The metabolic fate of the anticoagulant protein, hirudin, and its comp
lex with thrombin are presently unknown. Therefore we have labelled hi
rudin and human thrombin-hirudin complex with the residualizing label
dilactitol-I-125-tyramine (I-DLT) in order to identify their tissue s
ites of catabolism in the rat. The rapid plasma clearance of hirudin a
fter intravenous injection was unaffected by I-DLT labelling, and by
2 h 6 % or less of the injected dose remained in the blood. The majori
ty (80.3 +/- 4.0 %, n = 2) of I-DLT-hirudin radioactivity recovered i
n tissues was found in kidney, and kidney was also at least 150 times
more active in taking up hirudin, on a weight basis, than any other ti
ssue examined (liver, spleen, skin, muscle, intestine, fat, lung). I-
DLT-hirudin which bound to thrombin was isolated by chromatography on
concanavalin A-Sepharose; hirudin itself does not bind to concanavalin
A. Radioactivity from thrombin-I-DLT-hirudin was precipitable by ant
i-thrombin antibody and I-DLT-thrombin-hirudin was precipitable by an
ti-hirudin antibody. By 1 h after injection of labelled thrombin-hirud
in complexes, the recoveries of radioactivity from hirudin and thrombi
n in liver were comparable (38.6 +/- 3.0 and 36.4 +/- 4.1 % n = 3), wh
ereas more radioactivity was recovered in kidney from hirudin than fro
m thrombin (27.6 +/- 8.7 compared with 13.6 +/- 4.5 %) and less was re
covered in lung (0.4 +/- 0.2 compared with 17.7 +/- 2.9 %). We conclud
e that hirudin is catabolized predominantly in kidney, whereas the thr
ombin-hirudin complex is catabolized by both liver and kidney.