Evidence map›Paper›PMID 26748875›Full record

ArticleJournal of thrombosis and haemostasis : JTH2016

Allosterism-based simultaneous, dual anticoagulant and antiplatelet action: allosteric inhibitor targeting the glycoprotein Ibα-binding and heparin-binding site of thrombin.

A Y Mehta, B M Mohammed, E J Martin, D F Brophy, D Gailani, U R Desai

Open access · bronzeAbstract read
In one paragraph

Article in Journal of thrombosis and haemostasis : JTH, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
3.6field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 44 citations in OpenAlex.

  1. Lignins and Their Derivatives with Beneficial Effects on Human Health.International journal of molecular sciences · 2017
    Pooled it
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  8. Murine Models in the Evaluation of Heparan Sulfate-Based Anticoagulants.Methods in molecular biology (Clifton, N.J.) · 2022
    Article
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  10. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 2 countries.

A Y MehtaDepartment of Medicinal Chemistry and Institute for Structural Biology, Drug Discovery and Development, Virginia Commonwealth University, Richmond, VA, USA.
B M MohammedDepartment of Pharmacotherapy and Outcomes Science, Virginia Commonwealth University, Richmond, VA, USA.
E J MartinDepartment of Pharmacotherapy and Outcomes Science, Virginia Commonwealth University, Richmond, VA, USA.
D F BrophyDepartment of Pharmacotherapy and Outcomes Science, Virginia Commonwealth University, Richmond, VA, USA.
D GailaniDepartment of Pathology, Immunology and Microbiology, Vanderbilt University Medical Center, Nashville, TN, USA.
U R DesaiDepartment of Medicinal Chemistry and Institute for Structural Biology, Drug Discovery and Development, Virginia Commonwealth University, Richmond, VA, USA.
Virginia Commonwealth University · USCairo University · EGVanderbilt University Medical Center · US

Funding

Therapeutic assessment of synthetic heparin sulfates in transplantation modelsP01HL107152 · NHLBI · VIRGINIA COMMONWEALTH UNIVERSITY · PI DESAI, UMESH RAMANLAL · 2011 to 2017
$15.8M
Dual Direct Inhibitors of Thrombin and Factor XaR01HL090586 · NHLBI · VIRGINIA COMMONWEALTH UNIVERSITY · PI DESAI, UMESH RAMANLAL · 2009 to 2018
$3.9M
Advanced Skills Development in Glyco-Hematology and Glyco-OncologyR25HL128639 · NHLBI · VIRGINIA COMMONWEALTH UNIVERSITY · PI DESAI, UMESH RAMANLAL · 2015 to 2019
$613k
NHLBI NIH HHS P01 HL107152NHLBI NIH HHS R01 HL090586NHLBI NIH HHS R25 HL128639
6 · The paper itself

Abstract

backgroundAllosteric inhibition is a promising approach for developing a new group of anticoagulants with potentially reduced bleeding consequences. Recently, we designed sulfated β-O4 lignin (SbO4L) as an allosteric inhibitor that targets exosite 2 of thrombin to reduce fibrinogen cleavage through allostery and compete with glycoprotein Ibα to reduce platelet activation.

objectiveTo assess: (i) the antithrombotic potential of a novel approach of simultaneous exosite 2-dependent allosteric inhibition of thrombin and competitive inhibition of platelet activation; and (ii) the promise of SbO4L as the first-in-class antithrombotic agent.

methodsA combination of whole blood thromboelastography, hemostasis analysis, mouse arterial thrombosis models and mouse tail bleeding studies were used to assess antithrombotic potential. RESULTS AND

conclusionsSbO4L extended the clot initiation time, and reduced maximal clot strength, platelet contractile force, and the clot elastic modulus, suggesting dual anticoagulant and antiplatelet effects. These effects were comparable to those observed with enoxaparin. A dose of 1 mg of SbO4L per mouse prevented occlusion in 100% of arteries, and lower doses resulted in a proportionally reduced response. Likewise, the time to occlusion increased by ~ 70% with a 0.5-mg dose in the mouse Rose Bengal thrombosis model. Finally, tail bleeding studies demonstrated that SbO4L does not increase bleeding propensity. In comparison, a 0.3-mg dose of enoxaparin increased the bleeding time and blood volume loss. Overall, this study highlights the promise of the allosteric inhibition approach, and presents SbO4L as a novel anticoagulant with potentially reduced bleeding side effects.

Indexed as

Allosteric SiteAnimalsAnticoagulantsBinding SitesBleeding TimeBlood CoagulationBlood Coagulation TestsComputer SimulationEnoxaparinFibrinolytic AgentsHemorrhageHemostasisHeparinHumansHydrolysisLigninAnticoagulantsEnoxaparinFibrinolytic AgentsHeparinLigninPlatelet Aggregation InhibitorsPlatelet Glycoprotein GPIb-IX ComplexThrombinallosteric regulationanticoagulant agentsantiplatelet agentsblood coagulationglycoprotein Ibthrombin

Identifiers

PMID26748875
PMCPMC4828251
OpenAlexW2229542251

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.