Department of Surgical Research and Techniques, Faculty of Medicine, Semmelweis University, Budapest, Hungary.
Nanomedicine Research and Education Center, Semmelweis University, Budapest, Hungary; SeroScience Ltd., Budapest, Hungary.
Nanomedicine. 2015 Nov;11(8):2025-31. doi: 10.1016/j.nano.2015.01.001. Epub 2015 Jan 15.
Intra-operative and postoperative bleeding is a major concern in surgical procedures for patients taking anticoagulant medications, or where anticoagulants are used to prevent potential life-threatening embolic complications. Heparin is the anticoagulant used most frequently and has an immediate effect on blood clotting, lasting 4 to 6h. Although synthetic self-assembling peptides have been shown to achieve rapid hemostasis in small animals, none have adequately addressed the potential for hemostasis in the presence of anticoagulant therapy in-vivo. Our goal was to investigate the hemostatic activity of a known synthetic self-assembling peptide in animals treated and untreated with heparin anticoagulation therapy. Using a rat liver puncture model, animals were treated with known synthetic peptide AC5 Surgical Hemostatic Device™, or saline controls. Time-to-hemostasis and coagulation times were recorded in both heparinized and non-heparinized animals. Here we show that AC5™ was able to achieve rapid hemostasis equivalently in both heparinized and non-heparinized animals.
Intra-operative and postoperative bleeding is a major concern in surgical procedures for patients taking anticoagulant medications. In this work the effective hemostasis was demonstrated both in heparinized and non-heparinized animals using self-assembling peptides.
术中及术后出血是接受抗凝药物治疗或使用抗凝剂预防潜在危及生命的栓塞并发症的患者手术过程中的主要关注点。肝素是最常使用的抗凝剂,对血液凝固有即刻作用,持续 4 至 6 小时。尽管已证明合成自组装肽可在小动物中实现快速止血,但没有一种方法能充分解决体内存在抗凝治疗时的止血问题。我们的目标是研究一种已知的合成自组装肽在接受和未接受肝素抗凝治疗的动物中的止血活性。使用大鼠肝穿刺模型,用已知的合成肽 AC5 手术止血装置或生理盐水对照处理动物。记录肝素化和非肝素化动物的止血时间和凝血时间。在这里,我们证明 AC5 在肝素化和非肝素化动物中均能实现快速止血。
术中及术后出血是接受抗凝药物治疗的患者手术过程中的主要关注点。本研究使用自组装肽在肝素化和非肝素化动物中均证明了有效的止血效果。