PMID- 10630515 OWN - NLM STAT- MEDLINE DCOM- 20000201 LR - 20190721 IS - 0163-2116 (Print) IS - 0163-2116 (Linking) VI - 44 IP - 12 DP - 1999 Dec TI - A synthetic selective inhibitor of factor Xa, DX-9065a, reduces monocyte chemoattractant protein-1 expression after ischemia-reperfusion injury in rat liver. PG - 2568-76 AB - Activated factor X (FXa) is a trypsinlike serine protease involved in the cascade of blood coagulation. The monocyte chemoattractant protein-1 (MCP-1) may be important in the pathophysiology of liver ischemia-reperfusion injury. We investigated the effects of a selective FXa inhibitor, DX-9065a, on MCP-1 expression after ischemia-reperfusion in the rat liver. Liver ischemia was induced in rats by occluding the portal vein for 30 min. DX-9065a was injected intravenously 5 min before vascular clamping. Serum concentrations of MCP-1 were measured by enzyme-linked immunosorbent assay. The levels of MCP-1 mRNA in the liver after reperfusion were determined by northern blot analysis. In vitro MCP-1 production by peritoneal macrophages in response to alpha-thrombin was examined. Serum concentrations of MCP-1 increased and peaked at 6 hr after reperfusion. However, pretreatment of animals with DX-9065a resulted in significantly smaller increases in the serum concentration of MCP-1 after reperfusion in a dose-dependent manner. Pretreatment with DX-9065a significantly reduced MCP-1 mRNA levels in the liver after ischemia-reperfusion. In vitro MCP-1 production by peritoneal macrophages was enhanced by alpha-thrombin. In addition, DX-9065a significantly reduced tissue factor mRNA levels in peripheral monocytes after ischemia-reperfusion, compared to untreated animals. In conclusion, a selective inhibitor of FXa, DX-9065a, limited MCP-1 production after ischemia-reperfusion of the rat liver. FAU - Yamaguchi, Y AU - Yamaguchi Y AD - Department of Surgery II, Kumamoto University Medical School, Japan. FAU - Okabe, K AU - Okabe K FAU - Liang, J AU - Liang J FAU - Matsumura, F AU - Matsumura F FAU - Ohshiro, H AU - Ohshiro H FAU - Ishihara, K AU - Ishihara K FAU - Matsuda, T AU - Matsuda T FAU - Takeya, M AU - Takeya M FAU - Kuratsu, J I AU - Kuratsu JI FAU - Mori, K AU - Mori K FAU - Yamada, S AU - Yamada S FAU - Ogawa, M AU - Ogawa M LA - eng PT - Journal Article PL - United States TA - Dig Dis Sci JT - Digestive diseases and sciences JID - 7902782 RN - 0 ((2S)-2-(4-(((3S)-1-acetimidoyl-3-pyrrolidinyl)oxy)phenyl)-3-(7-amidino-2-naphtyl)propanoic acid) RN - 0 (Anticoagulants) RN - 0 (Chemokine CCL2) RN - 0 (Factor Xa Inhibitors) RN - 0 (Naphthalenes) RN - 0 (Propionates) RN - 0 (RNA, Messenger) SB - IM MH - Animals MH - Anticoagulants/*pharmacology MH - Blotting, Northern MH - Cells, Cultured MH - Chemokine CCL2/*blood MH - Enzyme-Linked Immunosorbent Assay MH - *Factor Xa Inhibitors MH - Kupffer Cells/metabolism MH - Liver/*blood supply/chemistry MH - Macrophages, Peritoneal/metabolism MH - Male MH - Naphthalenes/*pharmacology MH - Propionates/*pharmacology MH - RNA, Messenger/analysis MH - Rats MH - Rats, Wistar MH - Reperfusion Injury/*blood EDAT- 2000/01/12 00:00 MHDA- 2000/01/12 00:01 CRDT- 2000/01/12 00:00 PHST- 2000/01/12 00:00 [pubmed] PHST- 2000/01/12 00:01 [medline] PHST- 2000/01/12 00:00 [entrez] AID - 10.1023/a:1026667912632 [doi] PST - ppublish SO - Dig Dis Sci. 1999 Dec;44(12):2568-76. doi: 10.1023/a:1026667912632.