Laboratory of Biopharmaceutics and Molecular Pharmacology, School of Pharmaceutical Sciences, Hainan University, Haikou, China.
The First Department of Gastrointestinal Surgery, Hainan General Hospital, Haikou, China.
Br J Pharmacol. 2022 Jul;179(14):3740-3753. doi: 10.1111/bph.15816. Epub 2022 Mar 15.
Hirudin variants are the most powerful thrombin inhibitors discovered to date, with a lower risk of bleeding than heparin. For anticoagulation, the C-termini of hirudin variants bind to the exocite I of thrombin. Anticoagulant effects of gene-recombinant hirudin are weaker than natural hirudin for the reason of lacking tyrosine O-sulfation at C-terminus.
An integrative pharmacological study was carried out using molecular dynamic, molecular biological and in vivo and in vitro experiments to elucidate the anticoagulant effects of protein-engineered hirudins.
Molecular dynamic analysis showed that modifications of the C-termini of hirudin variant 1 of Hirudo medicinalis (HV1) and hirudin variant 2 of Hirudinaria manillensis (HM2) changed the binding energy of the C-termini to human thrombin. The study indicated that Asp61 of HM2 that corresponds to sulfated Tyr63 of HV1 is critical for inhibiting thrombin activities. Further, the anticoagulant effects of HV1 and HM2 were improved when the amino acid residues adjacent to Asp61 were mutated to Asp. These improvements were prolongation of the activated partial thromboplastin time, prothrombin time and thrombin time of human blood, and decreased K and IC values. In the in vivo experiments, mutations at C-termini of HV1 and HM2 significantly changed partial thromboplastin time, prothrombin and thrombin time CONCLUSION AND IMPLICATIONS: The study indicated that the anticoagulant effects of gene-engineered HM2 are stronger than gene-engineered HV1 and HM2-E60D-I62D has the strongest effects and could be an antithrombotic with better therapeutic effects.
水蛭素变体是迄今为止发现的最强的凝血酶抑制剂,其出血风险低于肝素。对于抗凝,水蛭素变体的 C 末端与凝血酶的外激肽 I 结合。由于 C 末端缺乏酪氨酸 O-硫酸化,基因重组水蛭素的抗凝作用比天然水蛭素弱。
采用分子动力学、分子生物学以及体内和体外实验的综合药理学研究方法,阐明了基因工程水蛭素的抗凝作用。
分子动力学分析表明,水蛭素变体 1(HV1)和水蛭素变体 2(HM2)的 C 末端修饰改变了 C 末端与人类凝血酶的结合能。研究表明,HM2 中的 Asp61 对应 HV1 中的硫酸化 Tyr63 对于抑制凝血酶活性至关重要。此外,当 Asp61 附近的氨基酸残基突变为 Asp 时,HV1 和 HM2 的抗凝作用得到改善。这些改善表现为延长人血的活化部分凝血活酶时间、凝血酶原时间和凝血时间,以及降低 K 和 IC 值。在体内实验中,HV1 和 HM2 的 C 末端突变显著改变了部分凝血活酶时间、凝血酶原和凝血酶时间。
研究表明,基因工程 HM2 的抗凝作用强于基因工程 HV1,并且 HM2-E60D-I62D 的作用最强,可能是一种具有更好治疗效果的抗血栓形成药物。