2014
DOI: 10.1016/j.enzmictec.2014.09.005
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Design of a novel chimeric tissue plasminogen activator with favorable Vampire bat plasminogen activator properties

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Cited by 5 publications
(9 citation statements)
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“…60 Substitution of the alteplase F-domain with the corresponding domain of desmoteplase and the removal of the K2 domain increased the affinity to fibrin by 1.2-fold and provided fibrin stimulatory effect of up to 1,560 times. 61 A similar F-domain replacement and deletion of the lysine binding site of the K2 domain resulted in a 1.2-fold greater affinity to fibrin and a 14-fold higher fibrin stimulatory effect. 61,62 Clinical trials, such as Desmoteplase in Acute Ischemic Stroke (DIAS) 63 and Dose Escalation of Desmoteplase in Acute Ischemic Stroke (DEDAS), have revealed that desmoteplase has high recanalization (up to 53.3% in patients treated with 125 µg/kg desmoteplase) and low intracranial hemorrhage (0%) rates.…”
Section: Desmoteplasementioning
confidence: 95%
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“…60 Substitution of the alteplase F-domain with the corresponding domain of desmoteplase and the removal of the K2 domain increased the affinity to fibrin by 1.2-fold and provided fibrin stimulatory effect of up to 1,560 times. 61 A similar F-domain replacement and deletion of the lysine binding site of the K2 domain resulted in a 1.2-fold greater affinity to fibrin and a 14-fold higher fibrin stimulatory effect. 61,62 Clinical trials, such as Desmoteplase in Acute Ischemic Stroke (DIAS) 63 and Dose Escalation of Desmoteplase in Acute Ischemic Stroke (DEDAS), have revealed that desmoteplase has high recanalization (up to 53.3% in patients treated with 125 µg/kg desmoteplase) and low intracranial hemorrhage (0%) rates.…”
Section: Desmoteplasementioning
confidence: 95%
“…61 A similar F-domain replacement and deletion of the lysine binding site of the K2 domain resulted in a 1.2-fold greater affinity to fibrin and a 14-fold higher fibrin stimulatory effect. 61,62 Clinical trials, such as Desmoteplase in Acute Ischemic Stroke (DIAS) 63 and Dose Escalation of Desmoteplase in Acute Ischemic Stroke (DEDAS), have revealed that desmoteplase has high recanalization (up to 53.3% in patients treated with 125 µg/kg desmoteplase) and low intracranial hemorrhage (0%) rates. 64 DIAS-2 and DIAS-3 trials have confirmed that it is a safe thrombolytic drug.…”
Section: Desmoteplasementioning
confidence: 95%
“…The variant also has the lysine binding site in K2 defunct via the Trp254Arg mutation [114]. Higher fibrin binding and fibrin stimulation were achieved by substituting the finger domain of t-PA by that of desmoteplase and deleting the K2 domain [132].…”
Section: Tissue Plasminogen Activatormentioning
confidence: 99%
“…Since desmoteplase exhibits plenty of positive properties and not many drawbacks, a little effort was put into its engineering. A chimeric protein combining the structures of desmoteplase and tenecteplase has been recently reported [132,323]. In this variant, the kringle 2 domain of tenecteplase was deleted and the finger domain was exchanged for the domain of desmoteplase with the aim to improve the protein’s fibrin specificity.…”
Section: Desmoteplasementioning
confidence: 99%
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