PMID- 17164496 OWN - NLM STAT- MEDLINE DCOM- 20070619 LR - 20121115 IS - 1076-0296 (Print) IS - 1076-0296 (Linking) VI - 13 IP - 1 DP - 2007 Jan TI - Relative neutralization of the biological actions of sulfaminoheparosans (K5 derivatives) and heparins by protamine sulfate. PG - 52-64 AB - Biosynthetic, semisynthetic, and synthetic analogues of heparins are currently developed as substitute antithrombotic agents for heparin. Sulfaminoheparosan (SAH) represents a bacterial polysaccharide (K5)-derived antithrombotic polymer from which pharmacologically active products with varying molecular weights (5-25 kDa) can be derived. These agents have been shown to exhibit pharmacologic effects comparable to heparins. The objective of this investigation is to determine the relative neutralization profile of various SAH derivatives, also called as bioheparins, by protamine sulfate. Four SAH fractions with varying molecular weights (20, 9, 7, and 6 kDa), a low molecular weight heparin (LMWH), tinzaparin, and unfractionated heparin (UFH) were supplemented to normal human pool plasma over a concentration range of 6.2 to 100 microg/mL. A fixed amount of protamine sulfate at 25 microg/mL (final concentration) was supplemented to determine the neutralization profile by performing tests such as prothrombin time (PT), activated partial thromboplastin time (APTT), Heptest, prothrombin-induced clotting time (PiCT), and amidolytic anti-Xa and anti-IIa assays. Protamine sulfate produced varying degrees of neutralization of all bioheparin fractions in the clotting assays. In the amidolytic anti-IIa assay relatively stronger inhibition was noted for all agents than inhibition of FXa. On a cumulative basis the neutralization profile of SAHs was comparable with heparins. These results suggest that the anticoagulant activities of SAH derivatives can be antagonized by protamine sulfate. These studies warrant further in vivo investigation to validate the relative neutralization profile of sulfaminoheparosans. FAU - Maddineni, Jyothi AU - Maddineni J AD - Department of Pharmacology, Loyola University Medical Center, Maywood, Illinois 60153, USA. FAU - Hoppensteadt, Debra A AU - Hoppensteadt DA FAU - Cornelli, Umberto AU - Cornelli U FAU - Manoni, Marco AU - Manoni M FAU - Fareed, Jawed AU - Fareed J LA - eng PT - Journal Article PL - United States TA - Clin Appl Thromb Hemost JT - Clinical and applied thrombosis/hemostasis : official journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis JID - 9508125 RN - 0 (Fibrinolytic Agents) RN - 0 (Heparin Antagonists) RN - 0 (Heparin, Low-Molecular-Weight) RN - 0 (Polysaccharides, Bacterial) RN - 0 (Protamines) RN - 42615-44-1 (capsular polysaccharide K5) RN - 9005-49-6 (Heparin) SB - IM MH - Bacterial Capsules MH - Blood Coagulation/*drug effects MH - Blood Coagulation Tests MH - Dose-Response Relationship, Drug MH - Drug Interactions MH - Fibrinolytic Agents MH - Heparin/*analogs & derivatives/pharmacology MH - Heparin Antagonists/*pharmacology MH - Heparin, Low-Molecular-Weight/pharmacology MH - Humans MH - Molecular Weight MH - Polysaccharides, Bacterial/*drug effects/pharmacology MH - Protamines/*pharmacology MH - Titrimetry EDAT- 2006/12/14 09:00 MHDA- 2007/06/20 09:00 CRDT- 2006/12/14 09:00 PHST- 2006/12/14 09:00 [pubmed] PHST- 2007/06/20 09:00 [medline] PHST- 2006/12/14 09:00 [entrez] AID - 13/1/52 [pii] AID - 10.1177/1076029606296403 [doi] PST - ppublish SO - Clin Appl Thromb Hemost. 2007 Jan;13(1):52-64. doi: 10.1177/1076029606296403.