C. Fioravanti et al., ANTITHROMBOTIC ACTIVITY OF RECOMBINANT TICK ANTICOAGULANT PEPTIDE ANDHEPARIN IN A RABBIT MODEL OF VENOUS THROMBOSIS, Thrombosis research, 71(4), 1993, pp. 317-324
An in vivo rabbit model of venous thrombosis which includes physiologi
cal blood flow was used to compare the efficacy of the potent and spec
ific factor Xa inhibitor recombinant tick anticoagulant peptide (rTAP)
with standard heparin in the prevention of venous thrombus formation.
In anesthetized rabbits, an autologous thrombus was induced with thro
mbin in a jugular vein and the increase in thrombus size was determine
d by measuring the accretion of intravenously injected [I-125]fibrin(o
gen) onto the developing thrombus. The effects of rTAP on hemostasis w
ere monitored by changes in APTT values and template bleeding times. I
nhibition of thrombus formation by an intravenous bolus followed by in
fusion of either rTAP or heparin exhibited a dose-response relationshi
p with an IC50 of 0.9 mug/kg/min and 0.12 units/kg/min, respectively.
At the IC50 doses, both rTAP and heparin inhibited fibrin(ogen) deposi
tion without any significant effect on APTT or bleeding times. Bleedin
g times were modestly elevated at the fully efficacious doses of rTAP
and heparin. Significant changes in APFT (1.9 +/- 0.3 fold over baseli
ne) were only evident at the highest dose of rTAP while heparin caused
a significant dose-dependent increase froin 1.3 +/- 0.2 to greater th
an 4.2 +/- 0.6 fold over baseline. Therefore, in this rabbit model of
venous thrombosis, specific inhibition of factor Xa by rTAP is an effe
ctive antithrombotic mechanism that does not require changes in system
ic hemostatic parameters.