Development of direct thrombin inhibitors in comparison with glycosaminoglycans

The progress in molecular biology has stimulated interest in the structure and function of thrombin. It has improved the understanding of its central role in thrombogenesis and has clarified the molecular events of inhibitor binding. This development has resulted in the production of recombinant hir udins and the design of hirudin analogues. It has also allowed the molecula r design of synthetic antithrombins and encouraged the development of these products for clinical use. All pharmacological aspects speak in favor of t he use of the direct thrombin inhibitors as antithrombotic agents, especial ly in the potential indications in which thrombin plays a crucial rote in t he pathogenesis. If their apparent advantages in comparison to glycosaminog lycans can be shown effectively, the direct thrombin inhibitors may become the drug of choice for certain indications.