Ito Yusuke, Noguchi Kengo, Morishima Yoshiyuki, Yamaguchi Kyoji
Rare Disease & LCM Laboratories.
Pharmacovigilance Department.
Blood Coagul Fibrinolysis. 2018 Apr;29(3):314-321. doi: 10.1097/MBC.0000000000000723.
: No rodent models are currently available for evaluating inhibitors of the activated form of thrombin-activatable fibrinolysis inhibitor (TAFIa) without exogenous supplementation of tissue-type plasminogen activator (tPA). Characterization of tPA transgenic rats as a tool for the nonclinical evaluation of TAFIa inhibitors is the objective of the current study. tPA transgenic rats were subjected to rat models of tissue-factor-induced thromboembolism, FeCl3-induced deep vein thrombosis (DVT) and arterial thrombosis, and tail bleeding. Potato tuber carboxypeptidase inhibitor (PCI), a selective TAFIa inhibitor, was used as an experimental compound at doses of 0.1, 1, or 10 mg/kg, and its antithrombotic effects and bleeding prolongation effect were compared with nontransgenic rats. Intravenous PCI showed significant and dose-related increase in plasma D-dimer levels in the tissue-factor-induced thromboembolism model. Intravenous PCI also significantly and dose-dependently reduced thrombus weights in the two thrombosis models only in the tPA transgenic rats. These results suggest that sensitive in-vivo evaluation of TAFIa inhibitors can be achieved using tPA transgenic rats without exogenous supplementation of recombinant tPA. On the other hand, no statistically significant prolongation of bleeding times by PCI was observed in either strain, whereas increased bleeding times were observed with 10 mg/kg of intravenous recombinant tPA, suggesting that the low bleeding risk of TAFIa inhibitors is further confirmed in the tPA transgenic rats whose basal tPA levels are elevated. tPA transgenic rats may be beneficial for the pharmacological and toxicological evaluation of TAFIa inhibitors and further confirm that TAFIa is a promising target for various thrombotic disorders.
目前尚无啮齿动物模型可用于在不额外补充组织型纤溶酶原激活剂(tPA)的情况下评估凝血酶激活的纤维蛋白溶解抑制剂(TAFIa)的活化形式的抑制剂。将tPA转基因大鼠表征为TAFIa抑制剂非临床评估的工具是本研究的目的。tPA转基因大鼠被用于组织因子诱导的血栓栓塞、FeCl3诱导的深静脉血栓形成(DVT)和动脉血栓形成以及尾部出血的大鼠模型。马铃薯块茎羧肽酶抑制剂(PCI),一种选择性TAFIa抑制剂,以0.1、1或10mg/kg的剂量用作实验化合物,并将其抗血栓作用和出血延长作用与非转基因大鼠进行比较。在组织因子诱导的血栓栓塞模型中,静脉注射PCI显示血浆D-二聚体水平显著且呈剂量相关增加。静脉注射PCI也仅在tPA转基因大鼠的两种血栓形成模型中显著且剂量依赖性地降低了血栓重量。这些结果表明,使用tPA转基因大鼠无需额外补充重组tPA即可实现对TAFIa抑制剂的灵敏体内评估。另一方面,在两种品系中均未观察到PCI对出血时间有统计学意义的延长,而静脉注射10mg/kg重组tPA则观察到出血时间延长,这表明在基础tPA水平升高的tPA转基因大鼠中进一步证实了TAFIa抑制剂的低出血风险。tPA转基因大鼠可能有助于TAFIa抑制剂的药理和毒理学评估,并进一步证实TAFIa是各种血栓性疾病的一个有前景的靶点。