发明申请
US20110081334A1 C1-Inhibitor Prevents Non-Specific Plasminogen Activation by a Prourokinase Mutant without Impeding Fibrin-Specific Fibrinolysis 有权
C1抑制剂可防止非特异性纤溶酶原激活,而不会阻止纤维蛋白特异性纤维蛋白溶解

  • 专利标题: C1-Inhibitor Prevents Non-Specific Plasminogen Activation by a Prourokinase Mutant without Impeding Fibrin-Specific Fibrinolysis
  • 专利标题(中): C1抑制剂可防止非特异性纤溶酶原激活,而不会阻止纤维蛋白特异性纤维蛋白溶解
  • 申请号: US12947573
    申请日: 2010-11-16
  • 公开(公告)号: US20110081334A1
    公开(公告)日: 2011-04-07
  • 发明人: Victor GurewichRalph Pannell
  • 申请人: Victor GurewichRalph Pannell
  • 主分类号: A61K38/48
  • IPC分类号: A61K38/48 A61P7/02
C1-Inhibitor Prevents Non-Specific Plasminogen Activation by a Prourokinase Mutant without Impeding Fibrin-Specific Fibrinolysis
摘要:
A mutant prourokinase plasminogen activator (M5) was developed to make prouPA less subject to spontaneous activation during fibrinolysis. C1-inhibitor complexes with tcM5. The effect of C1-inhibitor on fibrinolysis and fibrinogenolysis by M5 was determined. Supplemental C1-inhibitor restores the stability of M5 but not that of prouPA. Clot lysis by M5 with supplemental C1-inhibitor showed no attenuation of the rate of fibrinolysis, whereas fibrinogenolysis was prevented by C1-inhibitor. Due to higher dose tolerance of M5 with C1-inhibitor, the rate of fibrin-specific lysis reached that achievable by nonspecific fibrinolysis without inhibitor. Plasma C1-inhibitor stabilized M5 in plasma by inhibiting tcM5 and thereby non-specific plasminogen activation. At the same time, fibrin-specific plasminogen activation remained unimpaired. This unusual dissociation of effects has significant implications for improving the safety and efficacy of fibrinolysis. Methods of reducing bleeding and non-specific plasminogen activation during fibrinolysis by administering M5 along with exogenous C1-inhibitor are disclosed.
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