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1.
J Fluoresc ; 30(6): 1591-1599, 2020 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-32897495

RESUMEN

A sensor system was designed for the detection of Enoxaparin (Enox), a low molecular weight heparin (LMWH) that was run over the fluorescence quenching mechanism of fluorescein (FL) dye. At nanomolar concentrations, FL probe was subjected to fluorescence quenching by Fe(III). Fluorescence quenching mechanism of FL by Fe(III) was examined using various analytical techniques such as UV-vis absorption, fluorescence, and Fourier transform Infrared spectroscopy techniques, as well as with scanning electron microscope. The results indicated that photoinduced electron transfer process occurred between FL and Fe and that FL was quenched both statically and dynamically. Thermodynamic parameters showed that the interactions between them were predominantly hydrophobic interactions. Enox caused FL to recover its lost fluorescence properties and an increase was observed in the intensity of the fluorescence. Enox was detected successfully with the turn on fluorescence sensor. The developed Enox biosensor exhibited linearity in the range of 0-1.1 µg/ml. For Enox detection, the limit of detection was measured as 255 ng/mL. Enox biosensor was presented as a practical, simple, and applicable sensor system with high sensitivity and good selectivity. Enox is a medication usually monitored indirectly over anticoagulation. This study was presented as an alternative method for monitoring Enox directly. HIGHLIGHTS: Fluorescence quenching of Fluorescein dye by Fe(III) was studied in detail. The presence of enoxaparin enhanced the fluorescence properties of the fluorescein dye. A sensitive, simple and effective sensor system for determination of Enoxaparin, a low molecular weight heparin was shaped in the aqueous media. It was presented as a new method for Enoxaparin to be followed directly.


Asunto(s)
Enoxaparina/análisis , Enoxaparina/química , Espectrometría de Fluorescencia/instrumentación , Fluoresceína/química , Colorantes Fluorescentes/química , Interacciones Hidrofóbicas e Hidrofílicas , Hierro/química , Peso Molecular , Termodinámica
2.
Se Pu ; 38(10): 1238-1242, 2020 Oct 08.
Artículo en Chino | MEDLINE | ID: mdl-34213122

RESUMEN

Heparin is composed of a highly sulfated linear saccharide and is widely used as an anticoagulant. Low molecular weight heparins (LMWHs) are derived from the unfractionated heparin (UFH) by enzymatic or chemical degradation. LMWHs have largely replaced heparin as an anticoagulant for treatment and prevention of thrombosis because of the advantages of less bleeding, greater bioavailability, and more predictable anticoagulant effects in comparison to heparin. Enoxaparin, produced by the alkaline degradation of UFH through ß-eliminative cleavage, represents the most commonly used LMWH. The structural characteristics of LMWHs differ from their parent heparin not only in terms of molecular weight but also in the sulfation degree as a result of losing the sulfate ester groups during the manufacturing process. The resulting compositional variation directly leads to a fluctuation in anticoagulant activity. In vitro functional assays showed that there is a wide variation in anticoagulant activity among the various LMWHs from different manufacturers owing to slight differences in the manufacturing process. This will directly affect heparin drug safety. In order to ensure the stability of product quality, it is necessary to develop a method for detecting the degree of heparin sulfation to monitor the stability of UFH and processing conditions. During the last two decades, various analytical methods based on chromatography or NMR have been developed for structural characterization of UFH and LMWHs. However, the reported methods require expensive equipment and professional data processing. These limitations make it difficult to apply the current methods to quality control via sulfation degree determination. Herein, we report a simple and robust method for the detection of the sulfation degree of UFH and LMWHs. The determination is based on the separation of building blocks of heparin obtained by exhaustive digestion of UFH and LMWHs in a mixture of heparinases. A mixed solution of heparinase Ⅰ, Ⅱ, and Ⅲ was prepared to give a final content of 0.13 IU/mL for each enzyme. The digestion of enoxaparin and heparin samples was performed at 25 ℃ for 48 h. By using a capillary electrophoresis (CE) method, a total of 18 oligosaccharides building blocks of heparin, including ten disaccharides, one trisaccharide, three tetrasaccharides, and four 1,6-anhydro derivatives, can be baseline separated. Then, the compositions of enoxaparin and UFH can be precisely determined. Based on the assumption that the molar extinction coefficient of each oligosaccharide at UV 232 nm is the same, the concentration of each oligosaccharide can be conveniently replaced by their peak area, and the accurate number of sulfate ester groups in each disaccharide unit can be determined, hence the average sulfation degree (SD). The developed method allows us to compare the sulfation degree data between the enoxaparin batches from the different manufacturers to evaluate the composition similarity. Herein, eight batches of commercially available enoxaparin from two manufacturers and four batches of UFH source materials were measured. Each sample was measured in triplicate, and the average values as well as the relative standard deviations (RSD) were calculated. The total sulfation degree (T-SD), the individual degree of N-sulfation (N-SD) and O-sulfation (O-SD) data were also determined and compared. A significant difference was observed in the SD of the products from the different manufacturers, which indicated that our method can be used as one of the quantitative compositional analysis methods for quality control of LMWHs and UFH. The variation in terms of the sulfation degree of enoxaparin products from different manufacturers can be precisely identified using this method. This allows us to determine the detailed compositional differences between products from the different manufacturers. The obtained satisfactory data show that high fluctuation in the sulfation degree of UFH could transmit to the final enoxaparin products. The consistency of the products can also be evaluated by using these methods. The CE method has several advantages for quantitative compositional analysis of LMWHs, such as high separation efficiency, high sensitivity, automation, short analysis time and low consumption of both sample and reagents. It has a good application potential in the quality control heparin production.


Asunto(s)
Heparina de Bajo-Peso-Molecular , Heparina , Anticoagulantes/análisis , Electroforesis Capilar , Enoxaparina/análisis , Heparina/análisis , Liasa de Heparina , Heparina de Bajo-Peso-Molecular/análisis , Peso Molecular
3.
J Pharm Biomed Anal ; 164: 668-671, 2019 Feb 05.
Artículo en Inglés | MEDLINE | ID: mdl-30472585

RESUMEN

Heparin, a highly sulfated glycosaminoglycan, has been used as a clinical anticoagulant over 80 years. However, heparin-induced thrombocytopenia and thrombosis (HITT) is a serious side effect of heparin therapy, resulting in relatively high risk of amputation and even death. HITT is caused by forming of complexes between heparin and platelet factor 4 (PF4). Enoxaparin, one of the most commonly used low molecular weight heparin (LMWH), were developed in 1980's. The lower molecular weight of enoxaparin reduces the risk of HITT by binding to less PF4. To detect the binding capacity between enoxaparin and PF4 could be an effect way to control this risk before it goes to patients. In this work, a size exclusion chromatography (SEC) method was developed to analyze the patterns of complexes formed between PF4 and enoxaparin. The chromatographic condition was optimized to separate PF4, enoxaparin, ultra-large complexes and small complexes. The linearity and stability of this method were confirmed. The impacts of PF4/enoxaparin mixture ratios and incubation time on the forming complexes were investigated. Four enoxaparin samples were analyzed with this method to verify its practicability. It is a robust, accurate and practicable method, and provides an easy way to monitor the capacity of enoxaparin forming complexes with PF4, suggesting the HITT related quality of enoxaparin.


Asunto(s)
Anticoagulantes/análisis , Cromatografía en Gel/métodos , Enoxaparina/análisis , Factor Plaquetario 4/análisis , Anticoagulantes/química , Anticoagulantes/farmacología , Estabilidad de Medicamentos , Enoxaparina/química , Enoxaparina/farmacología , Factor Plaquetario 4/química , Unión Proteica , Factores de Tiempo
4.
J Chromatogr A ; 1545: 75-83, 2018 Apr 13.
Artículo en Inglés | MEDLINE | ID: mdl-29501428

RESUMEN

Reverse polarity capillary zone electrophoresis coupled to negative ion mode mass spectrometry (CZE-MS) is shown to be an effective and sensitive tool for the analysis of glycosaminoglycan mixtures. Covalent modification of the inner wall of the separation capillary with neutral or cationic reagents produces a stable and durable surface that provides reproducible separations. By combining CZE-MS with a cation-coated capillary and a sheath flow interface, a rapid and reliable method has been developed for the analysis of sulfated oligosaccharides from dp4 to dp12. Several different mixtures have been separated and detected by mass spectrometry. The mixtures were selected to test the capability of this approach to resolve subtle differences in structure, such as sulfation position and epimeric variation of the uronic acid. The system was applied to a complex mixture of heparin/heparan sulfate oligosaccharides varying in chain length from dp3 to dp12 and more than 80 molecular compositions were identified by accurate mass measurement.


Asunto(s)
Electroforesis Capilar/métodos , Heparina/análisis , Heparitina Sulfato/análisis , Espectrometría de Masas/métodos , Electroósmosis , Enoxaparina/análisis , Glicosaminoglicanos/análisis , Heparina/química , Concentración de Iones de Hidrógeno , Peso Molecular , Oligosacáridos/química , Factores de Tiempo
5.
J Chromatogr B Analyt Technol Biomed Life Sci ; 1068-1069: 78-83, 2017 Nov 15.
Artículo en Inglés | MEDLINE | ID: mdl-29031112

RESUMEN

The antithrombin III (ATIII)-binding site, which contains a special 3-O-sulfated, N-sulfated glucosamine residue with or without 6-O-sulfation, is mainly responsible for the anticoagulant activity of heparin. Undergoing the chemical depolymerization process, the preservation of the ATIII-binding site in low molecular weight heparins (LMWHs) are varied leading to the fluctuation of the anticoagulant activity. Herein we report a capillary electrophoresis (CE) method in combination with heparinase digestion and affinity chromatography for the measurement of molar percentage of ATIII-binding site of LMWHs. After exhaustively digesting LMWHs with the mixture of heparinase I, II and III, almost all the resulting oligosaccharide building blocks, including the three 3-O-sulfated tetrasaccharides derived from the ATIII-binding site, were resolved by CE separation. The peak area of each building block permits quantification of the molar percentage of the ATIII-binding site. The peaks corresponding to the 3-O-sulfated tetrasaccharides were assigned based on the linear relationship between the electrophoretic mobilities of the oligosaccharides and their charge to mass ratios. The peak assignment was further confirmed by analysis of the high ATIII affinity fractions, which contains much high 3-O-sulfated tetrasaccharides. With the method, the molar percentage of the ATIII-binding site of enoxaparin from different batches and different manufactures were measured and compared. It was demonstrated that the CE method provides more precise data for assessing the anti-FXa activity than that of the biochemical assay method.


Asunto(s)
Antitrombina III/metabolismo , Electroforesis Capilar/métodos , Enoxaparina/análisis , Enoxaparina/metabolismo , Liasa de Heparina/metabolismo , Antitrombina III/química , Sitios de Unión , Enoxaparina/química , Humanos , Modelos Lineales
6.
J AOAC Int ; 100(6): 1706-1714, 2017 Nov 01.
Artículo en Inglés | MEDLINE | ID: mdl-28707621

RESUMEN

Currently, detailed structural characterization of low-molecular-weight heparin (LMWH) products is an analytical subject of great interest. In this work, we carried out a comprehensive structural analysis of LMWHs and applied a modified pharmacopeial method, as well as methods developed by other researchers, to the analysis of novel biosimilar LMWH products; and, for the first time, compared the qualitative and quantitative composition of commercially available drugs (enoxaparin, nadroparin, and dalteparin). For this purpose, we used strong anion-exchange (SAX) chromatography with spectrophotometric detection because this method is more helpful, easier, and faster than other separation techniques for the detailed disaccharide analysis of new LMWH drugs. In addition, we subjected the obtained results to statistical analysis (factor analysis, t-test, and Newman-Keuls post hoc test).


Asunto(s)
Cromatografía por Intercambio Iónico/métodos , Heparina de Bajo-Peso-Molecular/análisis , Heparina de Bajo-Peso-Molecular/química , Cromatografía Líquida de Alta Presión/instrumentación , Cromatografía Líquida de Alta Presión/métodos , Cromatografía por Intercambio Iónico/estadística & datos numéricos , Dalteparina/análisis , Dalteparina/química , Enoxaparina/análisis , Enoxaparina/química , Análisis Factorial , Liasa de Heparina/química , Liasa de Heparina/metabolismo , Nadroparina/análisis , Nadroparina/química
7.
J Chromatogr A ; 1480: 32-40, 2017 Jan 13.
Artículo en Inglés | MEDLINE | ID: mdl-28011077

RESUMEN

A strategy for the comprehensive analysis of low molecular weight (LMW) heparins is described that relies on using an integrated top-down and bottom-up approach. Liquid chromatography-mass spectrometry, an essential component of this approach, is rapid, robust, and amenable to automated processing and interpretation. Nuclear magnetic resonance spectroscopy provides complementary top-down information on the chirality of the uronic acid residues comprising a low molecular weight heparin. Using our integrated approach four different low molecular weight heparins prepared from porcine heparin through chemical ß-eliminative cleavage were comprehensively analyzed. Lovenox™ and Clexane™, the innovator versions of enoxaparin marketed in the US and Europe, respectively, and two generic enoxaparins, from Sandoz and Teva, were analyzed. The results which were supported by analysis of variation (ANOVA), while showing remarkable similarities between different versions of the product and good lot-to-lot consistency of each product, also detects subtle differences that may result from differences in their manufacturing processes or differences in the source (or parent) porcine heparin from which each product is prepared.


Asunto(s)
Enoxaparina/análisis , Enoxaparina/química , Análisis de Varianza , Animales , Automatización , Cromatografía Liquida , Medicamentos Genéricos/análisis , Medicamentos Genéricos/química , Heparina de Bajo-Peso-Molecular/análisis , Heparina de Bajo-Peso-Molecular/química , Espectroscopía de Resonancia Magnética , Espectrometría de Masas , Porcinos , Ácidos Urónicos/análisis , Ácidos Urónicos/química
8.
Anal Chem ; 88(21): 10654-10660, 2016 11 01.
Artículo en Inglés | MEDLINE | ID: mdl-27709905

RESUMEN

Low-molecular weight heparins (LMWH) prepared by partial depolymerization of unfractionated heparin are used globally to treat coagulation disorders on an outpatient basis. Patent protection for several LMWH has expired and abbreviated new drug applications have been approved by the Food and Drug Administration. As a result, reverse engineering of LMWH for biosimilar LMWH has become an active global endeavor. Traditionally, the molecular weight distributions of LMWH preparations have been determined using size exclusion chromatography (SEC) with optical detection. Recent advances in liquid chromatography-mass spectrometry methods have enabled exact mass measurements of heparin saccharides roughly up to degree-of-polymerization 20, leaving the high molecular weight half of the LMWH preparation unassigned. We demonstrate a new LC-MS system capable of determining the exact masses of complete LMWH preparations, up to dp30. This system employed an ion suppressor cell to desalt the chromatographic effluent online prior to the electrospray mass spectrometry source. We expect this new capability will impact the ability to define LMWH mixtures favorably.


Asunto(s)
Biosimilares Farmacéuticos/análisis , Cromatografía en Gel/métodos , Dalteparina/análisis , Enoxaparina/análisis , Espectrometría de Masas/métodos , Hidróxido de Amonio/química , Biosimilares Farmacéuticos/química , Dalteparina/química , Enoxaparina/química , Peso Molecular
9.
Anal Bioanal Chem ; 408(6): 1545-55, 2016 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-26758598

RESUMEN

Heparin and heparan sulfate (HS) are important in mediating a variety of biological processes through binding to myriad different proteins. Specific structural elements along the polysaccharide chains are essential for high affinity protein binding, such as the 3-O-sulfated N-sulfoglucosamine (GlcNS3S) residue, a relatively rare modification essential for heparin's anticoagulant activity. The isolation of 3-O-sulfated oligosaccharides from complex mixtures is challenging because of their low abundance. Although methods such as affinity chromatography are useful in isolating oligosaccharides that bind specific proteins with high affinity, other important 3-O-sulfated oligosaccharides may easily be overlooked. Screening preparative-scale size-exclusion chromatography (SEC) fractions of heparin or HS digests using [(1)H,(15)N] HSQC NMR allows the identification of fractions containing 3-O-sulfated oligosaccharides through the unique (1)H and (15)N chemical shifts of the GlcNS3S residue. Those SEC fractions containing 3-O-sulfated oligosaccharides can then be isolated using strong anion-exchange (SAX)-HPLC. Compared with the results obtained by pooling the fractions comprising a given SEC peak, SAX-HPLC analysis of individual SEC fractions produces a less complicated chromatogram in which the 3-O-sulfated oligosaccharides are enriched relative to more abundant components. The utility of this approach is demonstrated for tetrasaccharide SEC fractions of the low molecular weight heparin drug enoxaparin facilitating the isolation and characterization of an unsaturated 3-O-sulfated tetrasaccharide containing a portion of the antithrombin-III binding sequence.


Asunto(s)
Cromatografía en Gel/métodos , Enoxaparina/análisis , Espectroscopía de Resonancia Magnética/métodos , Oligosacáridos/aislamiento & purificación , Antitrombina III/metabolismo , Secuencia de Carbohidratos , Cromatografía Líquida de Alta Presión/métodos , Enoxaparina/química , Heparitina Sulfato/análisis , Heparitina Sulfato/química , Hidrógeno , Datos de Secuencia Molecular , Isótopos de Nitrógeno , Oligosacáridos/química , Oligosacáridos/metabolismo
10.
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
11.
Anal Chem ; 87(16): 8275-83, 2015 Aug 18.
Artículo en Inglés | MEDLINE | ID: mdl-26189325

RESUMEN

The U.S. Food and Drug Administration defines criteria for the equivalence of Enoxaparin with Lovenox, comprising the equivalence of physiochemical properties, heparin source material and mode of depolymerization, disaccharide building blocks, fragment mapping and sequence of oligosaccharide species, biological and biochemical assays, and in vivo pharmacodynamic profile. Chemometric analysis of the NMR spectra, utilizing both (1)H and (1)H-(13)C HSQC NMR experiments, of Lovenox and Enoxaparin, the latter being the generic version of the former, revealed that Lovenox and the four Enoxaparin compounds produced by Sandoz (Enoxaparin and Fibrinox), Winthrop, and Amphastar exhibit dissimilarities in terms of their composition. All of the collected samples had expiry dates between 2012 and 2015. These studies, in addition to chromatographic analysis, highlighted signatures that differentiated the branded material from the generic products.


Asunto(s)
Medicamentos Genéricos , Enoxaparina/análisis , Enoxaparina/química , Espectroscopía de Resonancia Magnética , Análisis Multivariante , Medicamentos Genéricos/análisis , Medicamentos Genéricos/química , Enoxaparina/normas , Estados Unidos , United States Food and Drug Administration
12.
Anal Bioanal Chem ; 406(1): 249-65, 2014 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-24253408

RESUMEN

Periodate oxidation followed by borohydride reduction converts the well-known antithrombotics heparin and low-molecular-weight heparins (LMWHs) into their "glycol-split" (gs) derivatives of the "reduced oxyheparin" (RO) type, some of which are currently being developed as potential anti-cancer and anti-inflammatory drugs. Whereas the structure of gs-heparins has been recently studied, details of the more complex and more bioavailable gs-LMWHs have not been yet reported. We obtained RO derivatives of the three most common LMWHs (tinzaparin, enoxaparin, and dalteparin) and studied their structures by two-dimensional nuclear magnetic resonance spectroscopy and ion-pair reversed-phase high-performance liquid chromatography coupled with electrospray ionization mass spectrometry. The liquid chromatography-mass spectrometry (LC-MS) analysis was extended to their heparinase-generated oligosaccharides. The combined NMR/LC-MS analysis of RO-LMWHs provided evidence for glycol-splitting-induced transformations mainly involving internal nonsulfated glucuronic and iduronic acid residues (including partial hydrolysis with formation of "remnants") and for the hydrolysis of the gs uronic acid residues when formed at the non-reducing ends (mainly, in RO-dalteparin). Evidence for minor modifications, such as ring contraction of some dalteparin internal aminosugar residues, was also obtained. Unexpectedly, the N-sulfated 1,6-anhydromannosamine residues at the enoxaparin reducing end were found to be susceptible to the periodate oxidation. In addition, in tinzaparin and enoxaparin, the borohydride reduction converts the hemiacetalic aminosugars at the reducing end to alditols. Typical LC-MS signatures of RO-derivatives of individual LMWH both before and after digestion with heparinases included oligosaccharides generated from the original antithrombin-binding and "linkage" regions.


Asunto(s)
Dalteparina/química , Enoxaparina/química , Liasa de Heparina/química , Heparina de Bajo-Peso-Molecular/química , Borohidruros/química , Cromatografía de Fase Inversa , Dalteparina/análisis , Enoxaparina/análisis , Ácido Glucurónico/química , Heparina de Bajo-Peso-Molecular/análisis , Hidrólisis , Ácido Idurónico/química , Espectroscopía de Resonancia Magnética , Oxidación-Reducción , Ácido Peryódico/química , Tinzaparina
13.
Anal Chem ; 84(20): 8822-9, 2012 Oct 16.
Artículo en Inglés | MEDLINE | ID: mdl-22985071

RESUMEN

Low molecular heparins (LMWHs) are structurally complex, heterogeneous, polydisperse, and highly negatively charged mixtures of polysaccharides. The direct characterization of LMWH is a major challenge for currently available analytical technologies. Electrospray ionization (ESI) liquid chromatography-mass spectrometry (LC-MS) is a powerful tool for the characterization complex biological samples in the fields of proteomics, metabolomics, and glycomics. LC-MS has been applied to the analysis of heparin oligosaccharides, separated by size exclusion, reversed phase ion-pairing chromatography, and chip-based amide hydrophilic interaction chromatography (HILIC). However, there have been limited applications of ESI-LC-MS for the direct characterization of intact LMWHs (top-down analysis) due to their structural complexity, low ionization efficiency, and sulfate loss. Here we present a simple and reliable HILIC-Fourier transform (FT)-ESI-MS platform to characterize and compare two currently marketed LMWH products using the top-down approach requiring no special sample preparation steps. This HILIC system relies on cross-linked diol rather than amide chemistry, affording highly resolved chromatographic separations using a relatively high percentage of acetonitrile in the mobile phase, resulting in stable and high efficiency ionization. Bioinformatics software (GlycReSoft 1.0) was used to automatically assign structures within 5-ppm mass accuracy.


Asunto(s)
Anticoagulantes/análisis , Heparina de Bajo-Peso-Molecular/análisis , Animales , Secuencia de Carbohidratos , Cromatografía Liquida/métodos , Biología Computacional/métodos , Enoxaparina/análisis , Análisis de Fourier , Interacciones Hidrofóbicas e Hidrofílicas , Datos de Secuencia Molecular , Programas Informáticos , Espectrometría de Masa por Ionización de Electrospray/métodos , Porcinos
14.
Clin Appl Thromb Hemost ; 18(4): 379-86, 2012 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-22395574

RESUMEN

Generic active pharmaceutical ingredients (APIs) have been commonly used in Brazil, since 1999, but most of them are synthetic and small molecules. Recently, a large number of generic enoxaparins were introduced into the market raising concerns related to product-to-product interchangeability, efficiency, and drug counterfeiting. These drugs are produced from biological sources and their production involves complex procedures and purification processes. The present article evaluates several generic enoxaparins, structurally and pharmacologically, and compares them with the branded products. Structural analysis showed that the generic products are, indeed, quite similar to the branded products, however, this similarity cannot be extended to their pharmacological activities. The results showed that generic products must go through extensive structural, pharmacological, and clinical evaluation in order to assess their quality, efficacy and, ultimately, avoid drug counterfeiting before clinical use. Variation was also observed between the branded products, showing that such drugs must be at constant surveillance.


Asunto(s)
Medicamentos Genéricos/análisis , Medicamentos Genéricos/farmacocinética , Enoxaparina/análisis , Enoxaparina/farmacocinética , Brasil , Medicamentos Genéricos/uso terapéutico , Enoxaparina/uso terapéutico , Femenino , Humanos , Masculino
15.
J Thromb Thrombolysis ; 32(1): 47-53, 2011 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-21213019

RESUMEN

There is need for a rapid assay to determine the efficacy of low-molecular-weight-heparin (LMWH) in whole blood. Heparinase was used to eliminate, and thereby quantify, the anticoagulant activity of the low-molecular-weight-heparin, enoxaparin. The percent change in the clotting time of whole blood in the presence of heparinase yielded the anticoagulant contribution of enoxaparin. A minimally activated assay (MAA) of whole blood clotting time was evaluated for the detection and relative quantification of enoxaparin. The assay cartridge consisted of a plain glass tube and detection magnet, with no additional sources of activation. Comparisons were also made with a point-of-care, activated partial thromboplastin time (aPTT) assay. Plasma or whole blood was spiked with enoxaparin at concentrations ranging from 0.1 to 1.0 anti-factor Xa IU/ml. A commercial preparation of heparinase I was used to digest enoxaparin, and clotting times were determined with and without heparinase incubation. Heparinase digestion caused an average shortening of clotting time of 21.1% (47.3 s) in blood spiked with 0.4 anti-Xa IU/ml enoxaparin, an amount expected in the therapeutic range; also, 0.1 anti-Xa IU/ml of enoxaparin could be reliably detected. The assay performed comparably when transferred to a point-of-care setting with heparinase being added directly to citrated blood collection tubes, followed by either MAA or aPTT assay. Strong correlations were obtained with both assays between the percent change in clotting time (after heparinase) and the added concentration of enoxaparin, or in comparison with the chromogenically measured concentration of enoxaparin. The assays for an individual blood sample can be completed within 10 min.


Asunto(s)
Anticoagulantes/análisis , Enoxaparina/análisis , Liasa de Heparina/química , Anticoagulantes/farmacocinética , Anticoagulantes/farmacología , Análisis Químico de la Sangre/instrumentación , Análisis Químico de la Sangre/métodos , Enoxaparina/farmacocinética , Enoxaparina/farmacología , Femenino , Humanos , Masculino , Sensibilidad y Especificidad , Factores de Tiempo
16.
Anal Bioanal Chem ; 399(2): 691-700, 2011 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-20972772

RESUMEN

Low molecular weight heparins (LMWHs) are recognised as the preferred anticoagulants in the prevention and treatment of venous thromboembolism. Anti-Factor Xa (anti-FXa) levels are used to monitor the anticoagulant effect of LMWHs and such assays are routinely employed in hospital diagnostic laboratories. In this study, a fluorogenic anti-FXa assay was developed using a commercially available fluorogenic substrate with an attached 6-amino-1-naphthalene-sulfonamide (ANSN) fluorophore and was used for the determination of two LMWHs, enoxaparin and tinzaparin and the heparinoid, danaparoid. The assay was based on the complexation of heparinised plasma with 100 nM exogenous FXa and 25 µM of the fluorogenic substrate Mes-D-LGR-ANSN (C(2)H(5))(2) (SN-7). The assay was tested with pooled plasma samples spiked with anticoagulant concentrations in the range 0-1.6 U mL(-1). The statistically sensitive assay range was 0-0.4 U mL(-1) for enoxaparin and tinzaparin and 0-0.2 U mL(-1) for danaparoid, with assay variation typically below 10.5%. This assay was then compared with a previously published fluorogenic anti-FXa assay developed with the peptide substrate, methylsulfonyl-D: -cyclohexylalanyl-glycyl-arginine-7-amino-4-methylcoumarin acetate (Pefafluor FXa). Both assays were compared in terms of fluorescence intensity, lag times and sensitivity to anticoagulants.


Asunto(s)
Anticoagulantes/sangre , Inhibidores del Factor Xa , Heparina de Bajo-Peso-Molecular/sangre , Espectrometría de Fluorescencia/métodos , Anticoagulantes/análisis , Anticoagulantes/farmacología , Sulfatos de Condroitina/análisis , Sulfatos de Condroitina/sangre , Sulfatos de Condroitina/farmacología , Dermatán Sulfato/análisis , Dermatán Sulfato/sangre , Dermatán Sulfato/farmacología , Enoxaparina/análisis , Enoxaparina/sangre , Enoxaparina/farmacología , Factor Xa/metabolismo , Colorantes Fluorescentes/química , Heparina de Bajo-Peso-Molecular/análisis , Heparina de Bajo-Peso-Molecular/farmacología , Heparinoides/análisis , Heparinoides/sangre , Heparinoides/farmacología , Heparitina Sulfato/análisis , Heparitina Sulfato/sangre , Heparitina Sulfato/farmacología , Humanos , Sensibilidad y Especificidad , Sulfonamidas/química , Tinzaparina
17.
J Perinatol ; 30(4): 253-7, 2010 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-19829297

RESUMEN

OBJECTIVE: The objective of the study was to evaluate anti-factor Xa levels with therapeutic enoxaparin anticoagulation in pregnancy. STUDY DESIGN: A total of 15 pregnant subjects on therapeutic doses of enoxaparin (1 mg/kg +/-20% subcutaneously (s.c.) twice daily (b.i.d.)) were enrolled prospectively in this cross-sectional pilot project. Three blood levels for anti-factor Xa activity were examined: before the enoxaparin dose (trough), 3- to 4-h later (peak) and 8-h later. Anti-factor Xa activity level between 0.5 and 1.2 U/ml was considered therapeutic. RESULT: Mean anti-factor Xa activity levels were: trough 0.45+/-0.18, peak 0.9+/-0.25 and 8-h after dose 0.72+/-0.23 U/ml. All peak levels were therapeutic; 20% (3/15) of the 8 h and 73% (11/15) of the trough levels were sub-therapeutic. CONCLUSION: Trough and 8-h post-dose anti-factor Xa activity levels were sub-therapeutic in a substantial number of patients receiving a b.i.d. regimen of therapeutic enoxaparin.


Asunto(s)
Monitoreo de Drogas , Enoxaparina/administración & dosificación , Factor Xa/análisis , Fibrinolíticos/administración & dosificación , Complicaciones Hematológicas del Embarazo/tratamiento farmacológico , Trombofilia/tratamiento farmacológico , Adulto , Estudios Transversales , Esquema de Medicación , Enoxaparina/análisis , Femenino , Humanos , Inyecciones Subcutáneas , Proyectos Piloto , Embarazo , Adulto Joven
18.
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
19.
Anal Biochem ; 380(2): 229-34, 2008 Sep 15.
Artículo en Inglés | MEDLINE | ID: mdl-18572011

RESUMEN

Clinically used low molecular weight heparins (LMWH) are anticoagulants of choice and are phenomenally complex mixtures of millions of distinct natural and unnatural polymeric sequences. The FDA recommends that each LMWH be considered as an independent drug with its own activity profile, placing significant importance on the biophysical characterization of each intact LMWH. We report a robust protocol for fingerprinting these pharmaceutical agents. Capillary electrophoresis of three LMWHs, enoxaparin, tinzaparin, and a Sigma preparation, under reverse polarity conditions in the presence of selected linear alkyl polyamines gives an electrophoretic pattern that is characteristic of the nature of the starting material. The buffers that best provided optimal resolution without compromising sensitivity and speed of analysis were 50 mM sodium phosphate, pH 2.3, and 100 mM ammonium formate, pH 3.5. Resolution was strongly dependent on the structure of polyamine with pentaethylenehexamine being most effective for enoxaparin and Sigma LMWH. In contrast, tinzaparin could be best resolved with tetraethylenepentamine. Cyclic polyamines were ineffective. Resolution was also dependent on the concentration of resolving agents and displayed a narrow window that provides optimal resolution. These features suggest a strong structural origin of the fingerprint pattern. Overall, the simple protocol will find special use in assessing LMWH quality and batch-to-batch variability.


Asunto(s)
Electroforesis Capilar/métodos , Heparina de Bajo-Peso-Molecular/análisis , Mapeo Peptídico/métodos , Enoxaparina/análisis , Poliaminas/química , Tinzaparina
20.
J Pharm Biomed Anal ; 46(1): 30-5, 2008 Jan 07.
Artículo en Inglés | MEDLINE | ID: mdl-18024047

RESUMEN

A simple, selective and accurate capillary electrophoresis (CE) method has been developed for the rapid separation and identification of various low molecular weight heparins (LMWHs) and unfractionated heparin. Separation and operational parameters were investigated using dalteparin sodium as the test LMWH. The developed method used a 70 cm fused silica capillary (50 microm i.d.) with a detection window 8.5 cm from the distal end. Phosphate electrolyte (pH 3.5; 50 mM), an applied voltage of -30 k V, UV detection at 230 nm and sample injection at 20 mbar for 5s were used. The method performance was assessed in terms of linearity, selectivity, intra- and inter-day precision and accuracy. The method was successfully applied to the European Pharmacopeia LMWH standard, dalteparin sodium, enoxaparin sodium and heparin sodium with a significant reduction in the run time and increased resolution compared with previously reported CE methods. Different CE separation profiles were obtained for various LMWHs and unfractionated heparin showing significant structural diversity. The current methodology was sensitive enough to reveal minor constituent differences between two different batches of enoxaparin sodium. This CE method also clearly showed chemical changes that occurred to LMWHs under different stress conditions. The sensitivity, selectivity and simplicity of the developed method allow its application in research or manufacturing for the identification, stability analysis, characterization and monitoring of batch-to-batch consistency of different low molecular weight and unfractionated heparins.


Asunto(s)
Dalteparina/aislamiento & purificación , Electroforesis Capilar/métodos , Enoxaparina/aislamiento & purificación , Anticoagulantes/análisis , Anticoagulantes/aislamiento & purificación , Técnicas de Química Analítica/métodos , Dalteparina/análisis , Electroforesis Capilar/instrumentación , Enoxaparina/análisis , Peróxido de Hidrógeno/química , Concentración de Iones de Hidrógeno , Reproducibilidad de los Resultados , Tecnología Farmacéutica/instrumentación , Tecnología Farmacéutica/métodos , Temperatura
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