Antithrombotic properties in rabbits of heparin and heparin fragments covalently coupled to human antithrombin III.

Abstract

Clinical grade heparin is a very heterogeneous mucopolysaccharide, containing molecules with M, ranging from 6,000 to 30,000 that have either a high affinity or a low affinity for antithrombin III (AT). In this study, the antithrombotic properties of intact high-affinity heparin (M, = 15,000) and of two heparin fragments (h16, a 16-monosaccharide fragment, with M, = 4,300, and h12, a 12-monosaccharide fragment, with M, = 3,200) and of their functional covalent stoichiometric complexes with human AT were compared in a venous thrombosis stasis model in rabbits. Thrombosis was induced by injection of glass-activated human plasma and measured in a segment of the jugular vein that was isolated between two vascular clamps for 10 min.Injections of 55 Mg/kg resulted in a clear antithrombotic effect for intact heparin, but not for the two fragments. Equivalent amounts (carbohydrate moiety) of covalent complexes of heparin or of both heparin fragments with human AT resulted in an antithrombotic effect lasting for 45-60 min. Injection of 110 Mtg/kg of heparin and of the heparin fragments yielded an antithrombotic effect, lasting 45-60 min; the corresponding amounts of covalent complexes caused an antithrombotic effect for 60-120 min. The free and conjugated framents produced equal antithrombotic effects at equal plasma levels of anti-Factor Xa activity, but the specific antithrombotic activities of free and complexed intact heparin, on a molar basis, were 10-20-fold greater than those of the free and complexed heparin fragments. The plasma half-life of the covalent complexes of the heparin fragments with AT is, however, 10 times longer than that of the complex between intact heparin and AT and 30 times longer than that of free intact heparin. Covalent complexes between AT and heparin fragments could, therefore, be useful to maintain more stable levels of antithrombotic activity in plasma.

Molecular Weight of Heparin Versus Biologic Activity Some Additional Considerations

“…Doutremepuich and his coworkers, 12 ' 13 comparing heparin fractions of 25,000, 18,000, 16,000, 8000, 7000, 5000, and 2000 daltons in a ligated vena cava model (rat), found that only the 25,000 heparin failed to limit the extension of the preformed thrombus. Mattsson et al 34 noticed that when they covalently coupled AT III to low molecular weight heparins (4300), the complex produced an antithrombotic effect three to four times longer than low molecular weight heparins alone.…”