It was shown for the first time that p-aminobenzoic acid (PABA), in additio
n to the previously described fibrinolytic activity, exerts the properties
of a direct anticoagulant both in vitro and in vivo. PABA not only displays
antithrombin activity, but also inhibits activated factor X and, upon intr
avenous injection to rats and rabbits, shows the antithrombotic effect. The
most pronounced antithrombotic affect was observed at a dose of 1.5 mg/kg.
PABA at 0.5 mg/kg has insignificant efficacy and at 3 mg/kg, a high effica
cy, but induces hemolysis of erythrocytes in about a half of cases. Equally
efficient antithrombotic activity of blood plasma of rats was noted after
intravenous injection of low molecular weight heparin "Fraxiparin" at 40 an
ti-Xa U/kg and PABA at 25 anti-Xa U/kg (1.5 mg/kg). Unlike "Fraxiparin". wh
ich exerts on immediate effect, the effect of PABA was expressed within 1.5
to 5 h after injection with a peak of antithrombotic activity at 3 h (whic
h correlates with anti-IIa and anti-Xa activities of plasma) and terminated
by 5 h after injection. For PABA, the ratio of anti-Xa to anti-IIa activit
ies (an important parameter, which determines the antithrombotic potential
of drugs) equals 2.4. PABA at 0.5 or 1.5 mg/kg did not affect the number of
thrombocytes, while at 3 mg/kg, it decreased the number of thrombocytes by
20%. Thus PABA at 1.5 mg/kg, which has a high anticoagulant activity and d
oes not cause side effects, is most interesting for further studies.