ArticleACS omega2026
Pentosan Polysulfate and Heparin Exhibit Comparable Interactions with Platelet Factor 4, Suggesting a Potential Risk of Thrombocytopenia.
Article in ACS omega, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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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.
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Authors and funding
9 authors.
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Abstract
Pentosan polysulfate (PPS) is an approved drug for the treatment of interstitial cystitis in humans and osteoarthritis in animals. This semisynthetic highly sulfated polysaccharide shares structural similarities with heparin and also interacts with platelet factor 4 (PF4), the key protein implicated in thrombocytopenia, a serious side effect of heparin administration. Thrombocytopenia arises from an immune response to structural features of multimeric complexes of heparin and PF4, although the prediction of disease progression in patients is complicated by the variable polyclonal and polyspecific response. The potential risk of provoking a similar response to PPS or materials derivatized with PPS, which could include subcutaneous or intravenous applications for other therapeutic goals, therefore needs to be assessed. In the absence of a clear proxy measurement for the risk of PPS to induce HIT, the ability of PPS and its fractions to interact with PF4 was examined from a broad structural perspective, employing orthogonal techniques, which were compared with unfractionated heparins (UFHs) and low-molecular-weight heparins (LMWHs). Zeta potential analysis, isothermal titration microcalorimetry, and circular dichroism showed that PPS interacts with PF4 in a manner dependent on its molecular weight, exhibiting behavior intermediate between that of LMHW and UFH. The interaction of PPS size-separated fractions with PF4 also exhibited a dependence on
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