Document Detail


Evaluation of the thrombolytic effect of tissue-type plasminogen activator with ultrasonic irradiation: in vitro experiment involving assay of the fibrin degradation products from the clot.
MedLine Citation:
PMID:  8148800     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Previous studies show that the combined method using thrombolytic drugs and ultrasonic irradiation enhances the effect of thrombolysis in in vitro and in vivo experiments. However, the mechanism of the clot lysis was unclear. In previous studies the evaluation of the clot lysis effect was determined by the rate of decrease in clot weight or the decrease in radioisotope-labeled fibrinogen in the clot. However, it was unclear whether or not the fibrinogen in the clot was degraded. We measured quantitatively the fibrin degradation product, D-dimer (FDP-DD), produced from clots subjected to recombinant tissue-type plasminogen activator (rt-PA, 2.0 micrograms/ml), with and without ultrasonic irradiation. Two levels of continuous ultrasound were used, 300 kHz (100 V, 0.07 W/cm2) and 1 MHz (20 V, 0.4 W/cm2). The quantity of FDP-DD produced was 1.74 times at 300 kHz and 1.80 times at 1 MHz, greater than that measured in rt-PA solution without ultrasonic irradiation; clot lysis was not observed in normal saline with ultrasonic irradiation. Our experiment clarifies that the mechanism of clot lysis when subjected to a combination of drug and ultrasound leads to degradation of fibrin, allowing a quantitative measurement of the enhancement of clot lysis. A high correlation was observed between the FDP-DD produced from the clots and the rate of decrease in clot weight.
Authors:
M Kimura; S Iijima; K Kobayashi; H Furuhata
Publication Detail:
Type:  In Vitro; Journal Article    
Journal Detail:
Title:  Biological & pharmaceutical bulletin     Volume:  17     ISSN:  0918-6158     ISO Abbreviation:  Biol. Pharm. Bull.     Publication Date:  1994 Jan 
Date Detail:
Created Date:  1994-05-11     Completed Date:  1994-05-11     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  9311984     Medline TA:  Biol Pharm Bull     Country:  JAPAN    
Other Details:
Languages:  eng     Pagination:  126-30     Citation Subset:  IM    
Affiliation:
Toxicology Laboratory, Kyoritsu College of Pharmacy, Tokyo, Japan.
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MeSH Terms
Descriptor/Qualifier:
Analysis of Variance
Combined Modality Therapy
Enzyme-Linked Immunosorbent Assay
Fibrin Fibrinogen Degradation Products / analysis*
Fibrinolysis*
Humans
Thrombolytic Therapy / methods
Thrombosis / drug therapy,  therapy
Tissue Plasminogen Activator / pharmacology*,  therapeutic use
Ultrasonic Therapy*
Chemical
Reg. No./Substance:
0/Fibrin Fibrinogen Degradation Products; EC 3.4.21.68/Tissue Plasminogen Activator

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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