PMID- 36908199 OWN - NLM STAT- MEDLINE DCOM- 20230314 LR - 20230317 IS - 1938-2723 (Electronic) IS - 1076-0296 (Print) IS - 1076-0296 (Linking) VI - 29 DP - 2023 Jan-Dec TI - Potency Adjusted Blended Heparin of Bovine, Ovine, and Porcine Heparin Exhibit Comparable Biologic Effects to Referenced Single-Sourced Porcine Heparin. PG - 10760296231163251 LID - 10.1177/10760296231163251 [doi] LID - 10760296231163251 AB - Introduction: Bovine and ovine mucosa represent alternate anticoagulants to porcine mucosa for production of unfractionated heparin (UFH). Standardized heparins from various sources can be blended and potency adjusted, blended heparins exhibit comparable effects as single-sourced porcine UFH. This study evaluated the pharmacologic profile of blended heparin and compared their activities to that of single sourced porcine, ovine, and bovine heparins. Methods: The anticoagulant effects of gravimetric and potency-adjusted heparins were evaluated with aPTT, TT, anti-Xa, anti-IIa, ACT, and TGA studies. Protamine sulfate studies were used for neutralization potential of each of the individual heparins. Results: The potency-adjusted heparins demonstrated comparable aPTT, TT, anti-Xa, anti-IIa, and ACT values at all concentrations (U/mL). However, in gravimetric studies, bovine heparin consistently showed lower values with the exception of thrombin generation inhibition studies. The protamine sulfate neutralization studies demonstrated complete neutralization at all concentrations for the potency-adjusted heparins. However, at gravimetric concentrations, minor differences were noted in the neutralization profile in each of these heparins. Conclusion: These studies support the hypothesis that blended heparin from bovine, ovine, and porcine tissue, when standardized in unit-equivalent proportions, exhibits a comparable anticoagulant profile to the single species derived heparins. FAU - Olson, Guy AU - Olson G AUID- ORCID: 0000-0003-3454-2273 AD - Cardiovascular Research Institute, Section of Hemostasis and Thrombosis, 25815Loyola University Medical Center, Maywood, IL, USA. FAU - Jeske, Walter AU - Jeske W AD - Cardiovascular Research Institute, Section of Hemostasis and Thrombosis, 25815Loyola University Medical Center, Maywood, IL, USA. FAU - Iqbal, Omer AU - Iqbal O AD - Cardiovascular Research Institute, Section of Hemostasis and Thrombosis, 25815Loyola University Medical Center, Maywood, IL, USA. FAU - Krupa, Emily AU - Krupa E AD - Cardiovascular Research Institute, Section of Hemostasis and Thrombosis, 25815Loyola University Medical Center, Maywood, IL, USA. FAU - Farooqui, Amber AU - Farooqui A AD - Cardiovascular Research Institute, Section of Hemostasis and Thrombosis, 25815Loyola University Medical Center, Maywood, IL, USA. FAU - Siddiqui, Fakiha AU - Siddiqui F AUID- ORCID: 0000-0002-2219-7049 AD - Cardiovascular Research Institute, Section of Hemostasis and Thrombosis, 25815Loyola University Medical Center, Maywood, IL, USA. AD - Program in Health Sciences, 16728UCAM - Universidad Catolica San Antonio de Murcia, Murcia, Spain. FAU - Hoppensteadt, Debra AU - Hoppensteadt D AUID- ORCID: 0000-0001-9342-4213 AD - Cardiovascular Research Institute, Section of Hemostasis and Thrombosis, 25815Loyola University Medical Center, Maywood, IL, USA. FAU - Kouta, Ahmed AU - Kouta A AUID- ORCID: 0000-0001-7579-9572 AD - Cardiovascular Research Institute, Section of Hemostasis and Thrombosis, 25815Loyola University Medical Center, Maywood, IL, USA. FAU - Fareed, Jawed AU - Fareed J AUID- ORCID: 0000-0003-3465-2499 AD - Cardiovascular Research Institute, Section of Hemostasis and Thrombosis, 25815Loyola University Medical Center, Maywood, IL, USA. 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 - 9005-49-6 (Heparin) RN - 0 (Anticoagulants) RN - 0 (Heparin, Low-Molecular-Weight) RN - 0 (Protamines) RN - 0 (Biological Products) SB - IM MH - Animals MH - Sheep MH - Cattle MH - Swine MH - *Heparin/pharmacology MH - Anticoagulants/pharmacology MH - Heparin, Low-Molecular-Weight/pharmacology MH - Protamines MH - *Biological Products PMC - PMC10014986 OTO - NOTNLM OT - USP reference heparin OT - anticoagulant assays OT - blended heparins OT - gravimetric OT - heparin COIS- The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. EDAT- 2023/03/14 06:00 MHDA- 2023/03/15 06:00 PMCR- 2023/03/12 CRDT- 2023/03/13 02:33 PHST- 2023/03/13 02:33 [entrez] PHST- 2023/03/14 06:00 [pubmed] PHST- 2023/03/15 06:00 [medline] PHST- 2023/03/12 00:00 [pmc-release] AID - 10.1177_10760296231163251 [pii] AID - 10.1177/10760296231163251 [doi] PST - ppublish SO - Clin Appl Thromb Hemost. 2023 Jan-Dec;29:10760296231163251. doi: 10.1177/10760296231163251.