PMID- 1329921 OWN - NLM STAT- MEDLINE DCOM- 19921223 LR - 20190704 IS - 0007-1048 (Print) IS - 0007-1048 (Linking) VI - 82 IP - 2 DP - 1992 Oct TI - Inhibition of thrombin generation by heparin and low molecular weight (LMW) heparins in the absence and presence of platelet factor 4 (PF4). PG - 406-13 AB - The ability of several low molecular weight (LMW) heparins and unfractionated heparin (UFH) to inhibit thrombin generation, and their anti-Xa and anti-IIa activities, were measured in the absence and presence of platelet factor 4 (PF4). The LMW heparins studied were 2-5 times less potent, on a weight basis, than UFH as inhibitors of thrombin generation in platelet-poor plasma; the inhibition of thrombin generation by LMW heparins correlated better with their anti-IIa activity (r = 0.98) than with their anti-Xa activity (r = 0.69). At low concentrations of PF4, the activity of LMW heparins in the thrombin generation test was neutralized less than that of UFH, but at higher PF4 concentrations all their activities could be neutralized except in anti-Xa assays. These observations support the hypothesis that anti-IIa activity is important for inhibition of thrombin generation by LMW heparins in vitro. However, when all the anti-IIa activity of LMW heparins was neutralized by PF4, considerable inhibitory activity remained in thrombin generation and anti-Xa assays, indicating that a portion of the anti-Xa activity of LMW heparins also contributes towards inhibition of thrombin generation. FAU - Padilla, A AU - Padilla A AD - Division of Haematology, National Institute for Biological Standards and Control, Potters Bar, Herts. FAU - Gray, E AU - Gray E FAU - Pepper, D S AU - Pepper DS FAU - Barrowcliffe, T W AU - Barrowcliffe TW LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - England TA - Br J Haematol JT - British journal of haematology JID - 0372544 RN - 0 (Factor Xa Inhibitors) RN - 0 (Heparin Antagonists) RN - 0 (Heparin, Low-Molecular-Weight) RN - 37270-94-3 (Platelet Factor 4) RN - 9001-26-7 (Prothrombin) RN - 9002-04-4 (Factor IIa) RN - 9005-49-6 (Heparin) RN - EC 3.4.21.5 (Thrombin) SB - IM MH - Factor Xa Inhibitors MH - Heparin/*pharmacology MH - Heparin Antagonists/pharmacology MH - Heparin, Low-Molecular-Weight/antagonists & inhibitors/*pharmacology MH - Humans MH - Molecular Weight MH - Platelet Factor 4/*pharmacology MH - Prothrombin/antagonists & inhibitors MH - Thrombin/*antagonists & inhibitors EDAT- 1992/10/01 00:00 MHDA- 1992/10/01 00:01 CRDT- 1992/10/01 00:00 PHST- 1992/10/01 00:00 [pubmed] PHST- 1992/10/01 00:01 [medline] PHST- 1992/10/01 00:00 [entrez] AID - 10.1111/j.1365-2141.1992.tb06437.x [doi] PST - ppublish SO - Br J Haematol. 1992 Oct;82(2):406-13. doi: 10.1111/j.1365-2141.1992.tb06437.x.