Kuiper J, Van't Hof A, Otter M, Biessen E A, Rijken D C, van Berkel T J
Division of Biopharmaceutics, Leiden/Amsterdam Center for Drug Research, Sylvius laboratory, The Netherlands.
Biochem J. 1996 Feb 1;313 ( Pt 3)(Pt 3):775-80. doi: 10.1042/bj3130775.
The fibrin-specific thrombolyticum tissue-type plasminogen activator (t-PA) has proven to be a potent drug in several clinical trials, but its clinical application is complicated by the rapid clearance of t-PA from the circulation. The rapid plasma clearance of t-PA results from the uptake of t-PA in the liver. t-PA consists of several domains which may be involved in the interaction with the liver. Three domain-deletion mutants, which were produced by the use of a cassette gene system, were studied in vivo and in vitro for their capacity to bind to the various types of rat liver cells. The three mutants lacked, in comparison to control t-PA, the epidermal growth factor (G) domain, the finger (F) domain or the G domain plus the first kringle (K1). The plasma clearance of the three mutants was slower than that of control t-PA. The slower plasma clearance resulted from a decreased liver uptake: 50 and 80% for t-PA mutants and control t-PA respectively. It was found that the K1 domain was of major importance for the uptake of t-PA by liver endothelial cells in vivo and in vitro. The high-affinity binding of t-PA (and t-PA mutants) to parenchymal liver cells depended largely on the presence of the G domain. Other domain(s), like the F, K2 or protease domain, may be responsible for low-affinity, t-PA-specific binding to rat parenchymal liver cells.
纤维蛋白特异性溶栓剂组织型纤溶酶原激活物(t-PA)在多项临床试验中已被证明是一种有效的药物,但其临床应用因t-PA从循环中迅速清除而变得复杂。t-PA在血浆中迅速清除是由于肝脏对t-PA的摄取。t-PA由几个结构域组成,这些结构域可能参与与肝脏的相互作用。利用盒式基因系统产生的三个结构域缺失突变体在体内和体外研究了它们与各种类型大鼠肝细胞结合的能力。与对照t-PA相比,这三个突变体分别缺少表皮生长因子(G)结构域、指状(F)结构域或G结构域加第一个kringle(K1)结构域。这三个突变体的血浆清除速度比对照t-PA慢。血浆清除速度较慢是由于肝脏摄取减少所致:t-PA突变体和对照t-PA分别为50%和80%。研究发现,K1结构域在体内和体外对肝内皮细胞摄取t-PA起着至关重要的作用。t-PA(和t-PA突变体)与肝实质细胞的高亲和力结合很大程度上取决于G结构域的存在。其他结构域,如F、K2或蛋白酶结构域,可能负责t-PA与大鼠肝实质细胞的低亲和力、特异性结合。