Document Detail


Synergistic effect of a factor Xa inhibitor, TAK-442, and antiplatelet agents on whole blood coagulation and arterial thrombosis in rats.
MedLine Citation:
PMID:  20452654     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
INTRODUCTION: Activated platelets facilitate blood coagulation by providing factor V and a procoagulant surface for prothrombinase. Here, we investigated the potential synergy of a potent factor Xa/prothrombinase inhibitor, TAK-442, plus aspirin or clopidogrel in preventing arterial thrombosis and whole blood coagulation.
METHODS: Thrombus formation was initiated by FeCl(3)-induced rat carotid injury. Bleeding time was evaluated with the rat tail transection model. Whole blood coagulation was assessed by thromboelastographic examination (TEG) for which blood obtained from control, aspirin-, or clopidogrel-treated rats was transferred to a TEG analyzer containing, collagen or adenosine diphosphate (ADP), and TAK-442 or vehicle.
RESULTS: TAK-442 (3mg/kg, po), aspirin (100mg/kg, po) or clopidogrel (3mg/kg, po) alone had no significant effect on thrombus formation, whereas the combination of TAK-442 with aspirin and clopidogrel remarkably prolonged the time to thrombus formation without additional significant prolongation of bleeding time. TEG demonstrated that the onset of collagen-induced blood coagulation were slightly longer in aspirin-treated rats than control; however, when the blood from aspirin-treated rats was subsequently treated in vitro with 100 nM TAK-442, the onset of clotting was significantly prolonged. In contrast, only marginal prolongation was observed with TAK-442 treatment of blood from control animals. The onset time of ADP-induced blood coagulation was slightly longer in clopidogrel-treated rats compared with control, and it was further extended by TAK-442 treatment.
CONCLUSION: These results demonstrate that blood coagulation can be markedly delayed by the addition of TAK-442 to antiplatelets treatment which could contribute to synergistic antithrombotic efficacy in these settings.
Authors:
Noriko Konishi; Katsuhiko Hiroe; Masaki Kawamura
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Publication Detail:
Type:  Journal Article     Date:  2010-05-10
Journal Detail:
Title:  Thrombosis research     Volume:  126     ISSN:  1879-2472     ISO Abbreviation:  Thromb. Res.     Publication Date:  2010 Aug 
Date Detail:
Created Date:  2010-07-27     Completed Date:  2010-11-29     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0326377     Medline TA:  Thromb Res     Country:  United States    
Other Details:
Languages:  eng     Pagination:  124-9     Citation Subset:  IM    
Copyright Information:
(c) 2010 Elsevier Ltd. All rights reserved.
Affiliation:
Pharmacology Research Laboratories, Takeda Pharmaceutical Company Ltd., Osaka, Japan.
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MeSH Terms
Descriptor/Qualifier:
Animals
Aspirin / pharmacology,  therapeutic use*
Blood Coagulation / drug effects*
Blood Coagulation Tests
Drug Synergism
Factor Xa / antagonists & inhibitors*
Male
Platelet Aggregation / drug effects
Platelet Aggregation Inhibitors / pharmacology,  therapeutic use*
Pyrimidinones / pharmacology,  therapeutic use*
Rats
Rats, Sprague-Dawley
Sulfones / pharmacology,  therapeutic use*
Thrombosis / drug therapy*
Ticlopidine / analogs & derivatives*,  pharmacology,  therapeutic use
Chemical
Reg. No./Substance:
0/1-(1-(3-((6-chloronaphthalen-2-yl)sulfonyl)-2-hydroxypropanoyl)piperidin-4-yl)tetrahydropyrimidin-2(1H)-one; 0/Platelet Aggregation Inhibitors; 0/Pyrimidinones; 0/Sulfones; 50-78-2/Aspirin; 55142-85-3/Ticlopidine; 90055-48-4/clopidogrel; EC 3.4.21.6/Factor Xa

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


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