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1.
Front Med (Lausanne) ; 5: 346, 2018.
Artículo en Inglés | MEDLINE | ID: mdl-30619858

RESUMEN

Heparin is a widely-used intravenous anticoagulant comprising a complex mixture of highly-sulfated linear polysaccharides of repeating sequences of uronic acids (either iduronic or glucuronic) 1->4 linked to D-glucosamine with specific sulfation patterns. Preparation of crude heparin from mammalian mucosa involves protease digestion with alcalase under basic conditions (pH ≥ 9) and high temperature (>50°C) and also oxidation. Under such conditions, side reactions including the ubiquitous 2-O desulfation occur on the heparin backbone yielding non-endogenous disaccharides within polysaccharide chains. Whatever the process used for its manufacture, some level of corresponding degradation impurities is therefore expected to be found in heparin and the derived Low Molecular Weight Heparins. These impurities should be monitored to control the quality of the final therapeutic product. Two anion exchange chromatography techniques were used to analyze heparin samples exhaustively or partially depolymerized with heparinases and determine the proportions of non-endogenous disaccharides generated by side reactions during the manufacturing process (epoxides and galacturonic moieties). We also present data from a case study of marketed heparin. Current heparin sodium monographs do not directly address process impurities related to modification of the structure of heparin. Although desulfation reduces the overall biological potency, we found that heparin with an average of one modified disaccharide per chain can still comply with the USP or Ph. Eur. heparin sodium monographs requirements. We have implemented disaccharide analysis to monitor the quality of this product on a risk basis.

2.
Molecules ; 22(3)2017 Mar 08.
Artículo en Inglés | MEDLINE | ID: mdl-28282887

RESUMEN

Low Molecular Weight Heparins (LMWH) are complex anticoagulant drugs that mainly inhibit the blood coagulation cascade through indirect interaction with antithrombin. While inhibition of the factor Xa is well described, little is known about the polysaccharide structure inhibiting thrombin. In fact, a minimal chain length of 18 saccharides units, including an antithrombin (AT) binding pentasaccharide, is mandatory to form the active ternary complex for LMWH obtained by alkaline ß-elimination (e.g., enoxaparin). However, the relationship between structure of octadecasaccharides and their thrombin inhibition has not been yet assessed on natural compounds due to technical hurdles to isolate sufficiently pure material. We report the preparation of five octadecasaccharides by using orthogonal separation methods including size exclusion, AT affinity, ion pairing and strong anion exchange chromatography. Each of these octadecasaccharides possesses two AT binding pentasaccharide sequences located at various positions. After structural elucidation using enzymatic sequencing and NMR, in vitro aFXa and aFIIa were determined. The biological activities reveal the critical role of each pentasaccharide sequence position within the octadecasaccharides and structural requirements to inhibit thrombin. Significant differences in potency, such as the twenty-fold magnitude difference observed between two regioisomers, further highlights the importance of depolymerisation process conditions on LMWH biological activity.


Asunto(s)
Heparina de Bajo-Peso-Molecular/química , Oligosacáridos/química , Oligosacáridos/farmacología , Trombina/antagonistas & inhibidores , Trombina/química , Cromatografía Liquida , Activación Enzimática/efectos de los fármacos , Espectrometría de Masas , Peso Molecular , Oligosacáridos/aislamiento & purificación , Espectroscopía de Protones por Resonancia Magnética , Relación Estructura-Actividad
3.
J Pharm Biomed Anal ; 129: 542-550, 2016 Sep 10.
Artículo en Inglés | MEDLINE | ID: mdl-27497655

RESUMEN

Enoxaparin sodium, a low-molecular-weight heparin (LMWH) prepared from porcine intestinal heparin, is widely used for the prevention and treatment of venous thromboembolism. The antithrombotic activity of heparin is mediated mainly through its activation of antithrombin (AT) and subsequent inhibition of coagulation factors. Heparin is a complex heteropolymer and the sulfation pattern of its alternating uronic acid and glucosamine sugar units is a major factor influencing its biological activity. The manufacturing process itself is associated with the introduction of exogenous microheterogeneities that may further affect its biological efficacy. This is important since enoxaparin is prepared by depolymerizing the heparin with the aim of optimizing its biological activity and safety. Changes during its manufacture could thus affect its biological activity and safety. The current study was performed to assess potential differences between the originator enoxaparin and a new generic enoxaparin commercialized by Teva. Heparinase digestion, AT affinity chromatography, gel permeation chromatography, anion exchange chromatography, and nuclear magnetic resonance methodologies were used. The results indicated differences in oligosaccharides related to the cleavage selectivity around the heparin AT-binding sequences of the Teva Enoxaparin Sodium Injection, USP and the originator Sanofi enoxaparin. These differences influence the strength of the AT-binding affinity of the individual oligosaccharides, their ability to activate AT and, therefore, the inhibitory potency on the proteases of the coagulation cascade. This study, together with other published analytical reports, describes specific compositional differences between generics and originator LWMHs. However, it is yet to be established whether such variations might have any clinical relevance.


Asunto(s)
Antitrombinas/química , Antitrombinas/farmacología , Medicamentos Genéricos/química , Enoxaparina/química , Enoxaparina/farmacología , Anticoagulantes/química , Cromatografía de Afinidad/métodos , Cromatografía en Gel/métodos , Heparina de Bajo-Peso-Molecular/química , Espectroscopía de Resonancia Magnética/métodos , Oligosacáridos/química
4.
Nat Biotechnol ; 34(6): 625-30, 2016 06 09.
Artículo en Inglés | MEDLINE | ID: mdl-27281424

RESUMEN

The contamination of the widely used lifesaving anticoagulant drug heparin in 2007 has drawn renewed attention to the challenges that are associated with the characterization, quality control and standardization of complex biological medicines from natural sources. Heparin is a linear, highly sulfated polysaccharide consisting of alternating glucosamine and uronic acid monosaccharide residues. Heparin has been used successfully as an injectable antithrombotic medicine since the 1930s, and its isolation from animal sources (primarily porcine intestine) as well as its manufacturing processes have not changed substantially since its introduction. The 2007 heparin contamination crisis resulted in several deaths in the United States and hundreds of adverse reactions worldwide, revealing the vulnerability of a complex global supply chain to sophisticated adulteration. This Perspective discusses how the US Food and Drug Administration (FDA), the United States Pharmacopeial Convention (USP) and international stakeholders collaborated to redefine quality expectations for heparin, thus making an important natural product better controlled and less susceptible to economically motivated adulteration.


Asunto(s)
Contaminación de Medicamentos/legislación & jurisprudencia , Contaminación de Medicamentos/prevención & control , Salud Global/legislación & jurisprudencia , Heparina/normas , Farmacopeas como Asunto/normas , Vigilancia de Productos Comercializados/normas , Salud Global/normas , Regulación Gubernamental , Legislación de Medicamentos , Guías de Práctica Clínica como Asunto , Estados Unidos , United States Food and Drug Administration/legislación & jurisprudencia
5.
J Pharm Biomed Anal ; 115: 431-42, 2015 Nov 10.
Artículo en Inglés | MEDLINE | ID: mdl-26280926

RESUMEN

Low-molecular-weight heparins (LMWHs) are complex anticoagulant drugs, made from heparin porcine mucosa starting material. Enoxaparin sodium manufactured by Sanofi is one of the most widely prescribed LMWHs and has been used since 1993 in the USA. In 2010, US Food and Drug Administration approval for supplying generic enoxaparin was granted to Sandoz and subsequently to Amphastar. Little is known, however, of the differences in composition of these preparations. In this study, samples from several batches of generic enoxaparins were purchased on the US market and analyzed with state of the art methodologies, including disaccharide building blocks quantification, nuclear magnetic resonance (NMR), and a combination of orthogonal separation techniques. Direct high-performance liquid chromatography analysis of the different enoxaparin batches revealed distinct process fingerprints associated with each manufacturer. Disaccharide building block analysis showed differences in the degree of sulfation, the presence of glycoserine derivatives, as well as in proportions of disaccharides. Results were compared by statistical approaches using multivariate analysis with a partial least squares discriminant analysis methodology. The variations were statistically significant and allowed a clear distinction to be made between the enoxaparin batches according to their manufacturer. These results were further confirmed by orthogonal analytical techniques, including NMR, which revealed compositional differences of oligosaccharides both in low- and high-affinity antithrombin fractions of enoxaparin.


Asunto(s)
Anticoagulantes/análisis , Medicamentos Genéricos/análisis , Enoxaparina/análisis , Modelos Estadísticos , Química Farmacéutica , Cromatografía Líquida de Alta Presión , Disacáridos/análisis , Análisis Discriminante , Análisis de los Mínimos Cuadrados , Espectroscopía de Resonancia Magnética , Análisis Multivariante , Control de Calidad , Sulfatos/análisis , Tecnología Farmacéutica/métodos , Estados Unidos
6.
Clin Appl Thromb Hemost ; 21(3): 211-22, 2015 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-25525049

RESUMEN

Low-molecular-weight heparins (LMWHs) have several positive therapeutic effects and can also form immunostimulatory complexes with plasma proteins, such as platelet factor 4 (PF4). We compared the innate response and functional profiles of branded and US-generic enoxaparins from 2 manufacturers in either native or PF4-bound forms in an in vitro model of human immunity. In an analysis of 2 product lots from each manufacturer and multiple separate batches of protein-heparin complexes, branded enoxaparin was shown to be consistently nonstimulatory for innate responses, whereas US-generic enoxaparins generated variable immunostimulatory profiles depending on the enoxaparin lot used to prepare the PF4-LMWH complexes. Production of tissue factor pathway inhibitor (TFPI), a physiologic heparin-induced inhibitor of tissue factor-induced coagulation that was used as a functional readout of biological activity of enoxaparins in these assays, was heightened in the presence of branded enoxaparin complexes, but its levels were variable in cultures treated with complexes containing US-generic enoxaparins. Analytical analyses suggest that the heightened immunostimulatory potential of some of the US-generic enoxaparin product lots could be tied to their capacity to form ultra-large and/or more stable complexes with PF4 than the other LMWHs included in this study. Although these distinct biological and analytical profiles might be related to the composition and/or consistency of branded and US-generic enoxaparins included in our data set, further studies are warranted to elucidate the pathophysiological relevance of these in vitro findings.


Asunto(s)
Anticoagulantes , Complejo Antígeno-Anticuerpo/inmunología , Medicamentos Genéricos/farmacocinética , Enoxaparina , Modelos Inmunológicos , Factor Plaquetario 4/inmunología , Anticoagulantes/inmunología , Anticoagulantes/farmacocinética , Enoxaparina/inmunología , Enoxaparina/farmacocinética , Femenino , Humanos , Lipoproteínas/inmunología , Masculino
7.
Bioorg Med Chem Lett ; 24(23): 5357-63, 2014 Dec 01.
Artículo en Inglés | MEDLINE | ID: mdl-25455482

RESUMEN

Antibody-drug conjugates (ADCs) consist of cytotoxic drugs covalently linked to monoclonal antibodies directed to antigens differentially overexpressed in tumor cells. These loaded antibodies are expected to selectively deliver lethal cargoes to tumor cells and provide sustained clinical benefit to pre-selected cancer patients while, at the same time, minimizing systemic toxicity. Although on-target adverse events are not completely avoided and the true efficacy of these innovative agents still requires further clarification, proof-of-concept has already been achieved in clinical settings with immunoconjugates containing calicheamicin, auristatin or maytansine-based cytotoxic payloads. In this present article we review the characteristics of the preceding cytotoxic platforms and their chemical conjugation approaches.


Asunto(s)
Anticuerpos Monoclonales/metabolismo , Neoplasias/tratamiento farmacológico , Productos Biológicos , Humanos , Estructura Molecular
8.
Glycoconj J ; 31(6-7): 409-16, 2014 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-25145542

RESUMEN

Heparin-antithrombin interaction is one of the most documented examples of heparin/protein complexes. The specific heparin sequence responsible for the binding corresponds to a pentasaccharide sequence with an internal 3-O-sulfated glucosamine residue. Moreover, the position of the pentasaccharide along the chain as well as the structure of the neighbor units affects the affinity to antithrombin. The development of separation and purification techniques, in conjunction with physico-chemical approaches (mostly NMR), allowed to characterize several structural variants of antithrombin-binding oligosaccharides, both in the free state and in complex with antithrombin. The article provides an overview of the studies that lead to the elucidation of the mechanism of interaction as well as acquiring new knowledge in heparin biosynthesis.


Asunto(s)
Antitrombinas/metabolismo , Oligosacáridos/metabolismo , Conformación de Carbohidratos , Espectroscopía de Resonancia Magnética , Oligosacáridos/química , Resonancia por Plasmón de Superficie
9.
Anal Biochem ; 453: 7-15, 2014 May 15.
Artículo en Inglés | MEDLINE | ID: mdl-24561026

RESUMEN

Heparin and low-molecular-weight heparins (LMWHs) are anticoagulant drugs that mainly inhibit the coagulation cascade by indirectly interacting with factor Xa and factor IIa (thrombin). Inhibition of factor Xa by antithrombin (AT) requires the activation of AT by specific pentasaccharide sequences containing 3-O-sulfated glucosamine. Activated AT also inhibits thrombin by forming a stable ternary complex of AT, thrombin, and a polysaccharide (requires at least an 18-mer/octadeca-mer polysaccharide). The full structure of any naturally occurring octadecasaccharide sequence has yet to be determined. In the context of the development of LMWH biosimilars, structural data on such important biological mediators could be helpful for better understanding and regulatory handling of these drugs. Here we present the isolation and identification of an octadecasaccharide with very high anti-factor Xa activity (∼3 times higher than USP [U.S. Pharmacopeia] heparin). The octadecasaccharide was purified using five sequential chromatographic methods with orthogonal specificity, including gel permeation, AT affinity, strong anion exchange, and ion-pair chromatography. The structure of the octadecasaccharide was determined by controlled enzymatic sequencing and nuclear magnetic resonance (NMR). The isolated octadecasaccharide contained three consecutive AT-binding sites and was tested in coagulation assays to determine its biological activity. The isolation of this octadecasaccharide provides new insights into the modulation of thrombin activity.


Asunto(s)
Antitrombinas/aislamiento & purificación , Antitrombinas/farmacología , Factor Xa/metabolismo , Heparina de Bajo-Peso-Molecular/química , Polisacáridos/aislamiento & purificación , Polisacáridos/farmacología , Antitrombinas/química , Conformación de Carbohidratos , Secuencia de Carbohidratos , Relación Dosis-Respuesta a Droga , Activación Enzimática/efectos de los fármacos , Datos de Secuencia Molecular , Peso Molecular , Polisacáridos/química , Relación Estructura-Actividad , Trombina/antagonistas & inhibidores , Trombina/metabolismo
10.
J Biol Chem ; 288(36): 25895-25907, 2013 Sep 06.
Artículo en Inglés | MEDLINE | ID: mdl-23843463

RESUMEN

The antithrombin (AT) binding properties of heparin and low molecular weight heparins are strongly associated to the presence of the pentasaccharide sequence AGA*IA (A(NAc,6S)-GlcUA-A(NS,3,6S)-I(2S)-A(NS,6S)). By using the highly chemoselective depolymerization to prepare new ultra low molecular weight heparin and coupling it with the original separation techniques, it was possible to isolate a polysaccharide with a biosynthetically unexpected structure and excellent antithrombotic properties. It consisted of a dodecasaccharide containing an unsaturated uronate unit at the nonreducing end and two contiguous AT-binding sequences separated by a nonsulfated iduronate residue. This novel oligosaccharide was characterized by NMR spectroscopy, and its binding with AT was determined by fluorescence titration, NMR, and LC-MS. The dodecasaccharide displayed a significantly increased anti-FXa activity compared with those of the pentasaccharide, fondaparinux, and low molecular weight heparin enoxaparin.


Asunto(s)
Factor Xa/química , Fibrinolíticos , Oligosacáridos , Secuencia de Carbohidratos , Fibrinolíticos/síntesis química , Fibrinolíticos/química , Heparina , Humanos , Espectroscopía de Resonancia Magnética , Oligosacáridos/síntesis química , Oligosacáridos/química
11.
Thromb Haemost ; 109(3): 471-8, 2013 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-23329070

RESUMEN

Ultra-low-molecular-weight heparins (ULMWHs) with better efficacy and safety ratios are under development; however, there are few structural data available. The main structural features and molecular weight of ULMWHs were studied and compared to enoxaparin. Their monosaccharide composition and average molecular weights were determined and preparations studied by nuclear magnetic resonance spectroscopy, scanning ultraviolet spectroscopy, circular dichroism and gel permeation chromatography. In general, ULMWHs presented higher 3-O-sulphated glucosamine and unsaturated uronic acid residues, the latter being comparable with their higher degree of depolymerisation. The analysis showed that ULMWHs are structurally related to LMWHs; however, their monosaccharide/oligosaccharide compositions and average molecular weights differed considerably explaining their different anticoagulant activities. The results relate structural features to activity, assisting the development of new and improved therapeutic agents, based on depolymerised heparin, for the prophylaxis and treatment of thrombotic disorders.


Asunto(s)
Anticoagulantes/uso terapéutico , Heparina de Bajo-Peso-Molecular/uso terapéutico , Anticoagulantes/química , Secuencia de Carbohidratos , Dicroismo Circular/métodos , Enoxaparina/uso terapéutico , Glucosamina/química , Heparina/química , Espectroscopía de Resonancia Magnética/métodos , Datos de Secuencia Molecular , Peso Molecular , Oligosacáridos/química , Polímeros/química , Espectrofotometría Ultravioleta/métodos , Trombosis/metabolismo , Ácidos Urónicos/química
12.
Biochem J ; 449(2): 343-51, 2013 Jan 15.
Artículo en Inglés | MEDLINE | ID: mdl-23083208

RESUMEN

The 3-O-sulfation of N-sulfated glucosamine is the last event in the biosynthesis of heparin/heparan sulfate, giving rise to the antithrombin-binding pentasaccharide sequence AGA*IA, which is largely associated with the antithrombotic activity of these molecules. The aim of the present study was the structural and biochemical characterization of a previously unreported AGA*IA*-containing octasaccharide isolated from the very-low-molecular-mass heparin semuloparin, in which both glucosamine residues of the pentasaccharide moiety located at the non-reducing end bear 3-O-sulfate groups. Two-dimensional and STD (saturation transfer difference) NMR experiments clearly confirmed its structure and identified its ligand epitope binding to antithrombin. The molecular conformation of the octasaccharide-antithrombin complex has been determined by NMR experiments and docking/energy minimization. The presence of the second 3-O-sulfated glucosamine in the octasaccharide induced more than one order of magnitude increase in affinity to antithrombin compared to the pentasaccharide AGA*IA.


Asunto(s)
Antitrombinas/química , Glucosamina/química , Heparina/química , Oligosacáridos/química , Antitrombinas/metabolismo , Secuencia de Carbohidratos , Glucosamina/metabolismo , Heparina/metabolismo , Cinética , Espectroscopía de Resonancia Magnética , Modelos Moleculares , Conformación Molecular , Datos de Secuencia Molecular , Estructura Molecular , Oligosacáridos/metabolismo , Unión Proteica , Conformación Proteica , Sulfatos/química , Sulfatos/metabolismo , Temperatura
13.
J Pharm Biomed Anal ; 67-68: 169-74, 2012.
Artículo en Inglés | MEDLINE | ID: mdl-22579602

RESUMEN

The ¹H nuclear magnetic resonance (NMR) acceptance criteria in the new heparin US Pharmacopeia (USP) monograph do not take into account potential structural modifications responsible for any extra signals observed in ¹H NMR spectra, some purified heparins may be non-compliant under the proposed new USP guidelines and incorrectly classified as unsuitable for pharmaceutical use. Heparins from the "ES" source, containing an extra signal at 2.18 ppm, were depolymerized under controlled conditions using heparinases I, II, and III. The oligosaccharides responsible for the 2.18 ppm signal were enriched using orthogonal chromatographic techniques. After multiple purification steps, we obtained an oligosaccharide mixture containing a highly enriched octasaccharide bearing the structural modification responsible for the extra signal. Following heparinase I depolymerization, a pure tetrasaccharide containing the fingerprint structural modification was isolated for full structural determination. Using 1D and 2D ¹H NMR spectroscopy, the structural moiety responsible for the extra signal at 2.18 ppm was identified as an acetyl group on the heparin backbone, most likely resulting from a very minor manufacturing process side reaction that esterifies the uronic acid at position 3. Such analytical peculiarity has always been present in this heparin source and it was used safety over the years.


Asunto(s)
Heparina/química , Espectroscopía de Resonancia Magnética/métodos , Cromatografía en Gel , Estructura Molecular , Espectrometría de Masa por Ionización de Electrospray
14.
Thromb Res ; 128(4): 361-7, 2011 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-21458847

RESUMEN

INTRODUCTION: Lower low-molecular-weight heparins are being developed to improve on the safety and efficacy of antithrombotic therapy. Semuloparin and bemiparin are two depolymerized heparins produced by distinct manufacturing processes. The objective of this investigation was to determine whether a common standard could be used to define their potency. MATERIALS AND METHODS: Activities were compared using typical clinical coagulation assays and pharmacological assays required for potency assessment. RESULTS: The activity of semuloparin and bemiparin was comparable in FXa-based assays (anti-FXa, Heptest). However, bemiparin produced a stronger effect in the aPTT, ACT and anti-thrombin assays. Assessment of the parallelism of the concentration-response curves indicated that bemiparin and semuloparin are not equivalent in terms of anti-FIIa activity. Bemiparin had a stronger inhibitory effect on thrombin induced platelet aggregation, and a stronger interaction with HIT antibodies. CONCLUSIONS: These data demonstrate that depolymerized heparins can exhibit a range of biologic activities making them unique agents. Pharmacopoeial parameters such as anti-IIa and anti-Xa potency and molecular weight are insufficient to characterize such agents.


Asunto(s)
Pruebas de Coagulación Sanguínea/normas , Coagulación Sanguínea/efectos de los fármacos , Fibrinolíticos/farmacología , Heparina de Bajo-Peso-Molecular/farmacología , Pruebas de Función Plaquetaria/normas , Autoanticuerpos/metabolismo , Relación Dosis-Respuesta a Droga , Inhibidores del Factor Xa , Fibrinolíticos/química , Fibrinolíticos/inmunología , Heparina de Bajo-Peso-Molecular/química , Heparina de Bajo-Peso-Molecular/inmunología , Humanos , Estructura Molecular , Peso Molecular , Tiempo de Tromboplastina Parcial/normas , Agregación Plaquetaria/efectos de los fármacos , Factor Plaquetario 4/inmunología , Protrombina/antagonistas & inhibidores , Estándares de Referencia , Relación Estructura-Actividad , Trombina/metabolismo , Tiempo de Coagulación de la Sangre Total/normas
15.
J Pharm Biomed Anal ; 54(2): 337-44, 2011 Jan 25.
Artículo en Inglés | MEDLINE | ID: mdl-20934294

RESUMEN

Heparin is a highly sulfated hetero polysaccharide mixture found and extracted from mammalian tissues. It has been widely used as an anticoagulant drug during the past decades. In the new proposed USP heparin monograph, the ¹H NMR acceptance criteria to prevent contamination by over sulfated chondroitin sulfate (OSCS), or other persulfated glycosaminoglycans, specifies that no unidentified signals greater than 4% of the mean of signal height of 1 and 2 should be present in the following ranges: 0.10-2.00, 2.10-3.20, and 5.70-8.00 ppm. However, those criteria do not take into account the impact of potential structural modifications generated by the heparin manufacturing processes. In fact, starting from pig mucosa, heparin purification involves oxidizing reagents such as sodium peroxide, potassium permanganate and peracetic acid. In the present work, we demonstrate that potassium permanganate treated heparins show a small but characteristic extra signal at 2.10 ppm. Controlled heparinase I depolymerisation is used to target and excise the oligosaccharide responsible for this extra signal from the polysaccharide backbone. By using orthogonal chromatographic techniques, the fingerprint oligosaccharide was isolated and its structure elucidated. Without the identification of this structural moiety, such purified heparins may have been considered as non-compliant drug substance and not suitable for pharmaceutical use.


Asunto(s)
Heparina/química , Espectroscopía de Resonancia Magnética/métodos , Farmacopeas como Asunto , Animales , Anticoagulantes/análisis , Anticoagulantes/química , Anticoagulantes/farmacología , Sulfatos de Condroitina/análisis , Sulfatos de Condroitina/química , Contaminación de Medicamentos/prevención & control , Flavobacterium/enzimología , Glicosaminoglicanos/análisis , Glicosaminoglicanos/química , Adhesión a Directriz , Heparina/análisis , Heparina/aislamiento & purificación , Liasa de Heparina/química , Humanos , Estructura Molecular , Oligosacáridos/química , Oligosacáridos/aislamiento & purificación , Oligosacáridos/metabolismo , Oxidantes/farmacología , Preparaciones Farmacéuticas/análisis , Preparaciones Farmacéuticas/química , Permanganato de Potasio/farmacología , Porcinos , Estados Unidos
16.
J Med Chem ; 53(22): 8030-40, 2010 Nov 25.
Artículo en Inglés | MEDLINE | ID: mdl-21028827

RESUMEN

Terminal 1,6-anhydro-aminosugars (1,6-anAS) are typical structural moieties of enoxaparin, a low-molecular-weight heparin (LMWH) widely used for prevention and treatment of thrombotic disorders. In the enoxaparin manufacturing process, these modified amino sugars are formed during the ß-eliminative cleavage of heparin. To investigate the effect of terminal anAS on antithrombin (AT) binding and on inhibition of factor Xa (FXa), two octasaccharides containing modified AT-binding pentasaccharide sequences were isolated from enoxaparin. The molecular conformation of the octasaccharides terminating with N-sulfo-1,6-anhydro-D-mannosamine and N-sulfo-1,6-anhydro-D-glucosamine, respectively, has been determined both in the absence and presence of AT by NMR experiments and docking simulations. Reduced overall contacts of the terminal anAS residues with the binding region of AT induce a decrease in affinity for AT as well as lower anti-FXa activity. The anti-FXa measured either in buffer or plasma milieu does not show any significant difference, suggesting that the inhibition of anti-FXa remains specific and biologically relevant.


Asunto(s)
Anticoagulantes/aislamiento & purificación , Proteínas Antitrombina/química , Enoxaparina/química , Hexosaminas/química , Oligosacáridos/aislamiento & purificación , Anticoagulantes/química , Anticoagulantes/farmacología , Proteínas Antitrombina/metabolismo , Secuencia de Carbohidratos , Factor Xa/química , Inhibidores del Factor Xa , Hexosaminas/metabolismo , Humanos , Técnicas In Vitro , Espectroscopía de Resonancia Magnética , Modelos Moleculares , Conformación Molecular , Simulación de Dinámica Molecular , Datos de Secuencia Molecular , Oligosacáridos/química , Oligosacáridos/farmacología , Unión Proteica , Relación Estructura-Actividad
17.
Clin Appl Thromb Hemost ; 15(4): 395-401, 2009.
Artículo en Inglés | MEDLINE | ID: mdl-19617248

RESUMEN

Recently, a contaminant was found in some clinically used unfractionated heparin (UFH) preparations. Administration of this UFH was associated with an increased risk of developing a wide range of adverse effects including death. To further investigate the chemical profile of the contaminant, contaminated batches of UFH were treated by exhaustive nitrous acid depolymerization followed by methanol precipitation to remove heparin oligosaccharides. Because contaminated heparins may have been used as starting material in the production of low-molecular-weight heparins (LMWHs), a similar procedure was carried out using an experimental batch of enoxaparin prepared from contaminated heparin. While high-pressure liquid chromatography (HPLC) analysis of contaminated heparin did not distinguish the presence of the contaminant, it could readily be observed as a high-molecular weight shoulder in the elution profile of contaminated enoxaparin. Digesting contaminated heparin with heparinase-I prior to HPLC analysis showed the presence of a nondigestible component (15%-30% of the mixture). This contaminant was also resistant to degradation by chondroitinases A, B, and C. Proton nuclear magnetic resonance (NMR) indicated that the contaminant was oversulfated chondroitin sulfate (OSCS). Size-exclusion chromatography indicated that the mean molecular weight of the OSCS was 16.8 kD, comparable to that of a synthetic porcine cartilage OSCS preparation that was used as a reference material (17.2 kD). While varying degrees of high-molecular weight dermatan sulfate and other minor impurities were detected, OSCS appeared to be the major contaminant in these preparations. The process involved in the production of enoxaparin does not significantly degrade OSCS.


Asunto(s)
Anticoagulantes/análisis , Sulfatos de Condroitina/aislamiento & purificación , Heparina de Bajo-Peso-Molecular/análisis , Resonancia Magnética Nuclear Biomolecular , Oligosacáridos/aislamiento & purificación , Animales , Condroitina ABC Liasa , Sulfatos de Condroitina/química , Cromatografía Líquida de Alta Presión , Contaminación de Medicamentos , Enoxaparina/análisis , Liasa de Heparina , Metanol , Peso Molecular , Ácido Nitroso , Oligosacáridos/química , Tiburones , Porcinos
18.
J Biol Chem ; 283(39): 26662-75, 2008 Sep 26.
Artículo en Inglés | MEDLINE | ID: mdl-18640975

RESUMEN

The antithrombotic activity of low molecular weight heparins (LMWHs) is largely associated with the antithrombin (AT)-binding pentasaccharide sequence AGA(*)IA (GlcN(NAc/NS,6S)-GlcA-GlcN(NS,3,6S)-IdoUA(2S)-GlcN(NS,6S)). The location of the AGA(*)IA sequences along the LMWH chains is also expected to influence binding to AT. This study was aimed at investigating the role of the structure and molecular conformation of different disaccharide extensions on both sides of the AGA(*)IA sequence in modulating the affinity for AT. Four high purity octasaccharides isolated by size exclusion chromatography, high pressure liquid chromatography, and AT-affinity chromatography from the LMWH enoxaparin were selected for the study. All the four octasaccharides terminate at their nonreducing end with 4,5-unsaturated uronic acid residues (DeltaU). In two octasaccharides, AGA(*)IA was elongated at the reducing end by units IdoUA(2S)-GlcN(NS,6S) (OCTA-1) or IdoUA-GlcN(NAc,6S) (OCTA-2). In the other two octasaccharides (OCTA-3 and OCTA-4), AGA(*)IA was elongated at the nonreducing side by units GlcN(NS,6S)-IdoUA and GlcN(NS,6S)-GlcA, respectively. Extensions increased the affinity for AT of octasaccharides with respect to pentasaccharide AGA(*)IA, as also confirmed by fluorescence titration. Two-dimensional NMR and docking studies clearly indicated that, although elongation of the AGA(*)IA sequence does not substantially modify the bound conformation of the AGA(*)IA segment, extensions promote additional contacts with the protein. It should be noted that, as not previously reported, the unusual GlcA residue that precedes the AGA(*)IA sequence in OCTA-4 induced an unexpected 1 order of magnitude increase in the affinity to AT with respect to its IdoUA-containing homolog OCTA-3. Such a residue was found to orientate its two hydroxyl groups at close distance to residues of the protein. Besides the well established ionic interactions, nonionic interactions may thus contribute to strengthen oligosaccharide-AT complexes.


Asunto(s)
Antitrombina III/química , Heparina de Bajo-Peso-Molecular/química , Oligosacáridos/química , Antitrombina III/metabolismo , Conformación de Carbohidratos , Cromatografía Liquida/métodos , Heparina de Bajo-Peso-Molecular/aislamiento & purificación , Heparina de Bajo-Peso-Molecular/metabolismo , Humanos , Espectroscopía de Resonancia Magnética/métodos , Oligosacáridos/aislamiento & purificación , Oligosacáridos/metabolismo , Unión Proteica/fisiología
19.
Semin Thromb Hemost ; 33(5): 488-95, 2007 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-17629845

RESUMEN

Heparanase is an endo-beta-D-glucuronidase that cleaves the heparan sulfate chains of heparan sulfate proteoglycans and is implicated in angiogenesis and metastasis. With the aim of establishing a simple and reliable method for studying the susceptibility of heparin/heparan sulfate oligosaccharides to be cleaved by heparanase, an on-line ion pair reversed-phase high-performance liquid chromatographic/electrospray ionization mass spectrometric method was set up. The method works in the micromolar range of concentration and does not require derivatization of the substrate or of the products. It is based on mass identification of oligosaccharide fragments generated by heparanase and their quantification with reference to an internal heparin disaccharide standard. Substrates were (1) the synthetic pentasaccharides GlcN (NS,6S) - GlcA - GlcN (NS,3S,6S) - IdoA (2S) - GlcN (NS,6S) - OMe (AGA*IA (M)) and GlcN (NS,6S) - GlcA - GlcN (NS,6S) - IdoA (2S) - GlcN (NS,6S) - OMe (AGAIA (M)), corresponding to the heparin/heparan sulfate active site for antithrombin, and to the same sequence devoid of the 3- O-sulfate group in the central glucosamine, respectively; and (2) two natural heparin octasaccharides containing the AGA*IA sequence in different locations along the chain. The two pentasaccharides exhibited a higher susceptibility to heparanase cleavage with respect to the octasaccharides. The commercial availability of AGA*IA (M) makes it an ideal substrate to determine the specific activity of heparanase preparations. The present method could also be used for rapid screening of potential heparanase inhibitors.


Asunto(s)
Antitrombinas/química , Glucuronidasa/química , Heparina/química , Heparitina Sulfato/química , Oligosacáridos/química , Espectrometría de Masa por Ionización de Electrospray , Sitios de Unión , Secuencia de Carbohidratos , Cromatografía Líquida de Alta Presión/normas , Estándares de Referencia , Espectrometría de Masa por Ionización de Electrospray/normas
20.
Thromb Res ; 121(2): 213-23, 2007.
Artículo en Inglés | MEDLINE | ID: mdl-17482241

RESUMEN

INTRODUCTION: A heparin preparation with low antithrombin activity and different disaccharide composition than mammalian heparin was isolated from the body of the ascidian Styela plicata (Chordata-Tunicata). The disaccharide composition and the effect of the invertebrate glycan on venous and arterial models of thrombosis was investigated. METHODS AND RESULTS: High performance liquid chromatography of the products formed by a mixture of heparin lyases showed that the ascidian heparin is composed mainly by delta UA(2SO4)-1-->4-beta-d-GlcN(SO4) (47.5%), delta UA(2SO4)-1-->4-beta-d-GlcN(SO4)(6SO4) (38.3%) disaccharides and smaller amounts of the disaccharides delta UA(2SO4)-1-->4-beta-d-GlcN(SO4)(3SO4)(6SO4) (2.8%) and delta UA(2SO4)-1-->4-beta-d-GlcN(SO4)(3SO4) (8.0%). The invertebrate heparin has an aPTT activity of 18 IU/mg and an antithrombin-mediated antithrombin and anti-factor Xa activities 10-fold lower than that of mammalian heparin. In a venous model of thrombosis in the vena cava, S. plicata heparin inhibits only 80% of thrombosis at a dose 10-fold higher than that of the mammalian heparin that inhibits 100% of thrombosis. However, in an arterio-shunt model of arterial thrombosis, both S. plicata and mammalian heparin possess equivalent antithrombotic activities. It is also shown that at equivalent doses, ascidian heparin has a lower bleeding effect than mammalian heparin. CONCLUSION: The antithrombin-mediated anticoagulant activity of heparin polymers is not directly related to antithrombotic potency in the arterio-venous shunt. The results of the present work suggest that heparin preparations obtained from the body of S. plicata may have a safer therapeutic action in the treatment of arterial thrombosis than mammalian heparin.


Asunto(s)
Anticoagulantes/aislamiento & purificación , Antitrombinas/aislamiento & purificación , Heparina/aislamiento & purificación , Trombosis/tratamiento farmacológico , Urocordados/química , Animales , Anticoagulantes/uso terapéutico , Antitrombinas/uso terapéutico , Heparina/uso terapéutico , Modelos Animales , Ratas , Ratas Wistar , Trombosis de la Vena/tratamiento farmacológico
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