Cardiovascular Research Institute, Section of Hemostasis and Thrombosis, 25815Loyola University Medical Center, Maywood, IL, USA.
Program in Health Sciences, 16728UCAM - Universidad Católica San Antonio de Murcia, Murcia, Spain.
Clin Appl Thromb Hemost. 2023 Jan-Dec;29:10760296231163251. doi: 10.1177/10760296231163251.
Bovine and ovine mucosa represent alternate anticoagulants to porcine mucosa for production of unfractionated heparin (UFH). Standardized heparins from various sources can be blended and potency adjusted, blended heparins exhibit comparable effects as single-sourced porcine UFH. This study evaluated the pharmacologic profile of blended heparin and compared their activities to that of single sourced porcine, ovine, and bovine heparins. The anticoagulant effects of gravimetric and potency-adjusted heparins were evaluated with aPTT, TT, anti-Xa, anti-IIa, ACT, and TGA studies. Protamine sulfate studies were used for neutralization potential of each of the individual heparins. The potency-adjusted heparins demonstrated comparable aPTT, TT, anti-Xa, anti-IIa, and ACT values at all concentrations (U/mL). However, in gravimetric studies, bovine heparin consistently showed lower values with the exception of thrombin generation inhibition studies. The protamine sulfate neutralization studies demonstrated complete neutralization at all concentrations for the potency-adjusted heparins. However, at gravimetric concentrations, minor differences were noted in the neutralization profile in each of these heparins. These studies support the hypothesis that blended heparin from bovine, ovine, and porcine tissue, when standardized in unit-equivalent proportions, exhibits a comparable anticoagulant profile to the single species derived heparins.
牛和羊的黏膜是比猪黏膜更好的未分级肝素(UFH)生产用抗凝剂。不同来源的标准化肝素可以混合并调整效价,混合肝素的效果与单一来源的猪源 UFH 相当。本研究评估了混合肝素的药理学特征,并将其与单一来源的猪、羊和牛肝素的活性进行了比较。使用 aPTT、TT、抗 Xa、抗 IIa、ACT 和 TGA 研究评估了重量和效价调整肝素的抗凝效果。硫酸鱼精蛋白研究用于研究每种肝素的中和潜力。效价调整肝素在所有浓度(U/mL)下均显示出相似的 aPTT、TT、抗 Xa、抗 IIa 和 ACT 值。然而,在重量研究中,除了凝血酶生成抑制研究外,牛源肝素始终显示出较低的值。硫酸鱼精蛋白中和研究表明,在所有浓度下,效价调整肝素均可完全中和。然而,在重量浓度下,这些肝素的中和谱存在微小差异。这些研究支持以下假设:当以单位等效比例标准化时,来自牛、羊和猪组织的混合肝素表现出与单一物种来源的肝素相当的抗凝谱。