monomer can adopt five different conformations (native, partially inserted native, δ-form, latent, and cleaved). Further, recent studies have also revealed that serpins can domain swap; biochemical data suggest such an event underlies serpin polymerization in diseases such as antitrypsin deficiency. Here, we provide a comprehensive analysis on crystallization of serpins in context of the structural landscape of the serpin superfamily.


Assuntos
Antitrombina III/isolamento & purificação , Cristalização/métodos , Cristalografia por Raios X/métodos , Biologia Molecular/métodos , Inibidor 1 de Ativador de Plasminogênio/isolamento & purificação , Proteínas Recombinantes de Fusão/isolamento & purificação , alfa 1-Antitripsina/isolamento & purificação , Animais , Antitrombina III/biossíntese , Antitrombina III/genética , Células CHO , Galinhas , Cricetinae , Escherichia coli , Células HEK293 , Humanos , Camundongos , Modelos Moleculares , Inibidor 1 de Ativador de Plasminogênio/biossíntese , Inibidor 1 de Ativador de Plasminogênio/genética , Polimerização , Dobramento de Proteína , Estrutura Secundária de Proteína , Proteínas Recombinantes de Fusão/biossíntese , Proteínas Recombinantes de Fusão/genética , alfa 1-Antitripsina/biossíntese , alfa 1-Antitripsina/genética
4.
Korean J Lab Med ; 30(1): 45-50, 2010 Feb.
Artigo em Coreano | MEDLINE | ID: mdl-20197722

RESUMO

BACKGROUND: The safety of plasma derivatives has been reinforced since 1980s by variable pathogen inactivation or elimination techniques. Nucleic acid amplification test (NAT) for the source plasma has also been implemented worldwide. Recently nanofiltration has been used in some country for ensuring safety of plasma derivatives to eliminate non-enveloped viruses such as parvovirus B19 (B19V) and hepatitis A virus (HAV). We evaluated the efficacy of nanofiltration for the elimination of B19V and HAV. METHODS: To verify the efficacy of nanofiltration, we adopted a 20 nm Viresolve NFP (Millipore, USA) in the scaling down (1:1,370) model of the antithrombin III production. As virus stock solutions, we used B19V reactive plasma and porcine parvovirus (PPV) and HAV obtained from cell culture. And 50% tissue culture infectious dose was consumed as infectious dose. The methods used to evaluate the virus-elimination efficacy were reverse-transcriptase polymerase chain reaction for B19V and the cytopathic effect calculation after filtration for PPV and HAV. RESULTS: B19V was not detected by RT-PCR in the filtered antithrombin III solutions with initial viral load of 6.42 x 10(5) IU/mL and 1.42 x 10(5) IU/mL before filtration. The virus-elimination efficacy of nanofiltration for PPV and HAV were > or = (3.32) and > or = (3.31), respectively. CONCLUSIONS: Nanofiltration would be an effective method for the elimination of B19V and HAV. It may be used as a substitute for NAT screening of these viruses in source plasma to ensure safety of plasma derivatives in Korea.


Assuntos
Filtração/métodos , Vírus da Hepatite A/isolamento & purificação , Nanotecnologia/métodos , Parvovirus B19 Humano/isolamento & purificação , Antitrombina III/isolamento & purificação , DNA Viral/análise , Vírus da Hepatite A/genética , Humanos , Parvovirus B19 Humano/genética , RNA Viral/análise , Reação em Cadeia da Polimerase Via Transcriptase Reversa
5.
Artigo em Coreano | WPRIM (Pacífico Ocidental) | ID: wpr-82769

RESUMO

BACKGROUND: The safety of plasma derivatives has been reinforced since 1980s by variable pathogen inactivation or elimination techniques. Nucleic acid amplification test (NAT) for the source plasma has also been implemented worldwide. Recently nanofiltration has been used in some country for ensuring safety of plasma derivatives to eliminate non-enveloped viruses such as parvovirus B19 (B19V) and hepatitis A virus (HAV). We evaluated the efficacy of nanofiltration for the elimination of B19V and HAV. METHODS: To verify the efficacy of nanofiltration, we adopted a 20 nm Viresolve NFP (Millipore, USA) in the scaling down (1:1,370) model of the antithrombin III production. As virus stock solutions, we used B19V reactive plasma and porcine parvovirus (PPV) and HAV obtained from cell culture. And 50% tissue culture infectious dose was consumed as infectious dose. The methods used to evaluate the virus-elimination efficacy were reverse-transcriptase polymerase chain reaction for B19V and the cytopathic effect calculation after filtration for PPV and HAV. RESULTS: B19V was not detected by RT-PCR in the filtered antithrombin III solutions with initial viral load of 6.42x10(5) IU/mL and 1.42x10(5) IU/mL before filtration. The virus-elimination efficacy of nanofiltration for PPV and HAV were > or =10(3.32) and > or =10(3.31), respectively. CONCLUSIONS: Nanofiltration would be an effective method for the elimination of B19V and HAV. It may be used as a substitute for NAT screening of these viruses in source plasma to ensure safety of plasma derivatives in Korea.


Assuntos
Humanos , Antitrombina III/isolamento & purificação , DNA Viral/análise , Filtração/métodos , Vírus da Hepatite A/genética , Nanotecnologia/métodos , Parvovirus B19 Humano/genética , RNA Viral/análise , Reação em Cadeia da Polimerase Via Transcriptase Reversa
6.
Fish Physiol Biochem ; 35(2): 231-40, 2009 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-19343519

RESUMO

The main serine proteinase inhibitors of rainbow trout (Oncorhynchuss mykiss) and common carp (Cyprinus carpio) blood plasma were isolated and purified. The investigated inhibitors, alpha(1)-proteinase inhibitor (alpha(1)-PI) and antithrombin III (AT III), act by forming stable complexes with target proteinases. The association rate constants k (on) for the interaction of fish plasma inhibitors with several serine proteinases have been determined: k (on) for both carp and rainbow trout alpha(1)-PI were >10(7) M(-1) s(-1) for human neutrophil elastase, and in the case of bovine trypsin and chymotrypsin k (on) values were 2.0-5.2 x 10(6) M(-1) s(-1). Association rate constants k (on) for the interaction of carp and rainbow trout AT III with bovine trypsin and thrombin were about 1.3 x 10(4)-7.9 x 10(5) M(-1) s(-1) without and >10(7) M(-1) s(-1) in presence of heparin; so antithrombins require the presence of heparin to become effective proteinase inhibitors. The high degree of homology of the estimated amino acid sequences of fish inhibitors reactive site loops confirms their similarity with other proteinase inhibitors from the serpin family.


Assuntos
Antitrombina III/isolamento & purificação , Carpas/fisiologia , Oncorhynchus mykiss/fisiologia , Plasma/enzimologia , alfa 1-Antitripsina/isolamento & purificação , Sequência de Aminoácidos , Animais , Antitrombina III/química , Domínio Catalítico , alfa 1-Antitripsina/química
7.
Am J Physiol Cell Physiol ; 295(2): C423-31, 2008 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-18550704

RESUMO

Matriptase, a type 2 transmembrane serine protease, is predominately expressed by epithelial and carcinoma cells in which hepatocyte growth factor activator inhibitor 1 (HAI-1), a membrane-bound, Kunitz-type serine protease inhibitor, is also expressed. HAI-1 plays dual roles in the regulation of matriptase, as a conventional protease inhibitor and as a factor required for zymogen activation of matriptase. As a consequence, activation of matriptase is immediately followed by HAI-1-mediated inhibition, with the activated matriptase being sequestered into HAI-1 complexes. Matriptase is also expressed by peripheral blood leukocytes, such as monocytes and macrophages; however, in contrast to epithelial cells, monocytes and macrophages were reported not to express HAI-1, suggesting that these leukocytes possess alternate, HAI-1-independent mechanisms regulating the zymogen activation and protease inhibition of matriptase. In the present study, we characterized matriptase complexes of 110 kDa in human milk, which contained no HAI-1 and resisted dissociation in boiling SDS in the absence of reducing agents. These complexes were further purified and dissociated into 80-kDa and 45-kDa fragments by treatment with reducing agents. Proteomic and immunological methods identified the 45-kDa fragment as the noncatalytic domains of matriptase and the 80-kDa fragment as the matriptase serine protease domain covalently linked to one of three different secreted serpin inhibitors: antithrombin III, alpha1-antitrypsin, and alpha2-antiplasmin. Identification of matriptase-serpin inhibitor complexes provides evidence for the first time that the proteolytic activity of matriptase, from those cells that express no or low levels of HAI-1, may be controlled by secreted serpins.


Assuntos
Leite Humano/metabolismo , Serina Endopeptidases/metabolismo , Serpinas/metabolismo , Sequência de Aminoácidos , Antitrombina III/análise , Antitrombina III/isolamento & purificação , Antitrombina III/metabolismo , Western Blotting , Cromatografia Líquida , Eletroforese em Gel de Poliacrilamida , Humanos , Espectrometria de Massas , Leite Humano/química , Dados de Sequência Molecular , Proteínas Secretadas Inibidoras de Proteinases/análise , Proteínas Secretadas Inibidoras de Proteinases/isolamento & purificação , Proteínas Secretadas Inibidoras de Proteinases/metabolismo , Serina Endopeptidases/análise , Serina Endopeptidases/isolamento & purificação , Serpinas/análise , Serpinas/isolamento & purificação , alfa 1-Antitripsina/análise , alfa 1-Antitripsina/isolamento & purificação , alfa 1-Antitripsina/metabolismo , alfa 2-Antiplasmina/análise , alfa 2-Antiplasmina/isolamento & purificação , alfa 2-Antiplasmina/metabolismo
8.
Proteomics ; 5(15): 4025-33, 2005 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-16145710

RESUMO

The glycan structures of the major and more than ten minor populated isoforms of antithrombin (AT) were determined after separation of the isoforms by IEF using IPG strips. The bands excised from the gel were reduced, derivatized by iodoacetamide and submitted to tryptic digestion. The digest was analyzed by RP-HPLC-ESI-MS equipped with a quadrupole ion-trap mass analyzer. MS/MS experiments allowed establishing the monosaccharide compositions in the glycopeptides. For the major isoform of alpha-AT four identical biantennary glycans with two terminal sialic acids (SA) each, a total of eight SA, were found in full agreement with the literature. In the IEF-band containing this major isoform (pI 5.18) a further, much less abundant, isoform was detected showing a fucosylation on the glycan attached to Asn155 but being of otherwise identical structure as described above. The isoforms with pI 5.10 were found to include one triantennary glycan, all antennas carrying terminal SA. The occurrence of triantennary structure is site specific, involving the peptides with Asn(135) and Asn(155), alternately. At pI 5.24 we found those four isoforms that carry the glycans like the main-isoform of alpha-AT but missing one terminal SA. There was no site specificity found for the mono-sialo structure. The isoform at pI 5.31 is the major isoform of beta-AT containing three identical biantennary structures being fully sialylated. No isoforms (above 0.5% abundance) with two glycans only or three glycans other than beta-AT were detected. Fucosylation was found in the main isoform with an abundance of about 5%, and as expected with all the other isoforms with a comparable abundance.


Assuntos
Antitrombina III/química , Cromatografia Líquida de Alta Pressão/métodos , Mapeamento de Peptídeos/métodos , Antitrombina III/isolamento & purificação , Glicopeptídeos/química , Glicosilação , Humanos , Focalização Isoelétrica , Monossacarídeos/química , Monossacarídeos/isolamento & purificação , Polissacarídeos/química , Isoformas de Proteínas/química , Isoformas de Proteínas/isolamento & purificação , Espectrometria de Massas por Ionização por Electrospray
9.
J Chromatogr B Analyt Technol Biomed Life Sci ; 816(1-2): 175-81, 2005 Feb 25.
Artigo em Inglês | MEDLINE | ID: mdl-15664348

RESUMO

Viscose fiber, a regenerated cellulose, was evaluated for using as a novel matrix for high performance affinity chromatography. With a one-step activation with epichlorohydrin, heparin can be readily covalently attached to the matrix. This heparin-viscose fiber material was used for purifying antithrombin III (AT III) from human plasma. The purity of the AT III from this one-step purification is 93% as measured by SDS-PAGE and the protein recovery yield is about 90%. This column is highly specific as described by the dissociation constant of the complex of immobilized heparin and AT III, which was 2.83 x 10(-5)mol/L. And more important, this viscose fiber material demonstrated its excellent mechanical property that allows the flow rate to reach up to 900 cm/h or more.


Assuntos
Antitrombina III/isolamento & purificação , Celulose , Cromatografia de Afinidade/instrumentação , Celulose/ultraestrutura , Cromatografia de Afinidade/métodos , Heparina/isolamento & purificação , Humanos , Ligantes , Ligação Proteica
10.
Thromb Haemost ; 92(5): 929-39, 2004 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-15543318

RESUMO

The abilities of three synthetic oligosaccharides to accelerate antithrombin inhibition of ten clotting or fibrinolytic proteinases were compared with those of unfractionated, fractionated high-affinity and low-molecular-weight heparins. The results show that the anticoagulant effects of the latter three heparins under conditions approximating physiologic are exerted almost exclusively by acceleration of the inactivation of thrombin, factor Xa and factor IXa to near diffusion-controlled rate constants of approximately 10(6) - 10(7) M(-1).s(-1). All other proteinases are inhibited with at least 20-fold lower rate constants. The anti-coagulant ability of the synthetic regular (fondaparinux) and high-affinity (idraparinux) pentasaccharides is due to a common mechanism, involving acceleration of only factor Xa inhibition to rate constants of approximately 10(6) M(-1).s(-1) . A synthetic hexadecasaccharide, containing both the pentasaccharide sequence and a proteinase binding site, exerts its anticoagulant effect by accelerating antithrombin inactivation of both thrombin and factor Xa to rate constants of approximately 10(6) - 10(7) M(-1).s(-1), although thrombin appears to be the more important target. In contrast, factor IXa inhibition is appreciably less stimulated. The conformational change of antithrombin induced both by the pentasaccharides and longer heparins contributes substantially, approximately 150-500-fold, to accelerating the inactivation of factors Xa, IXa and VIIa and moderately, approximately 50-fold, to that of factor XIIa and tissue plasminogen activator inhibition. The bridging effect due to binding of antithrombin and proteinase to the same, long heparin chain is dominating, approximately 1000-3000-fold, for thrombin inhibition and is appreciably smaller, although up to approximately 250-350-fold, for the inactivation of factors IXa and XIa. These results establish the proteinase targets of heparin derivatives currently used in or considered for thrombosis therapy and give new insights into the mechanism of heparin acceleration of antithrombin inhibition of proteinases.


Assuntos
Antitrombina III/efeitos dos fármacos , Hemostasia/efeitos dos fármacos , Heparina/farmacologia , Oligossacarídeos/farmacologia , Serina Endopeptidases/efeitos dos fármacos , Antitrombina III/isolamento & purificação , Antitrombina III/metabolismo , Coagulação Sanguínea/efeitos dos fármacos , Fatores de Coagulação Sanguínea/efeitos dos fármacos , Fatores de Coagulação Sanguínea/isolamento & purificação , Fibrinólise/efeitos dos fármacos , Fondaparinux , Heparina/química , Humanos , Cinética , Oligossacarídeos/química , Polissacarídeos/química , Polissacarídeos/farmacologia , Ligação Proteica , Serina Endopeptidases/isolamento & purificação , Inibidores de Serina Proteinase/química , Inibidores de Serina Proteinase/farmacologia
11.
J Thromb Haemost ; 2(6): 931-9, 2004 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-15140129

RESUMO

BACKGROUND: Missense mutations causing conformational alterations in serpins can be responsible for protein deficiency associated with human diseases. However, there are few data about conformational consequences of mutations affecting antithrombin, the main hemostatic serpin. OBJECTIVES: To investigate the conformational and clinical effect of mutations affecting the shutter region of antithrombin. PATIENTS AND METHODS: We identified two families with significant reduction of circulating antithrombin displaying early and severe venous thrombosis, frequently associated with pregnancy or infection. Mutations were determined by standard molecular methods. Biochemical studies were performed on plasma samples. One variant (P80S) was purified by heparin-affinity chromatography and gel filtration, and evaluated by proteomic analysis. Finally, we modelled the structure of the mutant dimer. RESULTS: We identified two missense mutations affecting the shutter region of antithrombin: P80S and G424R. Carriers of both mutations presented traces of a similar abnormal antithrombin, supporting inefficiently expressed rather than non-expressed variants. The abnormal antithrombin purified from P80S carriers is an inactive disulfide-linked dimer of mutant antithrombin whose properties are consistent with head-to-head insertion of the reactive loop. CONCLUSIONS: Our data support the conclusion that missense mutations affecting the shutter region of serpins have specific conformational effects resulting in the formation of mutant oligomers. The consequent inefficiency of secretion explains the accompanying deficiency and loss of function, but the severity of thrombosis associated with these mutations suggests that the oligomers also have new and undefined pathological properties that could be exacerbated by pregnancy or infection.


Assuntos
Deficiência de Antitrombina III/genética , Antitrombina III/genética , Dissulfetos , Mutação de Sentido Incorreto , Trombose Venosa/genética , Adulto , Idoso , Antitrombina III/química , Antitrombina III/isolamento & purificação , Deficiência de Antitrombina III/complicações , Análise Mutacional de DNA , Dimerização , Saúde da Família , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Linhagem , Conformação Proteica , Serpinas/química , Serpinas/genética , Espanha , Trombose Venosa/sangue
12.
Biochemistry (Mosc) ; 69(2): 195-200, 2004 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-15000687

RESUMO

A combination of gel-permeation HPLC, affinity chromatography on heparin-Sepharose, gel electrophoresis, and estimation of inhibitory activity showed that effect of low-frequency ultrasound (26 W/cm(2), 37 degrees C, pH 7.4) on homogeneous antithrombin III was accompanied by formation of aggregates and a latent form of serpin. Heparin and pentosan polysulfate stabilized antithrombin III; this resulted in decrease in ultrasonic-induced formation of the aggregate and latent forms. The influence of ultrasound was not accompanied by significant changes in the contents of non-activated blood coagulation factors in the PPSB complex.


Assuntos
Anticoagulantes/química , Antitrombina III/química , Fatores de Coagulação Sanguínea/química , Heparina/química , Poliéster Sulfúrico de Pentosana/química , Antitrombina III/isolamento & purificação , Coagulação Sanguínea , Fatores de Coagulação Sanguínea/isolamento & purificação , Cromatografia de Afinidade , Cromatografia Líquida de Alta Pressão , Ensaio Cometa , Ativação Enzimática , Humanos , Ultrassom
13.
Biologicals ; 31(3): 165-73, 2003 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-12935804

RESUMO

A manufacturing process for the production of Anti-thrombin IIII concentrate is described, which is based primarily on Heparin Sepharose affinity chromatography. The process includes two sequential viral inactivation/removal procedures, applied to the fraction eluted from the column, the first by heating in aqueous solution at 60 degrees C for 10 h and the second by nanofiltration. Using viral validation on a scaled-down process both treatments proved to be effective steps; able to inactivate or remove more than 4 logs of virus, and their combined effect (>8 logs) assured the safety of the final product. Viral validation studies of the Heparin Sepharose chromatographic step demonstrated a consistency of the affinity of the resin for viruses over repeated use (16 runs), thus providing evidence of absence of cross-contamination from one batch to the next. It was concluded that the process of ATIII manufacturing provides a high level of confidence that the product will not transmit viruses.


Assuntos
Antitrombina III/isolamento & purificação , Contaminação de Medicamentos/prevenção & controle , Vírus/isolamento & purificação , Animais , Bovinos , Fracionamento Químico , Cromatografia de Afinidade , Qualidade de Produtos para o Consumidor , Vírus da Diarreia Viral Bovina/isolamento & purificação , HIV-1/isolamento & purificação , Herpesvirus Suídeo 1/isolamento & purificação , Temperatura Alta , Humanos , Reoviridae/isolamento & purificação , Esterilização , Suínos , Ultrafiltração
14.
Anaesth Intensive Care ; 31(1): 40-3, 2003 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-12635393

RESUMO

The effect of haemodilution on coagulation has been extensively investigated. We investigated auto-haemodilution following a 10% blood loss (480 ml) and its effect on coagulation. Ten healthy, unstarved volunteers were enrolled. One unit of blood was taken from each volunteer. Concurrently blood was taken from the opposite arm prior to and immediately after the blood donation, and at 1, 2, 4 and 6 hours. It was tested for thrombelastography, haematocrit and endorphins. There was a significant decrease in r-time from the control sample to the sample taken immediately post blood donation. This value returned to baseline at 1 hour post donation and did not change again. There were no other significant changes in thromboelastographic parameters. Fractional plasma noradrenaline changes were significantly raised at 1 hour post donation (P = 0.048), returning to baseline by 2 hours post donation. The haematocrit showed a rapid (approximately 4%) fall during donation followed by a slow, but progressive decrease over six hours, falling by a mean of 8.3% from pre-donation values. A state of relative hypercoagulability is found immediately after a rapid 10% loss in circulating blood volume. This may be related to the rapid immediate haemodilution. It is unlikely that the sympathetic response to blood loss plays a role. However, after the initial drop, slow restoration of circulating blood volume by autodilution takes six to eight hours, and is not associated with enhanced coagulation. Of interest is that a 10% blood loss in a healthy person does not require volume replacement.


Assuntos
Antitrombina III/isolamento & purificação , Doadores de Sangue , Hemodiluição/métodos , Coagulação Sanguínea , Hematócrito , Humanos , Norepinefrina/sangue
15.
Anaesth Intensive Care ; 31(1): 95-8, 2003 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-12635404

RESUMO

The activated clotting time (ACT) may be an unreliable monitor of coagulation for patients with the antiphospholipid syndrome. We describe a patient with antiphospholipid syndrome in whom adequate anticoagulation during cardiopulmonary bypass was confirmed by monitoring both the ACT and anti-factor Xa levels. The cardiopulmonary bypass was uneventful, and there were no thrombotic or bleeding complications. The use of anti-factor Xa levels provided confirmation of adequate anticoagulation (and reversal of anticoagulation) that was not possible using the ACT alone.


Assuntos
Síndrome Antifosfolipídica/sangue , Antitrombina III/isolamento & purificação , Ponte Cardiopulmonar , Adulto , Coagulação Sanguínea , Feminino , Humanos , Coeficiente Internacional Normatizado
16.
Biochemistry ; 41(41): 12369-76, 2002 Oct 15.
Artigo em Inglês | MEDLINE | ID: mdl-12369826

RESUMO

The anticoagulant polysaccharide heparin binds and activates the plasma proteinase inhibitor antithrombin through a pentasaccharide sequence. Lys114, Lys125, and Arg129 are the three most important residues of the inhibitor for pentasaccharide binding. To elucidate to what extent another positively charged side chain can fulfill the role of each of these residues, we have mutated Lys114 and Lys125 to Arg and Arg129 to Lys. Lys114 could be reasonably well replaced with Arg with only an approximately 15-fold decrease in pentasaccharide affinity, in contrast to an approximately 10(5)-fold decrease caused by substitution with an noncharged amino acid of comparable size. However, a loss of approximately one ionic interaction on mutation to Arg indicates that the optimal configuration of the network of basic residues of antithrombin that together interact with the pentasaccharide requires a Lys in position 114. Replacement of Lys125 with Arg caused an even smaller, approximately 3-fold, decrease in pentasaccharide affinity, compared with that of approximately 400-fold caused by mutation to a neutral amino acid. An Arg in position 125 is thus essentially equivalent to the wild-type Lys in pentasaccharide binding. Substitution of Arg129 with Lys decreased the pentasaccharide affinity an appreciable approximately 100-fold, a loss approaching that of approximately 400-fold caused by substitution with a neutral amino acid. Arg is thus specifically required in position 129 for high-affinity pentasaccharide binding. This requirement is most likely due to the ability of Arg to interact with other residues of antithrombin, primarily, Glu414 and Thr44, in a manner that appropriately positions the Arg side chain for keeping the pentasaccharide anchored to the activated state of the inhibitor.


Assuntos
Antitrombina III/química , Arginina/química , Heparina/química , Lisina/química , Substituição de Aminoácidos/genética , Antitrombina III/genética , Antitrombina III/isolamento & purificação , Arginina/genética , Sítios de Ligação/genética , Cátions Monovalentes/química , Fator Xa/metabolismo , Inibidores do Fator Xa , Humanos , Cinética , Lisina/genética , Mutagênese Sítio-Dirigida , Oligossacarídeos/química , Sódio/química , Trombina/antagonistas & inibidores , Trombina/metabolismo
17.
Pathophysiol Haemost Thromb ; 32(3): 143-50, 2002.
Artigo em Inglês | MEDLINE | ID: mdl-12372930

RESUMO

Antithrombin (AT) circulates in plasma in two isoforms, AT-alpha (90-95%) and AT-beta (5-10%). AT isoform proportions were measured in plasma samples of 17 healthy subjects and 26 posttraumatic or postoperative septic patients, as well as in 4 commercially available AT concentrates. Total AT was immune-purified from plasma and concentrates. Micellar electrokinetic chromatography was used to analytically separate and quantify the isoforms. Compared with plasma samples of healthy donors, septic plasmas revealed significantly reduced AT activity (p < 0.001) and beta-isoform content (p < 0.05). AT-beta correlated inversely with urea and creatinine serum concentrations (p < 0.01), indicating a relationship between better renal function and higher beta-isoform content. beta-Isoform neither correlated with age, gender, and 28-day mortality, nor with plasma concentrations of various inflammatory and organ function parameters. The commercial AT concentrate, which is equivalent to the current WHO standard, had an AT-beta content close to that found in plasma of healthy subjects. The availability of this novel quantitative AT isoform assay allows, for the first time, a closer look at the role of AT isoforms in hemostasis and sepsis pathophysiology.


Assuntos
Antitrombina III/análise , Sepse/sangue , beta-Ciclodextrinas , Adulto , Antitrombina III/isolamento & purificação , Antitrombina III/normas , Biomarcadores , Creatinina/sangue , Ciclodextrinas/farmacologia , Selectina E/sangue , Eletroforese Capilar , Feminino , Humanos , Técnicas de Imunoadsorção , Molécula 1 de Adesão Intercelular/sangue , Interleucina-6/sangue , Interleucina-8/sangue , Rim/fisiopatologia , Elastase de Leucócito/sangue , Masculino , Micelas , Pessoa de Meia-Idade , Isoformas de Proteínas/sangue , Isoformas de Proteínas/deficiência , Sepse/mortalidade , Ureia/sangue
18.
Thromb Res ; 106(2): 157-64, 2002 Apr 15.
Artigo em Inglês | MEDLINE | ID: mdl-12182916

RESUMO

During the manufacturing of an antithrombin preparation, it is necessary to define all steps that may damage or alter the target molecule, and thus decrease the biological activity of the inhibitor in blood coagulation. Pasteurization, commonly used procedure for viral inactivation of plasma derived antithrombin concentrates, was shown to partially alter the conformation of the active native antithrombin to an inactive latent form. To study intensively the different forms of inactive antithrombin that are formed upon heat treatment, human alpha-antithrombin, human beta-antithrombin and an equimolar mixture of the two isoforms were incubated at 60 degrees C for 15 h in the presence of citrate as stabilizing agent. Using two subsequent heparin affinity chromatography steps, three different inactive fractions were separated. By comparison of the heparin binding capacities, isoelectric points and unfolding characteristics of these inactive forms, the alpha-latent and beta-latent antithrombin isoforms could be identified. It was also shown that additional inactive forms such as proteinase cleaved and/or oxidized forms of antithrombin are formed during the heat treatment process. In four commercially available antithrombin preparations, all produced by pasteurization, the amount of inactive protein varied between 0.5% and 9.5%.


Assuntos
Antitrombina III/isolamento & purificação , Cromatografia de Afinidade , Heparina/metabolismo , Antitrombina III/metabolismo , Compostos Cromogênicos , Eletroforese em Gel de Poliacrilamida , Ensaio de Imunoadsorção Enzimática , Temperatura Alta , Humanos , Imunoeletroforese Bidimensional , Ponto Isoelétrico , Oligopeptídeos/efeitos dos fármacos , Oxirredução , Ligação Proteica , Desnaturação Proteica , Dobramento de Proteína , Isoformas de Proteínas/isolamento & purificação , Isoformas de Proteínas/metabolismo
19.
J Biol Chem ; 277(44): 42352-7, 2002 Nov 01.
Artigo em Inglês | MEDLINE | ID: mdl-12192009

RESUMO

CD8(+) T-cells secrete soluble factor(s) capable of inhibiting both R5- and X4-tropic strains of human immunodeficiency virus type 1 (HIV-1). CCR5 chemokine ligands, released from activated CD8(+) T-cells, contribute to the antiviral activity of these cells. These CC-chemokines, however, do not account for all CD8(+) T-cell antiviral factor(s) (CAF) released from these cells, particularly because the elusive CAF can inhibit the replication of X4 HIV-1 strains that use CXCR4 and not CCR5 as a coreceptor. Here we demonstrate that activated CD8(+) T-cells of HIV-1-seropositive individuals modify serum bovine antithrombin III into an HIV-1 inhibitory factor capable of suppressing the replication of X4 HIV-1. These data indicate that antithrombin III may play a role in the progression of HIV-1 disease.


Assuntos
Antitrombina III/isolamento & purificação , Antivirais/isolamento & purificação , Linfócitos T CD8-Positivos/imunologia , HIV-1/efeitos dos fármacos , Animais , Antitrombina III/farmacologia , Bovinos , Células Cultivadas , HIV-1/imunologia , Replicação Viral/efeitos dos fármacos
20.
Int J Biochem Cell Biol ; 34(9): 1164-71, 2002 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-12009311

RESUMO

A kinetic investigation of ostrich thrombin specificity, its regulation and evolutionary development in comparison to those of other well-characterised species may contribute to the understanding of the structure-function relationships of thrombin. Antithrombin III (ATIII) was purified from ostrich plasma by heparin-Sepharose and Super Q-650S chromatography. It exhibited a M(r) of 59.2K and a pI in the range of 5.2-6.0. The ostrich N-terminal sequence was compared to those of other known species and showed the highest identity with rabbit ATIII (31%). Inhibition studies included the interaction of ostrich and human ATIII with bovine, human and ostrich thrombin. At a 2:1 molar ratio of ostrich ATIII to enzyme, 20 and 40% remaining activity was found for bovine and ostrich thrombin, respectively. Ostrich thrombin exhibited a pH and temperature optimum of 9.0 and 60 degrees C, respectively. Hydrolysis of seven peptide p-nitroanilide substrates by ostrich thrombin revealed D-Phe-Pip-Arg-pNA (k(cat)/K(m)=9.65 microM(-1)s(-1)) as the substrate with the highest catalytic efficiency. The effect of monovalent cations on ostrich thrombin catalysis revealed enhanced activity with Na(+). The calculated K(i) values for the complex formation between ostrich thrombin and ostrich (9.29 x 10(-11)M) and human (9.66 x 10(-11)M) ATIII are comparable to reported results. The results obtained from the present study confirmed that ostrich thrombin and ATIII are closely related to the corresponding molecules of other species in terms of physicochemical and kinetic properties.


Assuntos
Antitrombina III/química , Antitrombina III/metabolismo , Struthioniformes , Trombina/metabolismo , Animais , Antitrombina III/genética , Antitrombina III/isolamento & purificação , Sítios de Ligação , Evolução Biológica , Cátions Monovalentes/metabolismo , Humanos , Concentração de Íons de Hidrogênio , Ponto Isoelétrico , Alinhamento de Sequência , Temperatura , Trombina/antagonistas & inibidores , Trombina/genética
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